Thinking about coming to Australia?

Discussion in 'Australian Medical Council (AMC) EXAM' started by An immigrant doc, Aug 11, 2007.

  1. Guest

    Guest Guest

    Doctor deregistered for having sex with 'nymphomaniac' patient
    BELLINDA KONTOMINAS
    April 17, 2010

    WHEN a patient told Dr Naresh Parajuli that she ''might be a nymphomaniac'' he began to feel uncomfortable about his own sexual interest in her.

    But the married general practitioner continued to see her as a patient during May 2007, during which time they engaged in sexually suggestive conversations and she gave him her mobile phone number.

    During one consultation at the practice in regional NSW, the woman complained of pain caused by sexual activity, but declined to have a female chaperone present during the examination. She asked him why he had not called her yet and made a suggestive comment before they discussed her sexual preferences.

    He called her the following evening and the pair arranged for him to meet at her home the next night, when he arrived with a bottle of wine before they had sex.

    The woman continued to visit him at work where he granted her unnecessary doctor's certificates and bulk-billed her when it was not appropriate to do so.

    But the woman's interest seemed to cool in the last week of June when Dr Parajuli called her up to seven times hoping to arrange more sex.

    In early July she made an appointment to see him and arrived with a friend who said she had recorded the pair having sex and would expose him unless he paid $100,000. The friend said she had also recorded their telephone conversations.

    Dr Parajuli was forced to admit the relationship to the police and was deregistered this week for professional misconduct.

    The woman's friend was charged with demanding money by threat and after pleading guilty was sentenced to a term of imprisonment. The NSW Medical Tribunal found Dr Parajuli's abuse of power was likely to be particularly damaging to the patient, who was an illicit drug user, exhibited problematic sexual behaviour and had experienced family law issues concerning her children.

    ''Far from being a mitigating factor … the patient's inappropriate sexual advances to the practitioner only emphasised her vulnerability,'' it found.

    Dr Parajuli moved from the area and, since 2008, had joined a new practice where he disclosed his past and was being mentored by a senior doctor, the court heard. He had also consulted a psychiatrist to help him understand boundaries between doctors and patients.

    The tribunal accepted that Dr Parajuli was remorseful but it found he did not fully appreciate his misconduct and was therefore at some risk of a future transgression. It directed that Dr Parajuli be deregistered and ordered him to pay the costs of the Health Care Complaints Commission, which had brought the case against him.
  2. Guest

    Guest Guest

    what was he thinking?

    your registration and livelihood in exchange for a slut?


    what was it "the fountain of youth golden pussy?"

    stupid..simply stupid!!

    i guess he was that ugly who can't get it somewhere!!
  3. sahasra

    sahasra Guest

    hi

    hi am permanant residant of australia from INDIA, I have cleared AMC MCQS this feb, am confused about the rules of registration in australia, struggling hard to get a job, what type of job you expect to do after MCQS, it is really tough for IMGS, i have strong regrets about coming to australia, am the topper of my college and unemployed for 3yrs, all my frends in india have finished their post graduation in india and at the same time enjoying their lives, am the one who is still struggling hard to find job here, this is really not a good place for doctors, i just hate the system over here, there are lot of rules and regualtions for IMGS. some people who r trained in western countires are getting jobs without clearing AMC, rules must imply equally to every one.................please let me know how to find jobs in australia after clearing AMC MCQS.
  4. guest anu

    guest anu Guest

    any one have information about career after AMC MCQS
  5. Guest

    Guest Guest

    They put you on a merry go round looking for a job. It will be harder as they will not be able to manipulate or exploit you so easily. Sorry for being negative, but this appears to be generally true.
  6. Guest

    Guest Guest

    Stance on human rights has everything - except a charter
    The Age

    SARAH JOSEPH
    April 22, 2010

    Weak arguments should not be allowed to sink plans for a charter.

    THE federal government's formal response to the National Human Rights Consultation Committee's report contains welcome initiatives focused on reaffirmation, education, engagement, protection, and respect for human rights. However, a key word is missing from that list: accountability.

    In that regard, it is regrettable that the government has chosen to reject the committee's cornerstone recommendation that it introduce a federal human rights charter. Australia will therefore continue to stand alone as the only Western democracy without comprehensive legal protection of human rights.

    The ''charter of rights'' debate has thrown up some familiar furphies. Such a charter is said to transfer too much power to unelected judges. This argument seems to imply that an ''unelected'' judge is a bad thing. Yet the unelected nature of our judiciary is a strength: a judge cannot be independent and impartial if he or she is elected. In any case, under the committee's proposed charter, Parliament was always going to retain the final say on human rights matters. It could have reversed interpretations that it did not like, and could have ignored a judicial declaration that a law was incompatible with human rights.

    There have also been concerns that a charter would politicise the judiciary. While human rights matters can involve politically charged issues on occasion, it is impossible to shield the courts from political matters.

    Our High Court has pronounced upon the validity of many historically contentious laws, such as WorkChoices, the Tasmanian dams legislation and, long ago, the Communist Party Dissolution Act. Our judges are capable of making principled, apolitical human rights decisions.

    The outer limits of some human rights may seem quite imprecise. For example, freedom of expression can be limited under international human rights law in reasonable and proportionate circumstances.

    It has been said that these standards are too vague for the judiciary to cope with. Yet vague standards arise in many areas of law: standards of negligence are measured against the hypothetical actions of ''the reasonable man''.

    Tests of reasonableness and proportionality also pepper Australian constitutional law.

    Moreover, judges would not interpret human rights in a vacuum: there are plenty of international cases, including from countries such as Britain and Canada, that shed instructive light on the meaning of human rights.

    Another argument is that a charter would be a bonanza for lawyers and would clog up our courts. That has simply not happened in Victoria, the ACT or Britain, which all have human rights charters of the type recommended by the committee.

    This argument seems to be based on the comparative experience of the US. But the US has a different legal culture - for example, unsuccessful litigants are rarely required to pay the winner's costs.

    Finally, there is the tabloid favourite - that a human rights charter would be of the greatest use to villains and criminals. Criminals and suspected criminals are most likely to make claims regarding the right to a fair trial or procedural rights concerning arrest and detention, rights that judges are already familiar with. They may also make claims about their right to humane treatment in custody.

    We doubt that many of the ''rogues' charter'' critics are seriously arguing that criminals or suspected criminals should be subjected to arbitrary (as opposed to justified) arrest, unfair trial, or inhumane treatment.

    When the human rights of suspects are not respected, miscarriages of justice often follow. Consider, for example, the forced confessions and wrongful convictions of the terrorist suspects known as the Guildford Four and Birmingham Six in Britain, and the farcical detention, charge, and deportation from Australia of Dr Mohamed Haneef in 2007.

    The rights that protect criminals and suspects, in fact, protect us all. They also promote good policing practices, helping to minimise the maltreatment of suspects and the arrest or conviction of innocents.

    The huge majority of the people who contributed to or were surveyed during the National Human Rights Consultation favoured a human rights charter. In fact, the level of response to the consultation was the largest in Australia's history.

    So what, one wonders, has caused the government to reject the key recommendation arising from that consultation? After all, the arguments against charters of rights are not new - the government would have been aware of them before establishing the consultation process. Attorney-General Robert McClelland merely stated that a charter would ''divide the community''; there was little elaboration.

    Alas, the government's response - as well as other recent acts, such as suspending asylum applications from Afghanistan and Sri Lanka - indicates that human rights have been given a low priority during this election year. In largely retaining the ''safe'' status quo, the government has chosen to deny Australians any right of redress when their human rights are abused.

    Professor Sarah Joseph is director of the Castan Centre for Human Rights Law at Monash University.


    COMMENT:

    IMGs before deciding whether you want to come to Oz, be mindful of this and Mr Rudd's recent political reform which critics stay it was to hastily fulfill a political promise for health reform but which lacks substance in practice.

    There are now quite a few documented (just imagine the undocumented ones) cases of abuse by one or more of the following when dealing with IMGs: Health Services Depts; DIAC; Colleges; AMC; private or privatised employers. The list grows as more people come out of the woodwork.
  7. Guest

    Guest Guest

    Getting a PR visa may put you in a stronger position in a job: but again, the system is designed to discriminate against PR OTDs!! This means only one thing....exploitation of visa holders...it is very clear
  8. Guest

    Guest Guest

    Qld Health payroll debacle worsens

    The Courier (Brisbane)
    * Rosanne Barrett
    * From: The Australian
    * April 22, 2010 12:00AM



    PITFALLS in Kevin Rudd's new deal for hospitals were exposed in his home state yesterday with the Queensland government in damage control mode over payroll bungling that has left health workers without their pay.

    Hopes that the month-long problem would be fixed yesterday were dashed as thousands of health workers failed to receive their full wages or were not paid at all.

    The Prime Minister yesterday confirmed the payroll management of hospitals would remain state-based under the much-touted National Health and Hospitals Network Intergovernmental Agreement.

    Mr Rudd downplayed the role of the states yesterday, saying: "It's just a payment authority."

    The payroll problems for state health workers in Queensland erupted when the $40 million WorkBrain/SAP system was introduced to replace the ageing LATTICE system.

    Casual hospital nurse Jude Mullane was yesterday about $400 out of pocket, a situation she has faced each pay day since the system was implemented.

    "There were a few weeks where I was stretching to pay my mortgage. I'm just getting a bit fed up with it," the mother-of-four said.

    "(Pays) are different each week and it seems that the pay system doesn't seem to be able to cope with that, and the penalties are wrong as well."

    Local radio stations were flooded with stories of health workers facing hardship, including a mother of three with $17 left in her bank account and a Lifeline worker who reported workers approaching the charity organisation for assistance.

    Deputy Premier and Health Minister Paul Lucas said there were "a lot of learnings" in the fiasco, which was more extensive than he initially expected. Federal opposition health spokesman Peter Dutton said the federal funding arrangement offered no reform and he questioned why the Rudd government would pour additional millions into the system.

    "Pouring more money into a bloated bureaucracy that can't even pay their staff on time doesn't give Queenslanders hope of better outcomes from Queensland Health in the future," he said.

    Queensland Opposition Leader John-Paul Langbroek said the payroll problem was "the first test" of the federally funded health system.

    He called on Mr Rudd to fix it.
  9. guest jj

    guest jj Guest

    hi

    I too just hate system over here, they ask for experiance from western country even after clearing AMC. Guys just think before u plan for australia, what is the point to come over here if they ask experiance from english speaking country even after clearing AMC, it is by it self implies that AMC board it self is inferior to other uni"s.
    Ausii"s are really crazy about englidh yaar. can anyone mind me to tell does the treatment protocol and management changes with the language we speak. seems qite funny na................

    no specialist here is dare enough to treat a simple complaint out of his subject, is this is the standard here, in many countries an mbbs doc can attend and able to manage all medical emergencies independently. here if a cardiac patient complains of headache he is referred to neurologist straightway.

    this is my humble request for OTDS not to choose australia for ur future. stay where u are help ur people ur country, atleast you will hold some small job if u stay in ur country of origin and get the utmost respect for u. here no respect for OTDS specially, patients abuse u in very bad language even if they are fully oriented and you have to keep smiling face all the time

    otherwise u will be umemployed for yrs like me. atleast am lucky that am married and my husband is working, thank god he is not in medical profession
  10. Guest

    Guest Guest

    The Queensland Health debacle is the tip of the iceberg of how cash strapped the States may be. The country claims that the economy is booming but like history has shown, it may be the big deception of hiding something from the public and from the world.

    NSW is bankrupt; Victoria is debt ridden ....what more do you have? WA is not coming to the party probably because they are richer than most states with their reserves but China's and India's appetite for raw materials is not going to continue indefinitely....

