SURVEY | Prescribing blood pressure-lowering medicines to older adults

What factors influence your decision to prescribe blood pressure-lowering medicines to older adults?

Researchers at Westmead Applied Research Centre and The University of Sydney are recruiting doctors who work in Australia and who manage older people with high blood pressure.

Synopsis

Increasing falls, social isolation, and polypharmacy are common concerns clinicians have in up titrating antihypertensive medicines for older patients. In this study using a discrete choice experiment(DCE), I will examine clinicians’ trade-offs when deciding to up-titrate antihypertensive medicines when BP is not in control.

Click on the link below to answer a short series of questions including a hypothetical choice experiment. (20-30 mins duration). There is no cost associated with participation in this research study, we will reimburse you for your time.

ACCESS THE SURVEY HERE or scan the QR Code

If you would like more information, please contact: Edel O’Hagan.
If you have any questions about this research and would like to contact the chief investigator please contact: Prof Clara Chow.

HREC Approval Number: HC 2022/718                     Version dated: 05 09 2022

Congratulations to the Editorial Fellows appointed to Heart Lung and Circulation for 2024

Congratulations to the Editorial Fellows appointed to Heart Lung and Circulation for 2024:

Dr Mohammed Al-Omary (NSW), Dr Katherine Bate (NSW), Dr Sinjini Biswas (Vic), Dr Georgia Chaseling (NSW), Dr Hong Chew (NSW), Dr Kenneth Cho (NSW), Dr Jonathan Ciofani (NSW), Dr Avedis Ekmejian (NSW), Dr Hannah Kempton (NSW), Dr Nick Lan (WA), Dr Julee McDonagh (NSW) and Dr Varun Sharma (Vic).

The Heart Lung and Circulation (HLC) Editorial Fellow position is a 12-month honorary appointment to provide aspiring researchers and/or clinician-researchers direct experience working with HLC’s Editorial Boards. The Editorial Fellows will be introduced to a broad range of aspects of academic publishing to encourage ongoing scholarship and involvement with academic scientific journals.

Heart Failure Research Review, Issue 84, with commentary by Dr Mark Nolan

In this edition

–  Use of clinical and echocardiographic evaluation to assess HF risk
–  Optimisation of evidence-based HF medications after acute admission
–  Implantable haemodynamic monitors improve survival in HFREF
–  Neuropeptide Y: elevated in HF and predicts outcomes
–  Bariatric surgery and weight-loss pharmacotherapies in HF with obesity
–  Prognostic value of HGI in HFREF
–  GFR decline after dapagliflozin in HFMREF/HFPEF
–  First-phase EF predicts adverse outcomes in HF
–  CV medication utilisation trends among US veterans with HF or CAD + diabetes

Download the Heart Failure Research Review here

CSANZ eNews & On the Pulse

CSANZ eNews 

CSANZ connects with its members via a regular fortnightly e-newsletter with links to breaking news, updates from the membership, upcoming meetings, research reviews, survey requests and job opportunities.

On The Pulse 

A bumper digital magazine, produced in April, September and December.  The ‘OTP’ has informative editorials, career opportunities, new and updated Position Statements, meeting information, scholarships and fellowships and member reports from international meetings.  

CSANZ produces two newsletters to stay in touch and keep our members informed 
9 April 2024
Need to catch up on a previous e-newsletter or On the Pulse Magazine (OTP)? 
22 March 2024
8 March 2024
23 February 2024
13 February 2024
20 January 2024
December 2023
September 2023
April 2023
December 2022
September 2022
April 2022

Cardiac Sonographer – North Queensland

Position: Cardiac Sonographer

Northern Heart Specialists are local Cardiologists who are passionate about providing contemporary cardiac care to patients in North Queensland. We are looking for a highly motivated and experienced Cardiac Sonographer to join our growing practice. The ideal candidate will need to be an experienced professional with a current Australian Sonographer Accreditation Registration number.

About the role
The successful candidate will require excellent caring and interpersonal skills along with the ability to communicate clearly and frequently with our team to ensure the highest level of care for our patients.  Some travel to local referral towns will be required on a fortnightly or monthly basis. High proficiency in the English language – both written and verbal are required, a strong work ethic as well as the ability to provide exceptional service to our patients.

