A draft program is now available. Click below to view the draft program. This program is subject to change. We will issue a final program in the near future once final speakers are confirmed.
AVM Tracy Smart | Post Traumatic Stress Disorder Treatment for Veterans – Medical and Legal Developments
Post Traumatic Stress Disorder Treatment for Veterans: Medical and Legal Developments
Abstract coming soon...
AVM Tracy Smart – Commander Joint Health and Surgeon General, Australian Defence Force
Air Vice-Marshal (Dr.) Tracy Smart AM, joined the RAAF as a medical undergraduate in 1985. She served as a Medical Officer/Senior MO at bases around Australia, had postings with the RAF and USAF, and was Commanding Officer of the RAAF Institute of Aviation Medicine. Her operational experience includes Rwanda, Timor Leste, the Middle East and Lebanon. She received a Chief of Air Force Commendation for her role in a fatal air accident investigation in Malaysia. AVM Smart served as Officer Commanding, Health Services Wing in command of Air Force operational health response. AVM Smart was promoted to Air Commodore in 2009 and served in a number of Director General roles within Joint Health Command. She was promoted to Air Vice-Marshal and assumed the positions of Commander Joint Health (CJHLTH) and Surgeon General of the Australian Defence Force (SGADF) in December 15. Read full bio here.
Annette Farrell | The Role of Impairment Assessment in NSW Workers Compensation Disputes
The Role of Impairment Assessment in NSW Workers Compensation Disputes
Abstract coming soon...
Annette Farrell – Director Operations, Workers Compensation Commission
Annette Farrell is the Director of Operations at the NSW Workers Compensation Commission, an independent statutory tribunal in the NSW justice system. Annette is also appointed as an Arbitrator with the Commission and is an accredited mediator. She has over 20 years experience working in senior management and executive roles in the NSW public service and 15 years experience working in dispute resolution in workers compensation. In her present role, she is responsible for front-line service provision in the Commission, including direction of a panel of medical specialists appointed as independent decision makers.
Dr Michael Lee | Robotic Technology in Neurological Rehabilitation – Current Application and Future Challenges
Robotic Technology in Neurological Rehabilitation – Current Application and Future Challenges
Therapeutic robots are being increasingly utilised in neurorehabilitation to improve patient outcome. The ability of robotic devices to deliver large volumes of highly consistent and reproducible movement sequences and quantify training outcomes makes them an attractive rehabilitation tool. Therapeutic robots also have the potential for accurate assessment of motor function which may be useful for classification of patient status. Currently most therapeutic robots are expensive and bulky and limited only to large rehabilitation facilities. However, there is a growing interest in the development of smaller and affordable robotic devices for in-home use. Given the growing acceptance of therapeutic robots, a proactive discussion of liability in the event that robots cause injury to the intended user is warranted.
Dr Michael Lee – Senior Lecturer (Physiotherapy), Graduate School of Health, University of Technology Sydney
Dr Lee is a neuroscientist with a PhD in Medicine. Michael is currently a Senior Lecturer in Physiotherapy in the Graduate School of Health at the University of Technology Sydney (UTS). He is also a registered Physiotherapist and Chiropractor in Australia. Michael’s current research focuses on using technology, including therapeutic robotics and non-invasive brain stimulation (transcranial magnetic stimulation), to improve rehabilitation outcome in people with spinal cord injury, stroke and amyotrophic lateral sclerosis (ALS). Michael utilises novel quantitative clinical neurophysiological and neuroimaging techniques to study changes in brain function in patients with neurological and neurodegenerative diseases and to inform emerging robotic rehabilitation strategies.
Dr Kathleen McCarthy | Traumatic Brain Injury in a Nutshell
Traumatic Brain Injury in a Nutshell
The talk presents a brief overview of traumatic brain injury and its relevance to compensation arenas especially in NSW. Dr Jackson will explain what a traumatic brain injury is and how it intersects with impairment, funding for treatment rehabilitation and care, and criminal justice.