    IMGs....beware...we are all warning you not to take the easy plunge. You may be jumping from the pot into the fire and destroy your whole career ahead. At least in your home developing country you can earn a decent living, enjoy some respect and dignity as a professional and not get messed about by some third rate non medically qualified manager who probably cannot even spell or speak English with the correct tenses or pronounciation.

    As they say in real estate: caveat emptor! Dont buy the spin!
  11. Guest

    Guest Guest

    Double-dip doctors in crackdown

    The Age
    MISHA SCHUBERT
    April 28, 2010



    MEDICARE is investigating at least three cases where public hospital doctors may have broken the law by charging Medicare for services they delivered on ''paid public time''.

    The Age can reveal federal authorities are moving to crack down on the practice, following a 2008 warning by Victoria's Auditor-General Des Pearson that it could be illegal.

    Medicare has confirmed it is probing at least three instances in which doctors may have claimed funds from federal taxpayers for work done on hospital salaried hours, and warns further cases may emerge.
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    If convicted, doctors risk jail terms of up to five years, plus a ban of up to five years on claiming income from Medicare.

    The probe may force a rethink by hospitals, which have continued the practice despite a warning by the federal Department of Health last month that it was illegal.

    The Health Insurance Act bans doctors from charging Medicare for services when the medical expenses for that service are paid to a hospital.

    The law also outlaws claiming for medical services delivered under an arrangement with a local hospital network.

    But industry insiders say hospital managements have long asked doctors to bill Medicare for such services - as a way of generating extra revenue for the health system - despite the effective double-dipping.


    COMMENT:

    OTDs: if you think you are being forced by your employer to double dip or cost shift, you should report this to Misha Schubert: her tel is +61261227203 and she is Canberra based. You will be very vulnerable as you are likely going to be on an employer sponsored visa like a 457. The usual trick is that if you know you are aware, they will trump up charges against you and then put you through an investigation and report you to the Medical Board on false allegations so that you will be out of the system and they go Scot free. You may also wish to report this to the ADTOA
  12. Guest

    Guest Guest

    GP reported after toddler death

    The Australian
    * Natasha Bita
    * From: The Australian
    * April 28, 2010 12:00AM


    AN Iranian-trained doctor whose two-year-old patient died hours after he gave her a flu shot was reported to Queensland's Medical Board.

    The doctor was reported for allegedly failing to notify the death.

    Queensland's Chief Medical Officer Jeannette Young yesterday accused the GP of failing to notify Queensland Health of toddler Ashley Jade Epapara's death on April 9, less than 12 hours after her seasonal flu jab.

    She said the Medical Board would investigate the doctor for allegedly failing in his legal duty to notify her department of any adverse reactions to vaccinations.

    She said Ashley's twin sister, Jaime, had been vomiting, which "possibly" was an adverse reaction to the seasonal flu vaccine that was suspended nationally on Friday.

    The Brisbane doctor, Amir Mohammad Eskandari, graduated from a university in Tehran before qualifying to work as a GP in Australia last year, and was granted a "special purpose" registration to work in Queensland in January this year.


    Dr Eskandari told reporters yesterday he had not reported the girl's death because it was not clear whether the vaccine had caused it. "We gave swine flu injection and after that nothing happened," he told Network Ten news last night. "They (the twins) were totally fine.

    "The other twin, yes, she was a little bit unsettled, a little bit vomiting, but Ashley was fine and they (the family) don't know exactly what's happened."

    Dr Young said Queensland doctors had reported 13 "adverse reactions" ranging from fever to vomiting and febrile convulsions among vaccinated children since Friday.

    Under fire over her department's almost three-week delay in investigating the girl's death, Dr Young said she had been unable to identify the girl until she was named in weekend media reports.

    Dr Young said her staff had called southern Brisbane hospitals, police and the Therapeutic Goods Administration in an effort to confirm the initial April 9 media report, to no avail.

    Dr Young admitted she had not called the Queensland Coroner's office, and revealed that her staff had first contacted the grieving family only yesterday. The Coroner's investigation to date had been inconclusive, she said.

    AND

    BRISBANE TIMES
    'Flu jab death': AMAQ warns against making doctor a scapegoat
    COURTNEY TRENWITH
    April 28, 2010

    The Queensland branch of the Australian Medical Association has warned against making a Brisbane doctor a scapegoat in the death of a toddler who had received the seasonal flu vaccine.

    Two-year-old Ashley Epapara was found dead in her cot on April 9, a day after she and her twin sister were given the flu shot by private general practitioner Dr Amir Eskandari.

    The state's chief medical officer Dr Jeannette Young yesterday referred Dr Eskandari to the Medical Board of Queensland for not reporting the girl's suspected adverse reaction to the vaccine, as required by law.

    COMMENT:

    Xeno-iatro-phobia is an endemic condition in Australia. Maybe AMA is at last waking up! Thank goodness

    We the OTDs in Australia are behind you and will support you morally.
  13. Guest

    Guest Guest

    Debt makes hospital a sick choice

    Sydney Morning Herald
    HEATH ASTON
    May 2, 2010

    EXCLUSIVE

    The hospital that Prime Minister Kevin Rudd and Premier Kristina Keneally chose as the location to trumpet health reforms is labouring under a budget shortfall of nearly $12 million and a spiralling surgical waiting list.

    Documents leaked to The Sun-Herald show Blacktown Hospital was in the red by $11.94 million in January, making it one of the sickest establishments within the Sydney West Area Health Service (SWAHS).

    Separate documents show Blacktown's waiting list nearly doubled from 570 patients in December 2008 to 921 in December last year. Mr Rudd and Ms Keneally visited the 350-bed Blacktown Hospital last week to announce just 18 new beds as part of what they described as their ''historic health and hospital reform''.

    A week earlier, Blacktown's Labor MP Paul Gibson told a local newspaper: ''We need another 110 beds, and we need them yesterday.''

    About one in five patients now being treated in nearby Westmead Hospital have been referred by Blacktown due to a bed shortage.

    A fortnight ago it was revealed that the 13 hospitals in the Sydney West region had combined debts of $18.9 million at the end of the last financial year. SWAHS, which serves 1 million people, has been accused of failing to pay suppliers of medicines and diagnostic tests due to financial constraints.

    Opposition health spokeswoman Jillian Skinner said Blacktown's financial woes were ''highly embarrassing'' for Mr Rudd and Ms Keneally. ''Their announcement won't fix the $12 million budget blowout, it won't cut the waiting list which has more than doubled since 2006 … Blacktown Hospital … will now be in cost-cutting mode because of Labor's failed management of our health system.''

    A spokesman for Health Minister Carmel Tebbutt said Blacktown's budget shortfall varied by less than 5 per cent from its budget.

    He said the hospital is $5 million over budget.

    ''It is the waiting time, not list, that is important and Blacktown has recently received enhancement money for surgery from the Area Health Service and is on track to meet its target of all patients being treated within clinical benchmarks by June 2010,'' he said.


    COMMENT:

    When hospitals are in such terrible state, if something happens, the first person who gets blamed is always the OTD! AVOID NSW at all costs! The private sector may not be that brilliant either as some reports from OTD juniors suggest bullying being a common place
  14. Guest

    Guest Guest

    Sydney Morning Heral
    Spurned Indian students fight for refund of their fees
    SUSHI DAS
    May 3, 2010

    Students in India are struggling to have millions of dollars in fees refunded despite being unable to enter Australia.

    Education agents say the problem came to light after colleges in Australia began collapsing last year and the government began refusing student visas.

    India's Minister for Human Resource Development, Kapil Sibal, told the Herald he was aware of ''denied refunds'' and planned to raise the issue with the Australian government.

    ''I am aware there is a problem,'' Mr Sibal said. ''This is an issue that we will take up in the joint working group which has been set up at the official level. Certainly we will talk to [the Australian government] and find out the facts.''

    The Rudd government has refused to reveal the total amount of prepaid tuition fees sought despite the fact that data relating to prepaid fees and visa refusals are recorded on an electronic government database.

    ''Claims made by individual students about payments and difficulties in securing refunds are investigated on a case-by-case basis - as such it is difficult for the department to comment on this broad question,'' the Department of Education said in a statement.

    Students are seeking refunds from colleges which have either closed because of a federal government crackdown or are still open but face financial constraints due to a downturn in student enrolments, particularly from India.

    The supply of international students from India to Australia has dropped dramatically since Australia began clamping down on student visas issued since September. This has resulted in private colleges collapsing or facing financial constraints.

    Ravi Lochan Singh, the managing director of Global Reach, an education agency that represents Australian universities and colleges in India, said cash-strapped private colleges were withholding refunds.

    ''There is an issue here; I think that with more and more private colleges going down the issue will increase,'' Mr Singh said. Under Australian law course fees must be refunded within 28 days.

    Hales Institute, one of Melbourne's oldest colleges, was placed in voluntary administration in February after months of financial strife.

    In a letter to education agents in November, the college's managing director, Spiro Liolios, admitted enrolling more students than the college was allowed and withholding students' refunds.

    ''Having exceeded the number of enrolments we were [allowed], we found ourselves in an unhappy situation by which we had to delay certain financial obligations'' - refunds and commissions, he wrote in the letter obtained by the Herald.

    According to the Department of Education, prepaid fees are protected by the Education Services for Overseas Students [ESOS] Assurance Fund. The government-run fund, which was close to running dry as a result of a series of college collapses last year, was recently topped up by the federal government with $5 million in February.

    But Mr Singh said the question of whether students' prepaid college fees were protected by the ESOS Assurance Fund was still a ''grey area''.

    Glenn Pereira, the chief executive of the Culinary Institute of Australia and a registered migration agent, said the fund did not cover the students because they were not technically enrolled student

    COMMENT

    If these private institutions can do these things to you, what makes you think that other private institutions (eg AMC, Colleges, privatised clinics eg in NSW) cannot partake in similar actions which are more like gaming club conduct than professional society behaviour?
  15. Guest

    Guest Guest

    Murdered nurse's colleagues fear killer is 'someone within'

    Sydney Morning Herald
    DYLAN WELCH AND NICK RALSTON
    May 4, 2010

    THE colleagues of murdered nurse Michelle Beets are feeling increasingly vulnerable as suggestions grow that she was killed by a former Royal North Shore Hospital colleague.

    Hospital staff have set up an online memorial in honour of Ms Beets, and some have expressed their distress that the former colleague has been implicated in her murder.

    ''There's a sense of trust that has been violated,'' a clinician at Royal North Shore hospital's emergency department said. ''One of us has been killed doing a good job [and there's a] sense that it might have been someone from within. It makes you feel very vulnerable.''

    More than 400 people have joined a Facebook memorial page commemorating Ms Beets.

    ''Michelle, you're a beautiful, strong, passionate, dedicated person,'' one person wrote. ''Why is it the person who cares for and saves so many lives loses her own in such a terrible way?''

    It has been seven days since Ms Beets was found murdered on the verandah of her Chatswood home.

    She was unlocking the front door just after dark when she was repeatedly stabbed. Two dog walkers disturbed a person wearing a green jumper and backpack, who ran from the house into the night.

    Police are continuing to probe her background, both professional and personal, for clues to her murder.

    Her nursing colleagues are particularly concerned by one scenario: that a nurse killed her because he held a grudge.

    It has been reported that Ms Beets caught a nurse at the hospital stealing drugs, and he was subsequently sacked.

    While her murder was at first thought to be a burglary gone wrong, the fact that the power to her house had been cut minutes before she arrived home points to a targeted killing, as does the rage behind the dozen or so stab wounds she received.

    The clinician, who is on leave, said he had spoken to nurses after Ms Beets's death and they were ''not dealing well'' with the situation.

    ''I'm glad I'm not there at the moment, because the sense that one of my friends has been killed by someone from within is just awful,'' he said.

    Ms Beets's funeral will be held later this week.

