Commencing a new series called Pioneers in Health Care, is an interview with Professor Jeremy Chapman AC who for over 30 years, has been involved in nephrectomy, or kidney transplantation.
Honoured “for eminent service to medicine, particularly in the areas of clinical and biomedical research, to the development of ethical policy and practices for organ donation, acquisition and transplantation, and to renal medicine organisations and publications, Jeremy Chapman AC has played significant roles in development of kidney, pancreas and unrelated Bone Marrow Transplantation in Australia.
He has been responsible for global development of ethical transplantation through The Transplantation Society, the World Marrow Donor Association and through advisory roles to the World Health Organisation. He is identified as one of the most influential global leaders in the field of clinical transplantation.
Credit: Australian Academy of Health and Medical Sciences
In September 2022, Western Sydney’s Professor Jeremy Chapman was bestowed the prestigious 2022 Medawar Prize on-stage in Buenos Aires, Argentina.
The Medawar Prize, awarded biennially since 1990 and named after Society co-founder Sir Peter Medawar, is globally recognised as the most prestigious award for excellence in Transplantation Science and Jeremy is “surprised and honoured” saying “not many people get this award so it’s a true delight”.
The award recognises outstanding investigators whose contributions have profoundly influenced organ transplantation.
Professor Chapman has dedicated much of his career to clinical care and research at Westmead, since commencing as a renal physician at Westmead Hospital in 1987. He has worked as Director of Western Renal Services, Westmead Hospital’s Director of Medicine and Cancer, as well as the Director of the Westmead Hospital Foundation, Chair of the Westmead Research Hub Council and member and deputy chair of the board of WSLHD.
In the early days of transplantation long-term care of transplant patients was mostly undertaken by transplant surgeons but as both the numbers and the complexity of transplantation increased, Professor Chapman was amongst the vanguard of renal physicians that focussed, as a physician, on care of patients after their transplant.
“It’s been an interesting road of discovery over time, but also a major transformation in the outcome for our patients,” Professor Chapman said.
“When I was first involved in 1978, we thought a 60% success rate at one year after a transplant was pretty good, even when choosing the very best patients to transplant, now, we would expect more than 90 or 95% success rates in much, much older and sicker patients.”
“Australia has been a great springboard for global activity, so it’s worked out very well to be working in Australia to impact on transplantation globally.”, according to Professor Chapman.
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Inaugural report into Australasian Paramedicine Workforce Survey report to aid workforce planning
In a milestone for paramedicine, the Australasian College of Paramedicine earlier this year released the first report of a landmark three-year study identifying and exploring trends that affect the Australasian paramedicine workforce.
The inaugural Australasian Paramedicine Workforce Survey report 2023-24 explores the demographic, career trajectory, work motivations and conditions for those working in clinical, management and educational capacities within the paramedicine workforce of Australia and Aotearoa New Zealand. -
Continuity of Care under COVID-19
Series 3, Episode 1
Under the COVID-19 pandemic, the Australian Healthcare system has handled the public health crisis by monitoring and responding to challenges in supply chains, testing & tracing of new infections and stock piling of essential equipment.
The public has largely responded by practising social distancing, understanding how hand hygiene can spread contagion and recently installing the COVIDSafe mobile application. Public health messaging has been largely effective and literacy improve, to combat the dangers of misinformation.
To open up access to medical advice during the pandemic, in March the Australian government issued MBS item codes for telehealth consultations, for advanced practice nurses as well as GPs and other specialists.
According to AMA President Dr Tony Bartone, as of mid-May 2020, around 10 million Medicare-funded telehealth services have been provided, either over the phone or via video, a significant majority of which have been provided by GPs and other specialists since the Medicare telehealth items were introduced in March.
However in recent months, the health system has mounting concerns on:
- a reduction in general practice visits for testing, investigation or immunisation
- lower rates of elective procedures resuming since being halted
- reduction in laboratory testing
- reduction in treatments and diagnosis of chronic and acute conditions
- access to, and continuing to take medications
Those with pre-existing conditions have been urged to keep appointments and routine treatments to maintain their health.
Industry has taken action such as the newly formed Continuity of Care Collaboration (CCC). The 15 health organisations forming CCC are an Australian first national communication collaboration of Peak Bodies, Industry and Healthcare Organisations coming together to stress the importance for people to continue monitoring their health and maintaining their regular care.
This Australian Health Journal episode on the continuity of care was produced with commentary from the following health industry associations and organisations: APNA – Australian Primary Health Care Nurses Association, RACGP, Medical Technology Association of Australia (MTAA), West Cessnock Medical Practice, Consumers Health Forum of Australia, Medicines Australia
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Streamlining and centralising training for gastroenterologists
Dr Amit Saha is a Paediatric Gastroenterologist and Hepatologist and trained paediatric endoscopist based in Perth. He underwent his higher specialist training in Paediatrics within the NHS in the UK, and sub-specialised in Paediatric Gastroenterology Hepatology & Nutrition at busy and prestigious centres in London including The Kings College Hospital.