Dr Kathleen McCarthy – Rehabilitation Physician, Past President for the RACP Australasian Faculty of Rehabilitation Medicine
Dr McCarthy is a Rehabilitation Medicine Physician in private practice mainly seeing patient with traumatic brain injury in the community. She works largely in Sydney but also does regional assessments for icare. Until June 2019 Kathleen was on the Board of Directors for Rehabilitation Medicine Society of Australia & New Zealand. She was an office holder of the Royal Australian College of Physicians from 1994, including Faculty President from 2010 to 2012 and College Board Director for two years. This role had a substantial strategic component and Kathleen was responsible for the strategic direction of the Australasian Faculty of Rehabilitation Medicine. She was also an integral part of the Royal Australasian College of Physicians’ strategic planning and implementation at a time of great organisational change. Dr Jackson has also been a Board Director for several non-government organisations. She is a life member of Brain Injury Association NSW. Kathleen is now engaged with Brain Injury Australia and the NDIA in a Community of Practice in traumatic brain injury. She has extensive experience in both rural and metropolitan settings, in particular for traumatic brain injury.
OPEN & ACLM speakers
Dr Abraham Wai | Liability in Interprofessional Care – Nobody or Everybody?
Liability in Interprofessional Care – Nobody or Everybody?
Interprofessional care is the integral part of the modern rehabilitation care. Previous researches on organizational behavior have identified that better group structures and processes, rather than the intelligence of individual team members, would provide better outcomes. In Hong Kong, a medical council disciplinary decision was criticised for its “collective liability” concept. In that case, a surgeon was liable for the death of a patient in a rehabilitation hospital caused by errors during nursing care. The existing professional liability was established before the era of interprofessional care. How should we provided integrated care while maintaining clear professional roles?
Dr Abraham Wai – Clinical Assistant Professor of Emergency Medicine Practice, University of Hong Kong
Qualified in Hong Kong, Abraham is an academic emergency physician with interests in medical law and ethics, as well as health system management. He is currently Assistant Professor in the University of Hong Kong. As the course coordinator in emergency medicine, he has developed clinical interprofessional education on non-technical skills in undergraduate curriculum. He was the chief editor of “Medical Law & Ethics in Hong Kong” (Sweet & Maxwell, 2016), the first reference text on this topic in Hong Kong.
Dr Brent Hyslop | Intensive Rehabilitation In Older People – Is it a Right? And Who Decides?
Intensive Rehabilitation In Older People – Is it a right? And who decides?
Since the mid-20th century, Geriatric Medicine has developed as a specialty that, through medical care and rehabilitation, can allow frail older people to improve their function and stay living at home. But rehabilitation is resource intensive and doesn't always achieve its goals. So who should decide whether to undertake a rehabilitation programme: patient, family, or healthcare professionals? What if there is disagreement between parties? Is access to rehabilitation services an absolute right? With reference to the New Zealand context, this presentation addresses these questions.
Dr Brent Hyslop – Consultant Geriatrician, Southern District Health Board / Clinical Senior Lecturer, Dunedin School of Medicine, University of Otago, New Zealand
Dr Brent Hyslop is a consultant geriatrician at Southern District Health Board and a Clinical Senior Lecturer at Dunedin School of Medicine, University of Otago, New Zealand. His interests include clinical ethics and law in the care of older adults and people with dementia.
Professor Michael O'Connor | US Military Transgendered Personnel Under Fire – Jane Doe 2 et al -v- Donald J Trump et al
US Military Transgendered Personnel Under Fire – Jane Doe 2 et al -v- Donald J Trump et al
Several States have accepted transgendered servicemen into their ranks including Australia. Between November 2012 and March 2017, the ADF's health system helped 27 serving members with gender dysphoria (GD) - a clinical term which refers to conflict between a person's physical or assigned gender and the gender with which he/she/they identify. Not all transgendered (TG) persons suffer from gender dysphoria although there is a high incidence of psychopathology in this group as a whole especially suicidality which is prevalent even after sexual re-assignment surgery (SRS).
The US Commander in Chief, President Donald Trump declared on August 25, 2017 that individuals with a history of gender dysphoria were now disqualified from military service ‘except under certain limited circumstances’. That Presidential Memorandum indefinitely prohibited entry of TG individuals into the military and authorised discharge of serving TG personnel. The rationale appeared to be that TG individuals were at ‘high risk’ of suicide and therefore they were ill-suited to military life. That harks back to the 1960’s when the US armed forces barred service of transgender individuals in line with a blanket ban on sufferers of psychosexual disorders including paraphilias. The implication was that transgendered people all have a mental illness. That may be part of the reason that a diagnosis of gender dysphoria in DSMV is under challenge. In June 2018 The World Health Organisation stopped recognising GD as a mental illness.