    COMMENT:

    This is the current workplace scenario in NSW today. The current police hypothesis is Ms Beets had, in the course of her professional duty, reported someone for either a criminal or an unprofessional type of conduct (which the NSW system encourages) and, in the due course, suffered the retaliation.

    Very scary indeed. The new Medical Board of Australia mandatory disclosure guidance come into effect 1 July 2010 and there will certainly be a lot of administrative work in NSW.

    Somehow the Commonwealth government should also look at regulating managers and administrators who are proliferating like a secondary melanoma in the NSW Health system and, who are the masterminds of the corrupt practices and dysfunction described in the Garling Report.
  16. Guest

    Guest Guest

    Corruption probe MP quits education role
    LOUISE HALL
    May 4, 2010 - 4:44PM

    NSW Labor MP Karyn Paluzzano, who is at the centre of allegations that she and other members of her staff misused public money, has resigned as parliamentary secretary on education.

    The Premier, Kristina Keneally, said she had accepted the resignation.

    "Every step of the way, I have afforded Karyn Paluzzano due process – and I would do that again for any member of Parliament in similar circumstances," Ms Keneally said.

    "I have accepted her resignation and I will not be providing an ongoing commentary on the ICAC proceedings."

    The ICAC inquiry has heard that the Penrith MP and other members of her staff allegedly misused public money.

    The claims were raised in January by former staff member Tim Horan, who made a disclosure to ICAC.

    Ms Paluzzano, who is yet to give evidence, has repeatedly denied the allegations.

    In a statement, said said the ICAC inquiry ‘‘has caused me to reflect on remaining as Parliamentary Secretary.’’

    ‘‘I accept that there were irregularities.

    ‘‘I propose to co-operate fully with the ICAC investigation and have no further comment to make given that Inquiry is ongoing and I am due to give evidence imminently.’’

    The inquiry has heard she signed false payslips for staff members and rorted her parliamentary mailing allowance.

    Staffer Jennifer Launt today told the hearing that she knew there was a scheme in the office to make false declarations on claim forms for an allowance called "sitting day relief".

    She told counsel assisting the inquiry Christine Adamson, SC, that she knew it was wrong, but didn't raise her concerns because she feared for her job.

    "Why didn't you mention to Mrs Paluzzano that you didn't feel comfortable claiming sitting day relief?" Ms Adamson asked.

    "I think I didn't have that relationship with her," Ms Launt replied.

    "I suppose I was a little bit intimidated."

    Ms Adamson asked: "Did you know she was making a false declaration?"

    Ms Launt replied: "Yes."

    "You didn't want to betray Ms Paluzzano to the outside world?" Ms Adamson posed to her.

    "I don't think I wanted to betray what I was doing," Ms Launt said.

    Ms Launt, who still works in Ms Paluzzano's electoral office, said she believed the scheme was developed by Mr Horan, who had signed Ms Paluzzano's name on some forms.

    "I think he was the author of the scheme," Ms Launt said.

    "He was the head person in the office. He was the strategist."

    The hearing will continue until Friday.

    Opposition Leader Barry O’Farrell said Ms Keneally’s reluctance to sack Ms Paluzzano from the frontbench ‘‘exposes her weak leadership and failure to make the tough decisions’’.

    He said that Ms Keneally should have acted a week ago.

    - with AAP
  17. Guest

    Guest Guest

    Survey finds Australians say no room for population growth

    * CALLIE WATSON
    The Advertiser
    * May 05, 2010 12:01AM


    AUSTRALIANS are adopting a "keep them out" attitude towards immigration and population growth.

    Experts say the attitude is being driven by growing concern over key population issues and protection of scarce resources such as water, housing and electricity.

    That is the strongest anti-immigration sentiment since Pauline Hanson's One Nation Party inflamed racist tensions in the late-1990s.

    AustraliaScan research asked 2000 people if they believed population growth and immigration levels should be expanded or restricted.

    It found that for the first time in more than a decade, attitudes were on par with those when Ms Hanson was at the height of her popularity.

    Social analyst David Chalke said the driving force behind this was not "old fashioned xenophobia", but fears about a lack of resources.

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    "There's a massive contradiction between what the politicians have been telling us for the past five years - that we need to use less water, reduce our carbon footprint - we're now saying how can we do that if we're adding more people," he said.

    "People are worried that it will fundamentally change the lifestyle that is Australian, it will well and truly be the end of the quarter-acre block - even a trip to the beach because it is too busy or eroded.

    "That `keep them out' attitude is as high as it's been in a long time, just for different reasons."

    Mr Chalke said while the population was rising quickest in Queensland, where towns such as Noosa had "literally been barricaded", South Australia would also be hard hit by any future growth.

    The Australian Bureau of Statistics estimates the population is just over 2.3 million. The Federal Government's Intergenerational Report released earlier this year found it could hit 36 million by 2050.

    South Australia's population growth of 1.3 per cent was the highest of any state or territory in the March quarter and was the fastest the state had experienced in 36 years.

    Population Minister Tony Burke was appointed last month to design a growth policy within 12 months.

    James Cook University social demographer Dr Sue Bandaranaike said there was a general view that Australia was "over-populated", but those who did not support immigration were short-sighted.

    "You cannot forget that skilled migrants come here and do actually contribute. Even looking back, even in South Australia, many of the winemakers came from Germany," she said.

    "Of course when you see clashes and fights with boat people, you may be inclined to think otherwise and that's justified, but you still need to remember our migrant past."

    Immigration and racism expert Dr Peter Gale, from the UniSA's Unaipon School, said it was clear from incidents such as the recent violence against Indian students that there was still a level of racism in Australia.

    He said the Howard era, when Ms Hanson's views began to be aired, gave people a "degree of approval" to voice opinions they might otherwise have kept to themselves.

    Hieu Van Le, Chairman of Multi Cultural and Ethnic Affairs Commission, said it appeared the public "is quite nervous whenever we talk about increasing immigration".

    "While that was understandable, it was quite different to racism," he said.

    "As far as acceptance of cultural diversity I have to say Australia has the greatest success story."
  18. Guest

    Guest Guest

    Ex-judge Einfeld loses plea against jail term

    SMH
    MALCOLM BROWN
    May 5, 2010 - 11:12AM

    Former Federal Court judge Marcus Einfeld lost his bid today for leave to appeal against his sentences for perjury and perverting the course of justice.

    Einfeld, 71, is serving a two-year non-parole period as part of a total sentence of three years.

    In the NSW Court of Criminal Appeal, Justices Latham and Hulme dismissed the appeal outright, but Justice Basten said he would uphold the appeal.

    He took issue with the weight of the sentence and said he would reduce the non-parole period from two years to 18 months.

    Justice Basten also took issue with the effect of custody on Einfeld's physical and mental health.

    But, by a majority decision, the challenge was dismissed.

    The appeal judges dismissed suggestions by a psychiatrist that Einfeld was suffering from a long-term, previously undiagnosed bipolar disorder.

    Psychiatrist Anthony Durrell told an appeal hearing earlier this year that Einfeld displayed symptoms of "hypomania", manifesting itself in grandiose ideas about himself.

    That evidence was not heard before the sentencing judge and Einfeld's lawyers argued it should have been taken into account during sentencing.

    However, the appeal court today unanimously rejected Dr Durrell's evidence.

    The case stemmed from a series of lies Einfeld concocted to avoid incurring demerit points on his driver's licence after being issued with a $75 speeding ticket in 2006.

    On January 8, 2006, his car was photographed by a speed camera travelling at 60km/h in a 50km/h zone in Mosman.

    Einfeld's denial that he was driving the car at the time of the offence became the subject of the perjury charge.

    The court upheld the seriousness of the offence based on Einfeld's status as a barrister and as a former judge of a superior court and its effect in striking at public confidence in the integrity of the judicial system.

    Einfeld is due for release in March next year.
  19. Guest

    Guest Guest

    from the Nick Possum website

    How the Australian overseas student industry rips off the developing world

    6 February 2010

    Let’s face it: there’s bound to be a racist element behind many of the attacks on Indian students in Australia. I mean you can see it: Here’s some resentful half-arsed kid who had a lousy upbringing and has no prospects of a brilliant career, prosperity and the rest. He hangs out with his mates and they bitch to each other about anybody identifiably different: Lebs, abos, gays, Muslims, Asians … whatever. And then they suddenly see lots of Indians turning up in the places they hang out, and even getting jobs, and they decide they’re going to bash the diligent little wog to teach him a lesson. Nothing fundamentally to do with being Indian, as such, just to do with being different: not an Aussie, not like us.

    You can’t discount, either, a certain structural factor: leaving aside any racist motivation, a big increase in Indian students will be followed, inevitably, by a big statistical increase in violence against Indian students. (How big? Read on).

    But focus too much on the is it or isn’t it racism? debate and you’ll miss the Big Drift of History: the Australian ruling class’s quiet development of a new way of ripping off the developing world and providing itself with a cheap labour source.

    Educating people to be productive workers is expensive. Not only do you have to guarantee a certain level of resources and social stability so that people can have kids, raise them and socialise them, but you then have to pay for their primary, secondary and, if necessary, tertiary education.

    Instinctively, any ruling economic elite is going to try to avoid all these burdens. In the ancient Greco-Roman world they did this by relying on slaves captured in military conquest. Rome started declining when this source of young adult labour dried up and they had to start breeding and educating slaves.

    We started off in Australia with the actual slave labour of convicts. But that stopped in the early 1840s, partly because of popular opposition in the colonies and partly because the supply of criminals bred by the social chaos of England’s breakneck industrialisation dried up. Next came heavy levels of immigration. That, so far, has been the story of Australia’s economic development. Still, immigrants became citizens in short order, and their young offspring had to be accommodated within the education system from the day they set foot on Australian soil, and, after it developed, the social security system. Fair enough, too.

    The post WWII skills demand led to the Menzies Government instituting Commonwealth university scholarships, a generous system that extended into the Whitlam and Frazer years.

    Parallel with that, after 1950, Australia was giving aid to developing countries in the form of the Columbo Plan, under which thousands of Asian students were sponsored to study or train in Australian institutions. The plan was largely motivated by the belief that improved living standards would counter the appeal of radical nationalist movements in the region. But the motivating threat lifted with the decline of the left-wing threat in south-east Asia, the market Stalinist conversion of China, and the increasingly conservative drift of Indian politics. It was time to exchange aid for exploitation.

    Step 1: The Howard Government decides to make tertiary education pay for itself by selling education to overseas students and sponsors the creation of a vast and increasingly shonky private industry selling degrees to the sons and daughters of relatively well-off folk from countries like China and India who couldn’t get into a university in those countries. Cunning stuff. Get the upwardly mobile in poorer countries to subsidise the tertiary education of Australian citizens. Standards decline and crap “vocational†courses proliferate.

    Step 2: A policy favouring, for residency, those students whose families have paid for their education here. As word spreads, more and more Asian parents hand over good money for essentially fraudulent degrees and diplomas that are little more than the price of residency. A wonderful side benefit for Australian employers is that a great deal of very cheap or entirely free labour can be extracted from the hapless students and passed off as course work. Officially, overseas students are allowed to work 20 hours a week (and a further 20 for any dependents they might bring) but policing of this limit is no doubt laughable.

    Last year there were 320,000 overseas students in Australia, an increase of 15 per cent on 2007-8. Of these, 65,000 were from India, an increase of 27 per cent. There is now nearly one overseas student for every 70 Australian citizens and probably one worker in every 35 in the labour force (as counted very generously by the ABS) is an overseas student. That’s an awful lot of cheap labour. These workers live an atomised existence like the slaves of old. They have few rights and every reason to avoid complaining about their lot.

