Jump to content

News

Archives

« Archives index
« Latest News & Updates index

IMSANZ Needs You in Ensuring a Better Future for General Internal Medicine (GIM)

"Who or what is IMSANZ and what does it do?"

I hear this question not infrequently when I move among my colleagues, including some I thought would already know the answer. As general physicians, we sometimes encounter confusion in the minds of other health care professionals, government bureaucrats, and the public as to what it is we actually do. People seem to be more certain of what a cardiologist or gastroenterologist does, and are more likely to have heard of the Cardiac or GE Society.

Since its inception in 1992, IMSANZ has put considerable effort into defining and publicising the role and attributes of the general physician, and advocating the cause of GIM in the corridors of power in both government and college circles. Many recent events indicate that the voice of general medicine is at last being heard - the convening by the college of the General Medicine Forum earlier this year, the RACP invitation to IMSANZ to plan and organise the annual scientific meetings in 2003 and 2004, the public admission by the college president Robin Mortimer that general physician care was being lost, to the detriment of patients (RACP News From the President 2003), and the current review of the college training program with a view to including more general medicine in the advance training program of all specialties.

In supporting these moves and in strengthening our voice in setting the future agenda, we need, now more than ever, to marshall the full resources of a large, vibrant and committed community of general physicians. There are approximately 4,500 fellows in the college, of whom almost 1 in 3 indicate in workforce surveys that they practice, at least partly, general medicine. General physicians comprise one of the five largest specialty groups within the college fellowship. In contrast, the current membership of IMSANZ is only 420, or roughly a third of all those who practice GIM. This compares with other specialist societies, which boast coverage of more than 80% of eligible members.

Why such a low membership rate? Possible reasons include: ignorance of IMSANZ; disenchantment with the activities or philosophy of IMSANZ; uncertainty as to what IMSANZ has to offer; and reluctance to pay yet another membership fee (particularly after paying your indemnity premium, AMA fees, college fees and any other specialty society fees!). Whatever the reasons, we need to reverse them, and in doing this, I am asking you, our valued current members, to do what you can to reach out, engage and recruit all those with an interest in general medicine who might share our vision. In doing this we stand to enrich ourselves in the process.

I respectfully offer some suggestions:

  1. Speak to your colleagues. Identify those who are not members, and ask them - have they thought of joining IMSANZ? If no, then please recount your own reasons for joining and your view of the ensuing benefits; if yes then ask them why they refrained from doing so, and feedback the reasons to us (anonymously if you prefer) so we can try to reform whatever may be seen as obstacles. Of course please feel free in such instances to persuade your colleague to reconsider if you feel he/she has been misinformed, or has developed erroneous perceptions, of the functions of IMSANZ. In this issue of the newsletter I enclose a flyer and a revamped application form that you may like to use to entice your colleague to join. (Please feel free to make photocopies or e-mail Mary Fitzgerald at imsanz@racp.edu.au for more hard copies).
     
  2. Convene local or regional networks of general physicians. Meet, teleconference or e-mail regularly; discuss both clinical and professional issues; perhaps start a local journal club or ‘case of the week’ chat group; organise occasional workshops or symposia; strike up a partnership with leaders in general practice and the general community. The rural physician networks that exist in Victoria and NSW and which are currently being formed in SA, NT and WA, together with the North Queensland Physicians Group, are great examples of the value of this form of professional (and social) interaction. If you live in southern Queensland, Tasmania or the ACT, talk to your state councillors about getting one going?
     
  3. Look at how your network could act in, assist in local community health policy-making or collaborative research projects; advertise job vacancies that might be available and help IMSANZ build a national register of professional opportunities; assist your local hospital in gaining as much accredited time for basic and advanced physician training as possible; welcome trainees to local meetings and social events and discuss with them the advantages of being a general physician.
     
  4. Finally, demonstrate the passion you have for your craft and let us hear your voice (even if you think we may not want to hear it!). Pen that letter to the editor you’ve been meaning to send for the last 12 months, contact me or any of the councillors about issues you feel strongly about, share with us innovative changes in practice (even those that did not work as well as you might have liked) or those occasional pearls of wisdom that beg wider application.

This is a critical time for IMSANZ and for general medicine, and I thank you for any support you can provide. Let me finish with this quotation slightly paraphrased from that of a famous figure in history: “Ask not what your society (IMSANZ) can do for you but what you can do for your society.”

Ian Scott

TOP^