In August 2018 current and aspiring transgender service members, many who had already served in Iraq and Afghanistan, filed a civil action in the US District Court, District of Columbia citing a Second Amendment Complaint and seeking a Motion to Dissolve the Preliminary Injunction. It was held that the Court’s preliminary injunction should continue to maintain the status quo ante and that the case should proceed.
This presentation will examine the grounds for any restrictions in military service for TG individuals.
Professor Michael O'Connor – Professor of Obstetrics & Gynaecology, School Of Medicine, Western Sydney University
Mike O’Connor is Professor of O&G at Western Sydney University and a Visiting Obstetrician & Gynaecologist at The St George Hospital, Kogarah, and St George Private Hospital, where he is Chairman of the Patient Care and Clinical Review Committee. He is a Conjoint Senior Lecturer at UNSW in the Division of Women’s and Children’s Health and Lecturer at Sydney University. From 1981-1983 he was Medical Superintendent at the Women’s Hospital (Crown St.) in Sydney. For 6 years Mike O’Connor was a Federal Councillor of the Royal Australian & New Zealand College of Obstetricians & Gynaecologists, representing NSW and served as Vice President of the College from 2002-2004. His College work included the development of an Indigenous Health Worker training program in antenatal care, adult and neonatal resuscitation courses as well as courses on the management of sexual assault. He established the Chapter of Military O&G in the RANZCOG and is its Chairman. Mike O’Connor was awarded the Gold Medal of the RCOG at the MRCOG exams in 1975 and in 1982 he was awarded the degree of Doctor of Medicine (Sydney University). He holds Diplomas in Diagnostic Ultrasound & Child Health. He is an active member of the ACLM, the ASCCP and the ASUM. He has a Master’s degree in Health Law from Sydney University and a Master’s degree in Forensic Medicine from Monash University. He acts for both Plaintiffs and Defendants as an expert witness. He is a section editor for the Journal of Law and Medicine. In 2009 he was created a Member of the Order of Australia in recognition of his longstanding work in Indigenous Health.
Clinical A/Professor Sandra Johnson | Brain-Computer Interface and Applications in Rehabilitation
Brain-Computer Interface and Applications in Rehabilitation
The Brain-Computer Interface (BCI) is an emerging field in Medicine and its application is likely to increase in medical conditions where there is neurological impairment of nerve and muscle function. This term was defined at the International Brain-Computer Technology meeting in New York in June 1999 as “a communication system that does not depend on the brain’s normal output pathways of peripheral nerves and muscles.” This presentation will address the technical elements of BCI and the various ways that it interfaces with the human brain. Some of the current applications in rehabilitation will be presented, where the aim is to reduce disability in patients that have neurological impairments. Ethical aspects of this technology also require consideration and will be discussed.
Clinical A/Professor Sandra Johnson – ACLM President, Clinical A/Professor Children’s Hospital Westmead Clinical School,
University of Sydney
Sandra Johnson is a Clinical Associate Professor at the Children’s Hospital Westmead Clinical School of the University of Sydney and she is a developmental paediatrician who has been in private practice in Sydney for the past 26 years. She has worked in the field of Paediatrics since 1983 having spent the prior 3 years in General Practice and Adult Medicine. She did her training in Paediatrics at teaching hospitals in Cape Town, London, Toronto, Boston and Sydney. Sandra is a Fellow of the Royal Australasian College of Physicians (FRACP), Fellow of the Royal College of Paediatrics and Child Health UK (FRCPCH) and Fellow of the Australasian College of Legal Medicine (FACLM). She has been a member of ACLM since 1997, was secretary for Council from 2009-2013 and was Vice President Academic for the College from 2014-2017. Sandra is the main author of “A clinical handbook on child development paediatrics” written for doctors and allied health professionals; she is the publisher and author of a book for parents “Your child’s development”; she has written a chapter in the textbook “Legal Medicine” (Editor: Beran); and she has written several peer reviewed journal articles. She enjoys writing and teaching topics related to Paediatrics and Legal Medicine.