    Facts like these don’t get much exposure in the yellow press, which prefers to encourage moral panic about a few Australian Muslims and dog whistle about a tiny handful of asylum seekers arriving by boat.
  20. Guest

    Guest Guest

    See the meaning conveyed in the article? If they lure in OTDs and suppress them (by not allowing them to achieve Ozzie qualifications - the only ones accepted here- whether you are an ordinary doctor or a specialist, you have instant cheap labour to tie you by till their graduates emerge from the medical schools!

    Then, with the new Medical Board guidance, if you have been out of practice (for whatever reason- eg studying hard for your AMC 1 or OSCE) there is recency of practice issue which will further hinder you (supervised practice needed!)

    This article was written by a true blue Aussie who can see the devils and mafia in the 'ruling class' of Australia and how they manipulate the system

    My friend tells me that cartel-like behaviour by the Colleges contravenes the Trade Practices Act of the Commonwealth!

    Goodo mate, the Ministerial Council should be having some interesting debates about the the inadequacy of the guidance....at least for doctors!
  21. Guest

    Guest Guest

    Oooops! While the Federal government has succeeded in the formation of the Medical Board of Australia, NSW is stubbornly holding on to control....it is said that a NSW Medical Council will be formed soon with new legislation - 'to deal with complaints, performance etc of doctors....'

    I wonder whether this is the work of the Colleges or NSW Health or both?

    This is another to signals that OTDs are not welcome in NSW.
  22. Guest

    Guest Guest

    There appears to be a culture of false and fraudulent complainants (and blaming agents) in NSW Health. This is used as a tool to manipulate (and fix) vulnerable doctors or those they do not like for whatever reason.

    This network is well coordinated with the top brass of NSW Health via policies and the NSW Medical Board (soon to become the NSW Medical Council?).

    The Board is quite promiscuous as it is the only medical board in Australia which maintains College representatives as members!

    Some of these eg Dr P Procopis (the RACP rep) also sits in the AMC (as Chair of the Joint Medical Boards Advisory Committee) and the Medical Board of Australia come 1 July. It seems that he is the only one found out so far.....(also no lollies for guessing that Dr P sits in Performance Committees and Registration Committees!)

    It does not take a genius to realise that this type of conduct stimulates a conducive environment for violation of Part IV of the Trade Practices Act 1974 (Cth) - which some Australian Colleges are already engaging in.

    In fact, some of these actions border on acts of criminality esp when it involves fraudulently reporting doctors to the Medical Board and putting them through a process to maim them.

    In warfare, it is called a 'false flag' operation. When applied to politics, it refers to a falsified or orchestrated operation to deceive the public that something noble or beneficial is being done for them when the actual agenda is something else.

    In discussion a colleague said that the proposal to form a NSW Medical Council may be due to a large list of outstanding complaints which have not been resolved and that they want to show that they have more rigorous processes than the Med Board of Australia to "protect the public."

    The alternative argument is that this large list of complaints are false complaints which have been made to protect the interest of the profession! This means they are also sleeping with the Health Care Complaints Commission and many politically active Fellows of some Colleges

    It will not be surprising that elements of the Dr Jayant Patel case will show a 'false flag' operation (including cover ups for double dipping and overservicing)

    I wonder why no one has noticed this or have they given up? Are these Colleges more than Mafia?

    N
  23. Guest

    Guest Guest

    Eye surgeon kicked out of country

    Sunshine Coast Daily
    Bianca Clare | 19th May 2010

    A SOUTH African doctor who has performed 1870 eye operations on the Sunshine Coast has been given 28 days to leave Australia.

    Dr Mark De Wet and his wife Melanie have been told to leave Australia.
    Warren Lynam

    A SOUTH African doctor who has performed 1870 eye operations on the Sunshine Coast has been given 28 days to leave Australia because “his qualifications are not up to standardâ€.

    Dr Mark de Wet was lured from Johannesburg, where he ran two private clinics, to work at Caloundra Hospital by Queensland Health in 2007.

    At the time there was no full-time public ophthalmologist working between Bundaberg and Brisbane.

    Waiting lists on the Coast had blown out, with some patients facing six years before surgery.

    “Over three years, I performed 1550 cataracts procedures and 320 other eye surgeries,†Dr de Wet told the Daily yesterday.

    “I was responsible for the ophthalmitic care of all premature babies in the neonatal ward at Nambour General Hospital.

    “I was also effectively on call 66% to 75% of the time for emergency cases.

    “I was never once reprimanded over my work.

    “Not in my 21 years in the industry have I been either, I have no blemishes.â€

    On Thursday, May 14, the 50 year-old received a letter from the Royal Australian and New Zealand College of Ophthalmologists after applying for recognition as an overseas trained specialist in ophthalmology.

    The letter said the College would “not continue to support registration for Dr de Wet’s Area of Need positionâ€.

    “Dr de Wet was originally assessed in November, 2007, and asked to complete the written component of the RANZCO Advanced Clinical Examination (RACE),†it read.

    “He was given two opportunities to benchmark appropriately in this examination.

    “Having considered the outcomes of both RACE (sat in March, 2009, and March, 2010) in conjunction with the original documentation, the College cannot consider that Dr de Wet is comparable to an Australian trained ophthalmologist.â€

    Dr de Wet immediately resigned from Caloundra Hospital because he feared he “no longer had insurance†and would be a liability.

    Under the conditions of his 457 visa, he must be working full-time to remain in the country.

    Dr de Wet, who has been living in Buderim with his wife and two children, now has 28 days to leave the country.

    “I am disgusted at the situation,†Dr de Wet said.

    “If there was a problem, why wasn’t I told before now?

    “Am I to tell all 1870 patients operated on that they were operated on at a standard below that recommended by RANZCO and that it has taken this long to come to that conclusion?

    Dr de Wet’s situation is made even more complex by the fact he says he had no supervision during these 1870 procedures.

    Overseas trained surgeons must clock up a set amount of supervised hours.

    Fellow surgeons, locals and patients are outraged at the treatment of the ophthalmologist.

    “When I left nurses were crying,†he said.

    “The superintendent told me I was their biggest asset.â€

    Waiting lists are expected to blow out with Dr de Wet’s departure.

    The current waiting list for the Coast is understood to be 1500 patients and about six months.

    Sunshine Coast Health District CEO Kevin Hegarty said addressing the issue was a matter of urgency.

    “The Sunshine Coast Health Service District is seeking visiting medical officers or consultants from locum agencies to ensure ophthalmology services are maintained,†he said.

    “The district is also investigating options through Surgery Connect and outsourcing public patients to private hospital services.

    “A recruitment campaign, seeking appropriately qualified and experienced ophthalmologists to work in a permanent full or part-time capacity is also under way, as a matter of priority.

    Mr Hegarty said given there was a world-wide shortage of medical specialists, recruiting a permanent ophthalmologist was considered a long-term strategy.

    A spokesman for RANZCO said in all of its activities, the College’s decisions were underpinned by its primary concern for the interests of all patients.

    COMMENT:

    This poor chap has been chosen to be sacrificial lamb to show that Oz is non racist.....Do you know that Opthalmologists can earn up to AUD 15K in Medicare benefits per day. The college tightly controls the numbers. When a good doctors outperforms the locals, this is the outcome.
  24. Guest

    Guest Guest

    This is the first recent public record of bad conduct by the eye doc college - in the land of the blind, the one eyed man is KING (so are the opthalmologists)
  25. Guest

    Guest Guest

    Eye surgeon told to lodge appeal

    Sunshine Coast Daily
    Bianca Clare | 21st May 2010


    SOUTH African trained doctor Mark de Wet has been given a glimmer of hope that he will be reinstated at Caloundra Hospital with full privileges.

    Dr Mark De Wet and his wife Melanie have been told to leave Australia.
    Warren Lynam

    SOUTH African trained doctor Mark de Wet has been given a glimmer of hope that he will be reinstated at Caloundra Hospital with full privileges.

    The 50-year-old ophthalmologist had to resign last week after he was told his “academic knowledge†was not up to standard by the governing body, Royal Australian and New Zealand College of Ophthalmologists.

    It was a shock to his patients and fellow staff as all 1870 operations Dr de Wet has performed since taking up the position in 2007 have been a success.

    A spokesman for RANZCO yesterday acknowledged the “due process†for the college was not appropriate in this situation.

    “I would ask him (Dr de Wet) to trigger an appeals process,†he said.

    “Once he does that we can get him back to work.

    “Then hopefully we can develop a better system by which we can evaluate him and hopefully keep him in Caloundra Hospital for the long term.â€

    However, Dr de Wet said he wanted 100% certainly about his future at Caloundra Hospital before he lodged the appeal.

    “I don’t feel the need to prove myself to the college,†he said

    “What happens if down the track they want me to sit another text book exam and I don’t pass?

    “The college should ask the 13 RANZCO certified private ophthalmologists who work on the Sunshine Coast for an assessment of my work.

    “They have sent hundreds of patient to me. That evidence should be enough.â€

    Mr de Wet said he also wanted partial private practice rights.

    Sunshine Coast Health Service District southern cluster manager Jackie Hanson said that she acknowledged the inconvenience this situation had caused.

    “Queensland Health is investigating all avenues to facilitate Dr de Wet’s continued registration and we are hopeful recent comments by RANZCO, will see this matter resolved,†she said.

    “I assure patients they will be contacted as soon as possible regarding future surgery options.â€


    COMMENT:

    The eye doctor's college has shot itself in the foot: with the inconsistency it poured forth and now admitting that due process has not been followed. Let me assure you that the other colleges all do the same: even if they had made an error, they will never admit it and then close the doors on the candidate. The RACS and RACP are well know for this turf protection behaviour they exercise on someone who is a potential threat to their own kind. When will it ever change?

    One college down for credibility in unaccountability....Ministerial assistants, please take note and report this to the Joint Workforce Ministerial Council....
  26. Guest

    Guest Guest

    Patients fight for Dr de Wet

    Sunshine Coast Daily
    20th May 2010


    FORMER patients of Dr Mark de Wet have come out in droves to support the Caloundra Hospital ophthalmologist.

    John Archer can see clearly again after a cataract operation performed by Dr Mark De Wet.
    Barry Leddicoat

    WHEN Dr Mark de Wet restored John Archer’s vision, he also gave the Maroochydore pensioner back his life.

    The 74-year-old had two cataracts removed last year.

    Before the operation he faced having to give up his beloved pastime of lawn bowls.

    “All I could see was a fuzzy dot on the green,†Mr Archer told the Daily yesterday.

    “It was frustrating, I felt like I was losing my independence. I didn’t want to end up blind.â€

    Mr Archer said he couldn’t believe it when he heard Dr de Wet might have to return to South Africa due to bureaucratic red tape over his qualifications.

    “His treatment was marvellous,†he said.

    Former patients wanting to support the Caloundra Hospital ophthalmologist have come out in droves.

    Tewantin’s Don McAskill damaged his eye removing a T-shirt from a wire coat hanger in August last year.

    “When I went to visit Dr de Wet in Caloundra Hospital he discovered cataracts,†the 75-year-old said.

    “One month after the operation to remove them, I could read without glasses.â€

    Mr McAskill said he was disgusted with the Royal Australian and New Zealand College of Ophthalmologists for not continuing to support the registration of Dr de Wet after 1870 successful surgeries.

    He said the college should not judge him on his academic capabilities over his clinical and surgical experience.

    Prolific letter writer Brian Rayner is also more than happy with the surgery Dr de Wet did on his eye.

    Read more

    Fight's on for Dr Mark de Wet
  27. Guest

    Guest Guest

    Fight's on for Dr Mark de Wet

    Sunshine Coast Daily
    Bianca Clare | 20th May 2010

    THE fight for doctor Mark de Wet to be reinstated at Caloundra Hospital has gone right to the top.

    Dr Mark De Wet and his wife Melanie have been told to leave Australia.
    Warren Lynam

    THE fight for doctor Mark de Wet to be reinstated at Caloundra Hospital has gone right to the top.

    The South African-trained ophthalmologist, who has performed 1870 eye operations on the Sunshine Coast, was informed last week that his qualifications were not up to standard.

    The shock news came after Royal Australian and New Zealand College of Ophthalmologists tested his academic capabilities in March, 2009, and March this year.

    Due to the condition of his 457 visa, the 50-year-old and his family have been given 28 days to leave their Buderim home and Australia.

    Health Minister Paul Lucas said yesterday he was “very concerned” that Dr de Wet’s registration had been refused by RANZCO.

    “But this is a decision of the college ... not Queensland Health,” he said.

    “I have asked Queensland Health to see whether there is any further assistance they can provide to Dr de Wet in further assessment.”

    Mr Lucas said Australia had high standards set by specialist colleges.

    Dr de Wet was lured from Johannesburg, where he ran two private clinics, to work at Caloundra Hospital in 2007.

    At the time there was no full-time public ophthalmologist working between Bundaberg and Brisbane.

    Waiting lists on the Coast had blown out to up to six years.

    Australian Trained Overseas Association vice president Dr Sue Douglas said unfortunately the situation that Dr de Wet found himself in was not new.

    “Australia has a long history of unfair treatment of international medical graduates,” the Canadian-trained doctor said.

    “The role of colleges in assessing IMG specialist qualifications has been a major source of IMG exploitation and abuse.

    “This has significantly deterred the recruitment of critically needed, well qualified IMG specialists.”

    Dr Douglas said she had repeatedly asked for a review of the current specialist accreditation system in view of these ongoing problems.

    “I am planning to raise the issue again in Federal Parliament,” she said.

    Dr de Wet said he was humbled by the attention his situation had received.

    “However, I am 99.9% sure the college will not change its mind,” he said.

    “Hopefully by speaking out I will help the plight of other foreign doctors.”

    Member for Buderim Steve Dickson said the college had created a ludicrous scenario.

    “They are behaving like some sort of closed shop,” he said.

    “They have a responsibility to ensure the community is not starved of ophthalmic surgeons.”

    Member for Fairfax Alex Somlyay met with Dr de Wet and his supporters on Saturday.

    “I am looking at all avenues to help him remain in Australia,” Mr Somlyay said. “This not a Dr Patel case. He has done 1870 successful operations without a single complaint.”
  28. Guest

    Guest Guest

    If you were a turkey, would you jump for joy for the coming Christmas? Kevin Rudd's health reform plans, though not fully unveiled are probably better to prevent closed shop and underhanded practices and institutionalised Medicare fraud (ie double dipping etc)
  29. Guest

    Guest Guest

    Remember, as an OTD you will be the first target in any scheming (institutionalised) Medicare fraud - thereafter, it is the end of your career as a doctor
  30. Guest

    Guest Guest

    Last updated: May 25, 2010

    * by Janelle Miles
    * From: The Courier-Mail
    * May 24, 2010 12:00AM



    A QUEENSLAND public hospital patient died after being given adrenaline instead of antibiotics, a new report shows.

    Another experienced a fatal reaction to a drug despite having a documented allergy to the medication.

    The cases are detailed in the third Queensland Health patient safety report relating to public hospital incidents for the 2007-08 year. They are among 57,018 adverse events or near misses voluntarily reported by staff to Queensland Health's Patient Safety Centre during the 12 months, a 21 per cent increase on the previous year.

    But QH Patient Safety and Quality Improvement Service executive director John Wakefield said the jump reflected an increase in staff reporting incidents, rather than a deterioration of safety standards.

    Staff are encouraged to report safety issues so that measures can be introduced to public hospitals to make them as resistant to mistakes as possible.


    "The biggest risk we have in putting this out there is the community thinking we're awash with bad doctors," Professor Wakefield said. "That's not the case. But despite the best intentions of our staff, rare mistakes are made."

    He said the vast majority of the 57,000 incidents, including cases of pressure ulcers and patient falls, involved no patient harm.

    "For example, if a doctor writes a prescription and puts the wrong dose on there for a drug, and a nurse or the pharmacy picks that up . . . that's an incident but it never gets through to the patient," Professor Wakefield explained.

    Of the incidents reported, 0.2 per cent – or 169 cases – involved a death or permanent injury.

    Professor Wakefield said not all of those, including 132 deaths, were preventable or the result of "medical mistakes".

    "What this means is we have 132 deaths where we weren't expecting that person to die," he said. "They might have been having surgery, for example, and suffered a heart attack during the operation."

    Professor Wakefield conceded some cases were clearly preventable.

    One incident involved a woman who was to have her left ovary removed, but her right was taken instead. She was among 27 cases where procedures were performed on the wrong person or incorrect body part.

    Most involved an incorrect tooth extraction or receiving an X-ray meant for someone else.

    COMMENT

    This is the first piece of direct evidence supporting that Australian doctors are certainly not 'the best in the world' (as they regularly claim)
  31. Guest

    Guest Guest

    * by Linda Silmalis
    * From: The Sunday Telegraph
    * June 06, 2010 12:00AM


    SLEEP-DEPRIVED doctors are being advised to consume caffeine to overcome fatigue while working up to 100 hours a week in the State's ailing hospital system.

    Hospitals have also been urged to provide beds to allow doctors to sleep on-site when working excessive hours.

    The recommendations have been published on the NSW Medical Board website and have outraged doctors and the NSW Australian Medical Association.

    Medical Board Health Committee chairwoman Professor Kay Wilhelm suggests fatigued doctors should also ask managers to perform less difficult tasks at the end of a long shift to avoid making mistakes.

    Recommendations include regular protein snacks and for hospital managers to discourage an atmosphere where the doctor working the longest hours is seen as the "toughest".

    "After a sustained shift, if rest is not possible, ask your superiors to allocate you to less complex, more routine tasks," she said.

    "Have caffeine for a short-term boost; avoid driving home while fatigued; if possible, have a bed available on site."

    The NSW AMA, which is calling for a review of overtime practices in the State's hospitals, has slammed the suggestions.

    A recent survey by the Association found 41 per cent of doctors-in-training felt they were being asked to work unsafe hours.

    AMA Doctors-In-Training Committee chairwoman Dr Kathryn Austin said improvements in rostering and providing on-site beds for doctors to rest would be far more effective.

    Dr Austin, who is also a resident medical officer at a Sydney hospital, said lack of breaks between shifts were the biggest problem, with some doctors working seven days a week and only having one day off.

    "Increasing the number of doctors and improving rostering would go a lot further than pumping doctors with caffeine," Dr Austin said.

    The Sunday Telegraph spoke with a junior doctor being forced to work up to 13-hour days seven days a week, while her colleagues in the area of neurosurgery and orthopaedics were clocking up 100-hour weeks.

    Doctors working night shifts had to resort to eating junk food from vending machines. Rest areas had long been removed, said the doctor, who requested anonymity.

    "After doing long night shifts, you feel dizzy, have heart palpitations, nausea, you feel distracted, you don't eat or drink properly. There is a real risk of making mistakes," she said.

    "The public expects hospitals to be run 24 hours a day, but we (doctors) are not going to be at our physical best at two in the morning after doing a long shift.

    "It is impossible to ask for less-complex tasks; we just deal with things as they arrive - you can't just say no."

    She said doctors were not properly compensated for the long hours, with most receiving just 25 per cent extra for night shifts on top of their regular pay.

    COMMENT:

    Come 1 July 2010, business will be as usual: the NSW Medical Board thugs will be running the Australian Medical Board NSW Branch committee together with a Medical Council to deal with complaints and discipline doctors affected by the gross systemic errors and dysfunction.
  32. Guest

    Guest Guest

    Reforms a 'failure' for migrant workers

    Sydney Morning Herald
    PAUL BIBBY
    June 25, 2010

    CHANGES to the system of bringing in temporary migrant workers have failed to protect them from exploitation and in fact perpetuate discrimination, a new research paper says.

    The paper, by Joanna Howe, an Australian lawyer completing her a doctorate in employment law at Oxford University in Britain, says the federal government's Migration Amendment (Worker Protection) Act is ''tinkering around the edges'' of the problems with 457 temporary working visas.

    Implemented in September after revelations of exploitation and abuse, the act is supposed to protect migrant workers by placing greater obligations on the employers who sponsor them.

    It states that 457 visa holders must be subject to the same terms and conditions of employment as permanent workers, including a requirement that they be paid at market rates rather than the minimum standards put in place by the Howard government.

    But Ms Howe, a Rhodes scholar, said the provisions of the act failed to achieve the goal of equality. Unlike almost every other worker in Australia, 457 visa holders are not entitled to access the government compensation scheme set up to help those affected when an employer goes out of business.

    ''If the employer of a 457 visa holder is made insolvent, the worker loses all their entitlements, even though other Australian workers who have been employed by the same employer will be able to recover them,'' Ms Howe said.

    In other areas, such as health insurance, the act not only failed to promote equality, but made the situation worse, she said.

    While 457 visa holders have never been entitled to Medicare, the act removed the requirement that their employers pay for private health insurance. The worker must now pay for health insurance, which is a condition of getting a 457 visa.

    ''There was no explanation from the government as to why they did this,'' Ms Howe said. ''We can only assume it was the result of pressure from employers who wanted a better deal.''

    Other problems included inadequate penalties for employers who exploited temporary workers, and the creation of safety risks by English language exemptions for higher-paid migrant workers.

    The issues were exacerbated by the fact that the 457 visa system had become a ''back door'' way of bringing semi- and low-skilled workers into Australia.

    ''The act itself says that only highly skilled workers … are entitled to a 457 visa. But in the accompanying regulations there's an exemption which allows employers to bring in lower-skilled workers once they've signed a labour agreement with the department.

    ''Recent history has shown that low- and semi-skilled migrant workers aren't in a position to bargain for wages and entitlements. They're at the mercy of the boss, and because they're only here temporarily, that puts them in a very vulnerable position.''

    The federal Immigration Minister, Chris Evans, strenuously denied Ms Howe's claims..

    ''Overseas workers are afforded the same protections against exploitation as Australian workers,'' a spokesman for Senator Evans said.

    ''Where an employer goes bankrupt and owes money to a visa holder, the visa holder is able to seek restitution … through civil proceedings.

    ''Sponsors are required to comply with binding sponsorship obligations.''

    COMMENT

    My warning to 457 visa holders who are doing specialist posts especially in NSW is to avoid getting exploited by your employer subcontracting you to perform tasks which may be unlawful and thus shift the risk to you. I am referring to cost shifting and double dipping
  33. Guest

    Guest Guest

    And false and fraudulent Medicare claims using your number.....(for their benefit - as your contract will show that you dont get a cent of this bounty). Of course, if you do, then you are colluding with the State government to defraud the Commonwealth Government: something extremely serious which OTDs should never be embroiled in.

    If the Ozzie medical profession (colleges and all) chooses to do this, you dont need to follow suit.

    Australia has enough white collar crims (and so does India)
  34. Guest

    Guest Guest

    Fears of backlash against foreign-born doctors

    * Sarah Elks
    * From: The Australian
    * July 01, 2010 12:00AM


    OVERSEAS-TRAINED doctors are worried convictions of Jayant Patel may spark community backlash against foreign-educated doctors in Australia.

    Sue Douglas, from the Australian Doctors Trained Overseas Association, said the Patel convictions could heighten existing prejudices against the nation's internationally educated doctors. "I am concerned there is enough misinformation and prejudice about overseas-trained doctors still out there that cases like this may elicit a backlash and a negative reaction against overseas-trained doctors," Dr Douglas said.

    Patel, an Indian-born US citizen who was trained on the subcontinent, was found guilty on Tuesday night of killing three of his patients and of inflicting grievous bodily harm on a fourth, after a marathon trial in the Queensland Supreme Court.