Professor Albert Lee | Scope of Liability for Rehabilitation
Scope of Liability for Rehabilitation
Rehabilitation is now covering a wider perspective to include any visceral disabilities which would include chronic illnesses including mental health, not only restricted to physical injuries. Rehabilitation can now be regarded as tertiary prevention, prevention of complications and further deterioration of existing chronic condition and restoration of usual functional capacity as far as possible; and quaternary prevention, prevention of complications of medical interventions. The scope of rehabilitative services is not only in the hands of particular specialty, and physicians and other healthcare professionals in primary care are also involved. Self-management, self-care, and patient empowerment programmes now also play an important part in rehabilitation, and the providers go beyond the main stream healthcare professionals including health coach, peer counsellors, and caregivers. Re-visitation of the concept of duty of care and definition of reasonable standard of care is warranted.
As rehabilitation is a long term process and there are many intervening factors, more in depth analysis of causation of damage is needed if arisen. This presentation will discuss the issue of liability for the different levels of providers involved in rehabilitation particularly for those not in main stream healthcare practice.
Professor Albert Lee – Professor in Public Health and Primary Care, The Chinese University of Hong Kong
Albert Lee is Professor in Public Health and Primary Care, The Chinese University of Hong Kong. He is also a member of the Editorial Executive Committee of Journal Medicine and Law and Editor of March issue 2019 on the theme ‘Better Education and Training to prevent Medical Mishap’. He is Co-chairman of the Executive Committee of District Health Centre (first in Hong Kong) of Kwai Tsing Safe Community and Heathy City Association, Hong Kong.
Dr Leonard Lee | The Interplay of Legal Issues with Clinical Realities of Post Traumatic Stress Disorder
The Interplay of Legal Issues with Clinical Realities of Post Traumatic Stress Disorder
Dr Lee will discuss some conceptual issues involving the interplay of legal and moral issues with the clinical realities of Posttraumatic Stress Disorder (PTSD) based on his experiences as an Expert Witness and as a clinician. The presentation is intended to be stimulating and thought provoking. He will outline how the diagnosis of PTSD came about in 1980 with the DSM III, likely as a result of sociopolitical forces arising out of a time of social revolution and disillusion specifically with the war in Vietnam and changing societal values, argue that the disorder remains subjective despite attempts to define it objectively, and questions whether its very existence as a potent meme, although an advance in potentially offering stigma free intervention and furthering research, may also impede clarity with regard to neurotic predisposition,
precipitation, compensation, and rehabilitation.
If not everyone exposed to trauma develops PTSD, if the incidence of PTSD is increasing despite improvement in living standards, if the symptoms of PTSD are more common in people who are not exposed to traumatic situations than those who are, if we still have no reliable pathophysiological marker of the disorder despite years of research, and if patients sometimes deteriorate despite gold standard treatment, is PTSD a real diagnosis, a culture bound syndrome/and or a metaphor for distress? Does achieving a diagnosis improve or worsen clinical
outcome? Does compensation distort the clinical presentation? Is PTSD a step backwards? He will discuss some de identified cases to illustrate the potential benefit of psychometric testing to reveal negative response bias and preexisting psychopathology.
Dr Leonard Lee – Forensic Psychiatrist
Dr Leonard Lee is a consultant psychiatrist who gained the Bachelor of Medicine and Surgery from the University of Sydney in 1980, the Fellowship of the Royal Australian and New Zealand College of Psychiatrists in 1988, and certificates in Forensic Psychiatry and Child Psychiatry from the New South Wales Institute of Psychiatry. He is a member of the Forensic and Child Psychiatry Sections of the RANZCP, and a member of the Australian College of Legal Medicine. He has worked as a psychiatrist consultant to the Eastern Suburbs Developmental Disability Services, as a visiting psychiatrist to the Murrumbidgee Health Services in Child and General psychiatry and VMO to private psychiatric hospitals, and has maintained private practice of psychiatry since 1988 with interests in psychodynamics, family therapy, general and developmental psychiatry, the interplay of medical and psychiatric issues and evolving psychiatric perspectives and other areas of related knowledge.