    Due to doctor shortages, especially in rural and regional areas, Australia's health system relies heavily on overseas-trained medical professionals.

    Dr Douglas said more than a third of the nation's doctors were trained overseas. In rural and remote areas, the figure rose to one in two.

    "There's no evidence that Patel's nationality, or the origin of his training, contributed to this tragedy," she said yesterday.

    "There's very good evidence that the problems with the health system and the registration system led to this."

    Patel worked as the director of surgery at the Bundaberg Base Hospital, in regional Queensland, between 2003 and 2005.

    When serious questions about his conduct at the hospital were raised in 2005, it was discovered he had been disciplined in the US for medical negligence and banned from performing complex surgery without first obtaining a second opinion.

    Patel's disciplinary history was not discovered by Queensland health officials when he applied to work in the state.

    Steve Sant, chief executive of the Rural Doctors Association of Australia, said internationally educated doctors needed additional support when they first arrived in this country. "Putting them in regional Australia where they can't access the support doesn't make sense," Mr Sant said.
  35. Guest

    Guest Guest

    dreamworld comp
    Doctors guilty of incompetence and negligence escape punishment

    * by Alison Sandy
    * From: The Courier-Mail
    * July 02, 2010 11:00PM


    DOCTORS found guilty of incompetence and negligence in Queensland often get only a slap on the wrist, even in cases where the patient has died, Queensland Medical Board reports have revealed.

    The incidents, which include misdiagnosis of cardiac conditions leading to fatal heart attacks, poisoning a patient through the wrong prescription, sexual misconduct and corruption, are also frequently being covered up, according to files obtained by The Courier-Mail.

    Only five of the 21 substantiated cases before disciplinary hearing committees in the past year were recorded on the public register.

    Explanations for this included that the incident was "isolated" or that it was not in the public interest.

    The Courier-Mail understands that none of the doctors involved were struck off the register in Queensland, although at least two are now working overseas.

    The cases included a doctor being found guilty of robbing taxpayers through Medicare, saying he had just under 22,000 consultations in a year.

    He said on most days he saw at least 60 patients and sometimes more than 90. That same doctor claimed for excessively long sessions (more than 25 minutes) and medical equipment he never bought.

    Other doctors were caught illegally prescribing drugs like Valium or morphine, in some cases for their own use or that of a family member.

    So far this year, there have been 236 complaints made against doctors over misconduct and there were 394 last year. About 10,000 doctors practise in Queensland.

    Queensland Medical Board chairwoman Mary Cohn said the board had referred 14 matters involving doctor misconduct to the Queensland Civil and Administrative Tribunal this year and five appeared before the Professional Conduct Review Panel.

    "The board's investigation report and the decision on the level of disciplinary action to be taken was reviewed by Queensland's independent watchdog, the Health Quality and Complaints Commission," she said.

    "Following that review, the matter was referred for disciplinary action through one of three disciplinary bodies.

    "Only QCAT has the ability to suspend or cancel a doctor's registration."

    New "mandatory reporting" legislation, forcing staff to dob in doctors suspected of dodgy practices or face disciplinary action, was introduced on January 1 and the Queensland Medical Board was on Thursday disbanded and replaced by the Australian Health Practitioner Regulation Agency.

    COMMENT:

    This is not new. The biggest culprit is NSW - that is why they have their own complaints procedure following 1 July.

    Of serious concern is that OTDs are targetted for the most minor 'imaginary' allegations which arise because of general systemic problems. In other words, the environment had created the scenario for an allegation to be made against the OTD.

    This does not happen generally with local Ozzie doctors and it makes us think about RACISM and DISCRIMINATION and the ABUSE of human rights by these medical boards.

    Let us hope that the new National Board will take charge and eliminate all these forms of bad conduct and bad behaviour and that public pressure will force NSW to review its own complaints handling procedure which favours Anzac trained doctors and discriminates against OTDs
  36. Guest

    Guest Guest

    Jayant Patel was just a symptom of Queensland Health's terminally ill system

    * Madonna King
    * From: The Courier-Mail
    * July 03, 2010 12:00PM



    AS Jayant Patel spends his first weekend in his new prison home, it's hard not to feel slightly sorry for him.

    He's a killer. A jury said so. His out-of-control ego and his particular brand of medicine including its misdiagnosis, unnecessary operations and botched surgery are unforgivable. There is no doubt about that either.

    But it's also hard to forgive a system that recruited, promoted and protected the former director of surgery at the Bundaberg Base Hospital.

    Put simply, if Jayant Patel was the symptom of a problem, Queensland Health and how it operates was definitely the cause.

    Jayant Patel killed innocent patients, who were desperate to be well. And his inability to show emotion, or apologise for the havoc he's wrought, only makes it worse for those whose lives he's turned upside down.

    Start of sidebar. Skip to end of sidebar.

    End of sidebar. Return to start of sidebar.

    His punishment has been meted out. But what about those who have escaped any penalty despite allowing him to cause the trouble in the first place?

    Who is responsible for recruiting Jayant Patel? Who should be held accountable for failing to check whether he was suitable and credentialed to do the job he was being appointed to do? Why was he sent to Bundaberg, where supervision was limited or non-existent?

    Why was he promoted? Why wasn't the refrain of dissatisfaction and concern by co-workers ever taken seriously.

    Why isn't Queensland Health in the dock with Jayant Patel? Or the Government behind the litany of errors that allowed him to kill Mervyn Morris, James Phillips and Gerardus Kemps and to cause grievous bodily harm to Ian Vowles.

    In short, Jayant Patel has copped the total blame for a system that was highlighted through several inquiries and this criminal trial a system that you pay for, and the Government proudly touts as a jewel in its crown.

    The debate now heads to another court, for guidance on several legal questions that has broader ramifications for medical specialists and perhaps other professionals too.

    But it's important not to lose sight of another non-legal debate here - about the department at the centre of the Bundaberg Hospital fiasco, run by the Deputy Premier and Health Minister Paul Lucas.

    Lucas says a Jayant Patel-type saga should never happen again. Mistakes were made, and had been fixed, and part of the problem was that people had raised concerns and they had not been acted on.

    Sounds a bit like answers that could be given to another health bungle too that relating to the payroll mess.

    This week's report by the Auditor-General into the Queensland Health payroll debacle is nothing short of damning and is yet another illustration of a bungling bureaucracy that the Government continues to fail to address.

    More than that, it runs for cover. Two senior public servants were given their marching orders, but the minister they answer to was off limits. So was the Minister for Communication Technology Robert Schwarten, who went into hiding.

    That's not taking responsibility. And that's what it appears this Government has not learnt, despite the Bundaberg Hospital saga.

    Queensland Health remains riddled with inefficiencies, a lack of transparency, bureaucratic bungling and an inability to adopt the culture it needs to move forward and all voters have to placate their concerns is the assurances of the Health Minister that all is OK.

    That's not good enough. He can nod his head all he likes, but there is now a persistent pattern in how Queensland Health deals with issues and that is to either pretend it is not happening, or quickly pass the blame on to someone else.

    It was only a week or so ago that Kevin Rudd learnt what happens when you don't listen. He refused to hear the message both his ALP colleagues and voters were sending. And he lost his job.

    It was the same lesson John Howard learnt at the last election, when his electorate sent him packing.

    Jayant Patel's conviction and this week's report into the Queensland Health payroll mess are another two reminders that Queensland Health, and how it operates, desperately needs an overhaul.

    And good leadership dictates that it starts with the Minister Paul Lucas accepting responsibility for the department he runs, and the problems it has. The prognosis is pretty clear if he continues failing to do that.
  37. Guest

    Guest Guest

    Hedley Thomas broke the Jayant Patel story to the world

    * Hedley Thomas
    * From: The Sunday Mail (Qld)
    * July 03, 2010 6:20PM



    Sick To Death


    TONI Hoffman was nervous. But she was also insistent.

    We had agreed to meet at The Courier-Mail's Brisbane offices on the afternoon of April 7, 2005, because the nurse from Bundaberg Base Hospital had a bizarre and shocking story to tell.

    She was adamant that the director of surgery, Dr Jayant Patel, was killing and maiming patients.

    Looking back now, five years on, neither of us could have imagined the repercussions of her disclosures - the catalyst for one of the most remarkable cases in Queensland medical, media and legal history, culminating in Patel's conviction for three counts of manslaughter, one of grievous bodily harm and a jail term of seven years.

    At our first meeting, Ms Hoffman seemed slightly neurotic. She was agitated, breathless and speaking rapidly about patients' deaths, injuries, administrative cowardice and other doctors who did not want to help her force management to act.


    To try to soothe her fears about her employer, Queensland Health, finding out she had met a journalist, I signed her into the building under a false name, Jane English.

    "There were so many botch-ups with patients and it continued on and on until this one big incident, the straw that broke the camel's back," she told me that day.

    "The nurses from the renal unit complained. The infectious control nurses complained. In between all this we would be having the patients with complications coming into intensive care. And pretty much on a daily basis we would have a patient in ICU with some stuff-up because of what he had done.

    "A physician was hiding a patient in intensive care so that Patel would not get him. We literally were throwing ourselves across the patients to stop him from getting to them. We were seeing this guy being rewarded while we lied to families and protected patients and felt sick about what was happening. We have been crying for months. He was not malicious. He was incompetent and he had a god complex."

    Our second meeting four days later was more fateful. I had gone to Bundaberg on April 11 to interview other nurses, patients and Rob Messenger, the local National Party member.

    Ms Hoffman's confidential briefings to Rob Messenger had led him to raise serious concerns about Patel in State Parliament in March, but the then Health Minister, Gordon Nuttall, and Queensland Health responded by backing the surgeon and lashing out at his critics.

    "I hope you're satisfied that he's resigned. You are responsible for the lack of a surgeon in Bundaberg over the Easter break," Mr Nuttall told Mr Messenger at the time.

    Patel had quit and returned to the United States on April Fool's Day as a result of Mr Messenger's stand in Parliament. Ms Hoffman was concerned that he would return or operate elsewhere, and more people would be harmed. But she was fighting a losing battle.

    Over the past five years I have been asked about the tipping point in the Patel case. For me, it occurred at Ms Hoffman's home in Bundaberg on our second meeting, April 11. It was the night the penny dropped and it changed everything.

    Ms Hoffman had asked four other nurses to come to her house to meet me in secrecy. The kitchen table was laden with takeaway food I had picked up at the Indian Curry Bazaar.

    As I wrote in my book Sick To Death, between mouthfuls of roghan josh, garlic naan and chicken tandoori, the nurses spoke to me about cardiac arrest, perforations of the bowel and pus-oozing infections.

    Ms Hoffman had been through the charts during her shift that day to count the number of Patel's patients who had suffered serious complications - infections, wound breakdowns and deaths - since September. The exercise had made her more depressed.

    The stories she and the other nurses told were shocking. But there was something else - a simple yet profound and prophetic comment by one of the nurses, Karen Jenner.

    At the end of the night, as we were saying goodbye and shuffling towards the front door, Ms Jenner said to me matter-of-factly: "You know, he didn't become a bad surgeon overnight."

    "What do you mean?" I asked.

    "Well, he's in his mid 50s. He's worked as a surgeon for about 30 years. You don't suddenly go bad as a surgeon. He must have always been a bad surgeon. So there has to be a trail of wreckage everywhere he's worked."

    This was the tipping point. Her parting comment was logical and sensible. It meant scrutiny of Patel's US background was at least as important as scrutiny of his patients' outcomes in Bundaberg in the two years to April 2005. I knew that I should return to Brisbane to run checks on Patel in the US.

    Back in Brisbane the following afternoon, I went to Google and typed Patel's name. Google delivered dozens of pages of potential hits, but halfway down the first screen the word "disciplinary" stood out.

    The link led to a website and disciplinary action by the New York State Office of the Professions and copies of correspondence between the board's lawyers and Patel. Further links led to documents setting out the serious action taken in Oregon by the Board of Medical Examiners for gross or repeated acts of negligence in surgery.

    This incredible information about Patel's past was always readily available via Google. It meant he should never have been appointed at Bundaberg and it proved neither Queensland Health nor the Medical Board had done basic checks.

    The Courier-Mail editor at the time, David Fagan, began rearranging the newspaper to give the story maximum display under the headline: "Why didn't they check?"

    The fallout from the revelations the next day was enormous and it has continued for the past five years. There have been two public inquiries, a multibillion-dollar funding boost for the health system, overhauls of the complaints and registration processes to ensure greater accountability, and now the completion of the criminal trial of Jayant Patel.

    What, if anything, would have happened if it were not for the Google search? Queensland Health and the Medical Board, which had become quietly aware of Patel's background a couple of days prior to my discovery, would have played the issue down and managed it to ensure minimum impact and fuss. The culture of cover-up in the health system was pervasive, as retired Supreme Court Justice Geoff Davies, QC, and his predecessor in the public inquiry, Tony Morris, QC, found.

    A few days ago, while holidaying with my family in Scotland, my mobile phone started to bleep with text messages - breaking news from patients in Australia, colleagues, friends and medical contacts.

    The first text read: "Patel verdict just in - guilty on all counts."

    The person I most wanted to share it with was proving difficult to reach. Everyone wanted to talk to Ms Hoffman, who had risked her career five years earlier to speak out about a serial offender.

    I knew she had been concerned that the amount of time the jury spent deliberating might have meant they were going to find Patel not guilty. I sent Hoffman a brief text message soon after the verdict.

    "Toni, what a remarkable journey," I wrote. "I have tried to move on somewhat, but as a witness and a senior nurse that has not been possible for you. We are thinking of you. You have again been completely vindicated."

    I know that some patients are celebrating Patel's conviction and sentence. Other people with a close connection to the case have experienced quiet relief at a just outcome. I put myself in this second category.

    I have spent countless hours investigating what took place in Bundaberg and the Queensland Government's negligence in allowing it to happen. The assignments and the research for the book have taken me to India, Portland, Oregon, and to New York.

    But I have come face to face with the central character just once - at the opening of his Supreme Court trial earlier this year. It was awkward. My role in whatever was coming to Jayant Patel was in the past. There was no triumph. A triumph would have been if Patel had never been granted the right to perform surgery in Australia in the first place.

    The man I saw as we passed each other in the court entrance was no hideous monster. He was withdrawn, apprehensive and pitiful.

    Hedley Thomas is the national chief correspondent of The Australian and the author of Sick To Death - A manipulative surgeon and a health system in crisis. He won the 2005 Walkley Award for breaking the Dr Jayant Patel story.
  38. Guest

    Guest Guest

    Hospital being probed for 'double dipping'

    TheAge
    RICHARD BAKER
    June 15, 2010


    MELBOURNE'S Northern Hospital is under investigation by Medicare over alleged illegal billing practices used to raise funds to reward senior staff.

    Medicare auditors are investigating whether staff in one of the hospital's major departments has breached federal law by billing Medicare for work done on hospital salaried hours - a practice known as ''double dipping'', which means taxpayers are essentially charged twice for the same service.

    The Health Insurance Act bans doctors from charging Medicare for services performed during hours they are receiving a salary from the hospital.


    The Age understands some senior Northern Hospital medical and administrative staff have increased their income substantially by billing Medicare for services delivered on ''paid public time'', with the proceeds going into a special fund.

    The hospital's financial position has also been bolstered by the practice.

    Doctors convicted of the offence risk up to five years in jail. Administrators benefiting from the arrangement escape scrutiny because they do not submit invoices to Medicare.

    The Age understands anaesthetists at Northern Hospital have previously refused a request by management to bill Medicare for services delivered during salaried hours.

    Medicare auditors have visited the hospital in Epping in recent months as part of their investigation into possible breaches of the Health Insurance Act.

    A spokeswoman for the federal Department of Health and Ageing declined to discuss individual investigations but confirmed the department's belief that it was illegal for doctors to charge Medicare for services delivered in salaried hours.

    ''If evidence suggests a provider has intentionally deceived Medicare Australia to receive funds, Medicare Australia will refer the case to the Commonwealth Department of Public Prosecutions for criminal action,'' she said.

    A spokeswoman for Northern Health, the body responsible for the hospital, denied any wrongdoing.

    ''The structures that Northern Health uses have been put in place following expert legal advice and have been audited on a number of occasions, most recently by Medicare. We believe we comply with section 19.2 of the Health Insurance Act,'' she said.

    The Medicare audit of the Northern Hospital follows a 2008 Victorian Auditor-General's investigation into ''bulk-billing on paid public time'' at an unnamed Victorian hospital.

    The Age has learned that the Northern Hospital was the subject of Auditor-General Des Pearson's investigation.

    Mr Pearson warned Victoria's Department of Human Services that certain public hospital doctors were potentially breaching the law by charging Medicare for services during hours they were being paid a salary by the hospital.

    However, the department chose not to act on Mr Pearson's advice and has allowed the practice to continue.

    The Age understands Medicare investigators are also examining allegations that some Northern Hospital outpatients have been incorrectly classified as private patients.

    If patients are found to have been out of pocket after being wrongly classified, the hospital could be forced to reimburse them.

    COMMENT

    Looks as if the NSW disease is probably also widespread elsewhere!
  39. Guest

    Guest Guest

    Red tape could force out foreign doctors: AMA

    ABC News
    13Jul2010



    The Australian Medical Association (AMA) says it would be a tragedy to lose highly trained foreign doctors because of unnecessary red tape.

    A British heart specialist says the Australian Medical Board has refused to renew his registration because he has not spent enough time working in the public health system.

    Roger Chatoor was recruited to work in Cairns last year and says he has not been able to meet registration requirements because he cannot find work within public health.

    AMA Queensland president Gino Pecoraro says removing red tape would allow Dr Chatoor to return to work.

    "There exists in our state a situation where politicians can create what's called an area of need and go some of the way towards bypassing some of these recommendations," he said.

    "But what he's after is to have the completely open ticket of being a recognised specialist in cardiology in Australia."

    Dr Pecoraro says the accreditation system for foreign doctors needs to be reviewed.

    "I find it hard to believe that in the whole of Queensland we couldn't find a job in a public hospital for two days a week for this man so that he can meet the college requirements to gain full registration," he said.

    "It would be a tragedy if this state lost somebody of that status and that training."
  40. Guest

    Guest Guest

    Area of Need Posts

    Area of Need Posts:

    1. Created and removed PRN
    2. Goalposts may be moved anytime: medical gerrymandering a common place
    3. The playing field might suddenly becomes slippery and tilted
    4. Kangaroo court processes operate to regulate such posts
    5. Retrospectively inserted conditions are a norm: a sudden new requirement of a public component may appear (RACP sic)
    6. The candidate may suddenly be required taken our of the AON post to work in a metropolitan public hospital after the prospective approved period had been completed.
  41. Guest

    Guest Guest

    The Daily Telegraph

    Coroner slams state hospitals

    * By Vincent Morello
    * From: The Daily Telegraph
    * July 24, 2010 12:00AM


    THE same fatal mistakes are made again and again in hospitals because recommendations made after one death are not followed across the state, former NSW deputy coroner Carl Milovanovich said yesterday.

    Twenty months have passed since an inquiry into NSW hospitals and Mr Milovanovich still has concerns about patient treatment.

    "The one thing that I have constantly encountered as a coroner was the repetition of the same mistakes," Mr Milovanovich, who was delivering a paper to the Australian Lawyers Alliance Medical Law Conference in Sydney, said.

    "There is no doubt systemic problems will exist in an organisation as large and as diverse as the NSW health system."

    Mr Milovanovich presided over the Vanessa Anderson inquest.

    In 2005, the 16-year-old was taken to Royal North Shore hospital after being hit on the head by a golf ball. She died two days later.

    He found she died because of "systemic failures" at the hospital and the inappropriate administration of pain relief.

    The inquest sparked the Garling inquiry, which concluded in late 2008 and resulted in 139 recommendations into acute care in public hospitals.

    Mr Milovanovich said coroners must take great steps to deliver their findings into preventable hospital deaths to the highest level in state government.

    "The area health services are all separate little administrative units and they don't talk to each other and that's one of the problems," he said.

    "There's no guarantee that a recommendation that might have resulted from a death at Wagga will be implemented in an area health service at Lismore."

    He acknowledged the findings of the Garling report and said an individual practitioner's mistakes reflected a larger issue.

    "We have dedicated and caring professionals working in the health system and their failings are invariably associated with the lack of resources, equipment and experienced staff and overriding budgetary constraints," Mr Milovanovich said.

    "Almost every medical or hospital death I've examined would fall into one of these categories."

    During the question and answer session, he agreed there was still a lack of holistic patient care in the public hospital system.

    "The parameters end according to the carer's level of expertise or professionalism and they don't take that extra step of communicating to the next level. That seems to be an emerging problem," Mr Milovanovich said.
  42. Guest

    Guest Guest

    From Dr Vijay Mehta's Website

    7 years - Avoid Australia
    « Thread started on: 07/01/2010 at 09:26:26 » Quote
    'Dr Death' Jayant Patel sentenced to 7 years in jail
    Posted: Thu Jul 01 2010, 12:07 hrs Brisbane:
    Dr Jayant Patel
    Doctor Jayant Patel has been found guilty of manslaughter and grievous bodily harm.

    Indian-origin surgeon Jayant Patel, dubbed "Dr Death" for botching up a string of operations, was today sentenced to seven years in jail on manslaughter charges for killing three patients and causing permanent harm to another.

    60-year-old Patel, now a US citizen, was convicted by a Brisbane jury two days earlier on three counts of manslaughter, while serving as a surgeon in a Queensland hospital between 2003-2005.

    The sentence was handed out by Justice John Byrne of the Queensland state's supreme court in Brisbane and comes 25 years after questions were first raised about the doctor's competency to perform some surgeries.

    Patel's legal team is preparing to appeal against the conviction and under Queensland law prisoners can apply for parole after they serve 50 per cent of their sentence.

    Arguing for a maximum sentence of 10 years, the prosecutor Ross Martin said there could be no worse case of criminal medical negligence, while the defence pleaded for a suspended sentence with no prison time.

    Martin also argued Patel had a history of professional misconduct charges in the USA dating back to 1982.

    Sentencing him Judge John Bryne observed, "The community denounces your repeated serious disregard for the welfare of the four patients."

    The travails of Patel who has also been labelled 'Killer Surgeon' by media here are not over as some of his other patients have threatened to move a class action suit against him.

    The case of "Dr Death" gained an immense interest across Australia and has prompted Rural Doctors Association of Queensland (RDAQ) warning that the Patel trial has made it harder to attract doctors to the state.

    RDAQ spokesman Dan Halliday said one of the legacies of the case has been more stringent vetting of overseas-trained doctors.

    He said about 50 per cent of doctors in rural and regional areas are from overseas and the extra checks on their credentials have made some doctors look elsewhere.

    "I know of a couple of instances specifically where I believe suitably trained doctors have gone elsewhere, mainly due to the red tape that has been associated with them practising in Queensland," he said.

    "We believe that the processes that they've put in place on some cases are too onerous and too restrictive, which has prevented a number of medical owners and practitioners staying in, and coming to, Queensland.


    This is an appeal to any overseas surgeon who is considering going to Australia and serving the under served. Don't Do It. In a global market place there are lots of other opportunities to help the patients. And those who are already there - you better not attempt any thing that can be considered high risk surgery or they will be suing you for Toxic Ego. Passing the buck is not against the law. The 'Kangaroo Court' already have a precedence now and if and when going gets tough your neck will be on the line. Please read all the other stories I have posted about the poor state of health care in Australia. There are several Australian physicians who have committed egarigious acts against their patients and are walking free and they have put three manslaughter around Dr. Patel's neck?