Dr Lee's interest in forensic psychiatry has exposed him to a wide range of thinking about complex issues such as posttraumatic stress disorder, chronic pain and the confounds of litigation. He believes it is important to consider fundamental issues about personality and predisposition in understanding trauma, as well as perpetuating factors such as compensation.
Dr Geoff Speldewinde | Statistical Significance is the Over-Rated Sibling of Clinical Significance – Reinterpreting ‘the Evidence’
Statistical Significance is the Over-Rated Sibling of Clinical Significance – Reinterpreting ‘the Evidence’
There is a long history of studies published in Pain Rehabilitation showing statistically significant benefits of a range of therapies. The common approach is to describe p-value difference of group means and leave it at that. However, this is only the start, where most studies perhaps finish. We, the clinician-reader are probably more interested in ‘to what extent does this actually work’. What we would like to know is the likelihood of a clinically useful result to share with our patient to whom a therapy may be recommended. We want the ‘success rate’, where success for that therapy has been pre-defined, strengthened by its confidence interval. Examples from real-world studies will illustrate this.
Dr Geoff Speldewinde – Director of Rehabilitation at Calvary John James Hospital, President of the Australian Pain Society
Dr Geoffrey Speldewinde directs the well-known multidisciplinary Capital Pain and Rehabilitation Clinic in Deakin which offers a range of evidence-derived treatment options for people with persistent pain problems. He is also Medical Director of Rehabilitation at Calvary John James Hospital. His primary specialty of Rehabilitation Medicine was gained in 1990, and in 2000 Pain Medicine. Since 1992 he has trained in a range of pain procedures, as their evidence-base strengthened, from neurotomy to spinal stimulators which he offers to patients in the context of the ‘Rehabilitation Model’. This emphasises the value of an informed patient ‘leading’ their own care to improve their desired function. Furthermore it allows him to emphasise to his patients that pain interventions are aimed at the sensory component of their pain. He is an elected Board member of the Faculty of Pain Medicine and a Past-President of the Australian Pain Society.
Dr Selva Mudaliar | Topic coming soon...
Topic coming soon...
Abstract coming soon...
Dr Selva Mudaliar – Director of Rehabilitation at Beleura Private Hospital, Clinical Head of the Orthopaedics and Prosthetic Rehab at the Royal Melbourne Hospital, ACLM Council Member
Dr Selva Mudaliar has been practicing as a rehab physician in Melbourne for over 20 years. He has recently become Director of Rehabilitation at Beleura Private Hospital. Currently he is the Clinical Head of the Orthopaedics and Prosthetic Rehab at the Royal Melbourne Hospital and also consults at the SJOG Rehab hospital, Brunswick Private Hospital, Frankston Pain Management Clinic and Casey Pain and Rehab Clinic. He was the Director of Rehabilitation at Peninsula Health from 2002 to 2009. Selva’s qualifications include DSM, FAFRM, AFRACMA, Grad Cert in Legal Medicine, Grad Dip in Law (Monash) and FACLM. He has completed legal studies and has been admitted to the Victorian Legal Admissions Board and the Supreme Court of Victoria as an Australian Lawyer. He was one of the very first candidates to obtain his fellowship in legal medicine by successfully completing the college exams. Previously he has been an Honorary Lecturer in Medicine at Monash University and also taught Medical Law to 3rd and 5th year medical students. He spent 8 months in the Medico-legal Dept at Royal Melbourne Hospital as sabbatical. He previously served as a member of the specialist medico-legal advisory committee of RACP and of the Victorian Critical Incident Review Panel.
Call for papers
The program is nearing finalisation. To express your interest in speaking at this meeting, please email a 100 word abstract and short autobiography to email@example.com as soon as possible.
Park Hyatt Hotel Canberra
120 Commonwealth Avenue
Canberra ACT Australia
$550 inc GST for ACLM members
$650 inc GST for non-members
Registration fee includes your attendance at the Saturday evening College Dinner.
A $100 registration discount is offered to speakers.
A discounted accommodation rate is available to conference attendees at the Park Hyatt Canberra. Details will be sent to you following registration.
This offer will be subject to availablility so please book early to avoid disappointment.