    There was a picture of a man who has a large incisional hernia after a gall bladder surgery. Obviously this man has had surgery more than five years ago and is still waiting to have corrective surgery. Why? Because the underfunded and inefficient system in Bundaberg does not have capacity to offer him treatment in reasonable time.

    It was precisely this long waiting list of patients who needed surgery that moved Dr. Patel to operate seven days a week and 12 hours a day. And his reward? 7 years of Australian Hospitality.

    So think twice, it is not worth your effort. Don't go there if you can find a better option - If you are there look for an exit strategy - while you are there remember 'lesser is better!'



    COMMENT

    This does not only apply to surgeons BUT ALL DOCTORS.
    The registration system registers normal doctors and "second class"doctors
    Everyone who is an OTD is registered as a second class doctor unless you pass the AMC exam. Even if you are a specialist, you are registered as a second class doctor: and, if you pass the AMC exam, even if you are a specialist, you need to be a supervised intern/practitioner (under the guidelines and policies) for a year during which they can, at their discretion impose further condition on you.
    In essence, this is organised and legalised SLAVERY which should not be tolerated at all by the International community.
  43. Guest

    Guest Guest

    Australian Tax is nearly 50% (47%) for doctors. It is just not worth all the hassle going there. Most of your taxes go to fund the dole given to yobos and those very people which are against OTDs

    Why stress yourself to a premature death and impair your quality of life?
  44. hi galelio

    i finished M.B.B.S in India.
    my sister is in melbourne( permanent resident). shall i come to AUSTRALIA for doing my post graduation in internal medicine .otherwise shall i come there after completing my post graduation in INDIA,
  45. Guest

    Guest Guest

    Too many ethical lapses: Barbour

    Sydney Morning Herald
    Malcolm Brown
    September 10, 2010



    THE people of NSW appear to have lost confidence in their government and have started to view everything with mistrust ''despite whatever good intentions the government might have'', the NSW Ombudsman, Bruce Barbour, said yesterday.

    Speaking at a conference of the national Corruption Prevention Network in Pyrmont, Mr Barbour said the problem, which involved a loss of trust in the public sector, was difficult to overcome.

    Citing a headline in the Herald last week, ''A sleazy minister, a corrupt official, a greedy bureaucrat. Welcome to NSW'', he said misbehaviour by public servants, referred to in his last annual report, had done nothing to help public confidence.

    ''We saw a council knowingly, and against its own legal advice, misapply retrospective development charges in order to bring in additional revenue,'' he said. ''We saw police officers lie, and get their colleagues to lie, in order to avoid speeding fines and being disqualified from driving. We saw the Board of Studies fight both an initial FoI application and then my office's involvement, over what quite clearly should have been publicly accessible information. They refused us access to over 60 documents over which they claimed privilege.''

    That FoI application had finally been put right with ministerial intervention, but the Roads and Traffic Authority had adopted a long bureaucratic process designed to frustrate FoI applications, Mr Barbour said.

    Too many public servants regarded integrity as an old-fashioned, optional concept, he said. A police superintendent stopped by the Highway Patrol when driving at 176 km/h had lied that he was in pursuit of a vehicle. The Highway Patrol, taking him at his word, had for a time joined in the pursuit.

    Despite the integrity of a vast majority of public servants across the state, there were too many examples of a lack of ethics and integrity which signalled a ''lack of transparency'' in public life, Mr Barbour said.

    NSW should follow other states and introduce a public service integrity act, whose provisions were enforceable by law.
  46. Guest

    Guest Guest

    Hospitals failing to treat critical cases on time
    Sydney Morning Herald
    Julie Robotham
    September 10, 2010

    BIG regional hospitals are struggling to treat on time emergency department patients who need urgent attention, according to independent statistics that highlight a continuing bottleneck in the NSW health system.

    The figures reveal a big variation across the state in how quickly patients in triage category 3 - whose condition is deemed ''potentially life threatening'' - are able to begin receiving medication or recommended treatment.

    Government benchmarks say 75 per cent of such patients should start their treatment within 30 minutes of being assessed by the triage nurse.

    But at Manning Base Hospital only 50 per cent were able to do so. At Calvary Mater in Newcastle the figure was 53 per cent, while at Lismore, Tamworth and Port Macquarie Base hospitals it was 56, 60 and 61 per cent, respectively.

    The results are comparable with the state's largest hospital, Westmead (52 per cent) and Nepean (54 per cent), although other Sydney hospitals performed much better. The regional hospitals' category 3 performance was the worst in the state, where the average was 72 per cent.

    Category 3, which accounts for nearly one-third of all emergency patients, was the only triage level in which the average performance statewide fell short of the official benchmark, which is recommended by the Australasian College for Emergency Medicine.

    Even after an hour, several of the worst-affected hospitals had still not begun treatment. At Manning, Westmead and Nepean, more than a quarter of patients with potentially life-threatening conditions were still waiting for care after an hour - twice as long as the benchmark.

    The statistics, which relate to the April to June quarter this year, are the first significant release by the NSW Bureau of Health Information, established as a statutory agency on the recommendation of Peter Garling, SC, whose special commission of inquiry in 2008 was scathing of the state health system.

    Mr Garling said hospital performance measures should be collected regularly and fed back to senior doctors and nurses, with the data ''directed to better patient safety and better care, and not just to process-driven information which does not improve the patient's lot''.

    The bureau needed to be independent of the Health Department, he said, to insulate it from political demands.

    Emergency department performance is one of the most politically sensitive hospital measures, and the bureau's report expands by more than half the number of state hospitals on which the statistics are published, compared with NSW Health's own quarterly reporting.

    Hospitals including Griffith, Bathurst, Belmont, Grafton, Kempsey, Shellharbour, Shoalhaven, Blue Mountains and Hawkesbury - all of which have about 5000 emergency patients a year - are reported on for the first time, revealing many of them are missing triage benchmarks.

    In another previously unpublished statistic, the bureau has also shown how long it takes for emergency patients who are not admitted to hospital to be discharged or transferred to another centre.

    In the least urgent triage category 5, nearly 80 per cent of patients were discharged or transferred within two hours. For category 3 patients with potentially life-threatening conditions, 80 per cent were discharged or transferred within six hours.

    The bureau's chief executive, Diane Watson, said she had access to Health Department databases and did not have to request information. Additional information on elective surgery would be published in November.
  47. Migrante

    Migrante Guest

    Forewarned

    Do not come to Australia. They will only frustrate and deny you the best of what you can achieve in life. Overseas Doctors are treated here with all the barriers they can place for us not to advance. There is Medical Apartheid in the true sense of the word in policy written and set forth by the AMC, MBA and the specialist colleges. It is then to your peril and your family as well if you proceed.

    Please be warned !!!!
  48. My biggest mistake

    I'm in Australia now 18 months. Have passed MCQ and clinical got general registration, have job and training. Still it was the biggest mistake in my life... It is simply not worth it. They push you to go to remote areas and even when you become consultant will probably have to go regional. COMING TO AUSTRALIA WAS BIGGEST MISTAKE IN MY LIFE.
  49. Guest

    Guest Guest

    MP's staffer admits falsifying forms for money
    Sydney Morning Heralid
    Malcolm Brown
    October 5, 2010 - 12:56PM


    A former electorate officer for Drummoyne's state member Angela D'Amore has admitted making false statements to get money.

    Karen Harbilas, who had started working for Ms D'Amore in 2003, told the Independent Commission Against Corruption that she had been asked to fill out forms the way she did on Ms D'Amore's instructions.

    She had falsely stated that for a total of six days in 2006 she had been working at Ms D'Amore's electorate office in Five Dock when in fact she had been working for the MP in Parliament House.

    She had falsely stated that another of Ms D'Amore's electorate officers, David Nicoletti, had been working at Parliament on the day she stated.

    Ms Harbilas agreed with Christine Adamson, SC, counsel assisting the inquiry, that she would only have been paid for work she did at the electorate office. She would not have been paid for working at Parliament.

    The Parliamentary Remuneration Tribunal had provided for someone to be paid as a relief worker in an MP's electorate office if for some reason the MP wanted one of her electorate staff to be working for her in Parliament House on a particular day.

    For the work she said she had done at the electorate office, Ms Harbilas had been paid at a rate of $35.56 an hour.

    She agreed that on those days - October 24, 25 and 26, 2006 and again on November 14, 15 and 16 - she had been at Parliament House and at times had been comforting Ms D'Amore's baby there.

    Ms Harbilas agreed that, when she had been interviewed by officers from ICAC, she had falsely stated that on the days nominated she had been working in the Five Dock electorate office.

    She said that, after the visit from the ICAC officers, she had rung Ms D'Amore who had told her "it was a mistake" and not to worry about it.

    Ms Adamsom said in her opening that further claims had been made, falsely claiming the allowance in 2007.

    ICAC commissioner David Ipp, QC, said that, during the course of investigations into Penrith MP Karyn Paluzzano, who was found to have taken improper payments, "further allegations were received by my office that other members of Parliament were engaged in the same kind of conduct".

    "In the light of this, the commission decided to commence a new operation under the umbrella name of Syracuse for all of them."

    The inquiry continues.
  50. Guest

    Guest Guest

    Doctor on register despite sex allegations
    Sydney Morning Herald
    Kate Benson
    October 11, 2010

    A plastic surgeon who allegedly told a patient he ''owned'' her breast implants and would continue paying off her car if she had sex with him, has avoided being struck off the medical register.

    Chris Howe, a visiting medical officer in Newcastle, is no stranger to the limelight. He played an instrumental role in exposing incompetence and nepotism among health bureaucrats 18 years ago, forcing the Health Department to sack the board of the Hunter Area Health Service after it overspent its budget by more than $5 million.

    Now he has been ordered to have a chaperone in the room whenever he examines female patients after being found guilty of professional misconduct by the NSW Medical Tribunal.
    Advertisement: Story continues below

    The ruling comes a month after a Wahroonga chiropractor was able to keep his registration despite being convicted of indecent exposure after showing his penis to a shopkeeper.

    At a hearing late last month, the tribunal was told that Dr Howe, 67, had called or visited a patient, 47, at her home for eight months in 2006, buying her gifts, providing groceries for her family, taking her to dinner and on three trips overseas, including one with her five children.

    The patient said she had consulted Dr Howe, the founder of the Newcastle Melanoma Unit and a former branch president of the Australian Medical Association, for a breast augmentation and a personal relationship had developed.

    Three weeks after the surgery, Dr Howe, who works at Newcastle Hospital, Newcastle Private and the Mater, leased a car for the patient and made the repayments, but when the relationship soured, she sought to sell it because she could not afford the running costs.

    She told the tribunal she had approached Dr Howe about the matter and was allegedly told they could ''make the problem go away'' if she spent the night at his house. She said Dr Howe then grabbed her breast and twisted it, saying ''they're mine. I own these''.

    The woman contacted the police and made a complaint, but her evidence did not proceed to court because Dr Howe said his gardener had been present and would testify the incident did not occur. He ''absolutely and categorically denied'' he had touched her that day.

    The opposition's spokeswoman on health, Jillian Skinner, said ''no one wanted another Graham Reeves'', the doctor accused of mutilating and sexually abusing hundreds of women at Bega and Pambula hospitals, but using chaperones in a surgery made a mockery of the doctor/patient relationship.

    The president of the Australian Medical Association, Andrew Pesce, disagreed, saying the tribunal had the confidence of doctors and should have the confidence of the community.

    COMMENT:

    If he had been an OTD, he would have been out a long time ago!

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