What we offer

  • Highly competitive remuneration and leave package based on level of experience
  • Option of contract (fee for service) or part time/ full time salary
  • 4 weeks annual leave (for salaried employees)
  • A great team to work with where your skills and contributions will be valued

Please forward your resume to [email protected]

www.northernheartspecialists.com.au

SPOTLIGHT ON : Women in Cardiology (WiC) Working Group

Did you know that we have a vibrant and enthusiastic Working Group dedicated to improving equity for women at all levels of the career journey?   

Our goal is to engage a higher representation of women in Cardiology, given we have the lowest level of representation amongst all Medical specialties. Currently, only 15% of all cardiologists are women, with only 5% specialising as interventional cardiologists.

Chair:  Dr Sonya Burgess, an interventional cardiologist based in Sydney.

Steering Committee:  Dr Sarah Zaman, Dr Clara Chow, Dr Anastasia Mihailidou, Dr Rebecca Kozor, Dr Swati Mukherjee, Dr Belinda Gray, Dr Elizabeth Shaw, Dr Ruth Arnold, Dr Alicia Chan, Dr Cara Barnes, Dr Louise Segan, Dr Jain Manali, Dr Anastasia Vlachadis-Castles, Dr Lynne Pressley and Dr Rebecca Jedwab.

The focus of the Working Group is to have the CSANZ Board, and members, to support women and improve representation of women in cardiology at all levels – from conference invitations to committee membership, policies, equity and future leaders.

There are plans to coordinate preparing a WiC day focused on interview skills CV preparation for advanced trainee, fellowships, and early career positions, with a workshop and skills day led by Dr Rebecca Kozor and Dr Sonya Burgess.

We also wish to encourage having a network where the offline conversations, mentoring, and sponsorship can grow.

We look forward to welcoming you to our WiC Working Group.  There are no exclusions!  If you are interested to join us on our mission, please contact:  [email protected]  or contact her via the Nepean Hospital on +612 4734 2000.

One of the most rewarding changes we have seen, as we try to achieve more equity and diversity in cardiology, is that it generates mentoring and support. We have had women in Cardiology at all levels reaching out to members of this group with questions, requests for data, support and further plans for research and networking.

In Australia and New Zealand, women are still under-represented at trainee level and published modelling, based on Australian data, suggests the rate of change is underwhelming. We currently are unlikely to reach gender parity for at least 50 years, and our rate of change is worse than that of Surgery.  

There is longstanding evidence of inequity for women seeking careers in Cardiology.

Research shows women are under-represented at consultant, trainee level and professor promotion. Research also shows that in Cardiology we have ongoing cultural issues, including conscious and unconscious bias, that as a specialty we are yet to successfully address. These issues have an impact on outcomes for our colleagues, trainees, students and patients.

Importantly, changes are happening, in individual departments and hospitals throughout our countries, in our policies and systems, and in our conference committees as we all try to facilitate positive change.

One recent example of a WiC initiative supported by NSW cardiology heads of department, led by Dr Tom Ford, were changes to the under-representation of women at the Heads of Department “cull meeting” . This meeting considers, grades, and ranks all applicants for Advanced Training positions in Cardiology for advanced trainee positions in New South Wales. Of the large 12-15 person voting panel, there was only one-woman representative. As NSW health policy for recruitment and training aims to avoid poor representation of women on interview panels by stipulating on a 5-person panel, at least one voting panellist should be a man, and at least one person should be a woman. The CSANZ WiC group requested that for the panels, such as the cull meeting, that similar minimal ratios should be sought and the voting committee members should not be greater than 80% male (or greater than 80% female), based on the minimum 1:4 ratio within NSW policy. The CSANZ WiC group worked together with Dr Tom Ford (who chairs this meeting) and all of the Department Heads, which led to greater than 20% of the panel for were women this year for the first time. 

As a group, we are working on increasing visibility on the both the national and international stage, to provide supportive role models for the next generation of not only Cardiology trainees but all women in cardiology, including nursing, allied health and research and more equity focused research and research funding.

In 2023, we have seen members of our steering committee actively working on these goals. Our proudest moments come when we see our trainees/mentees/students doing well and breaking their own glass ceilings.

For example, in 2024 Dr Roopa Krishnamoorthy will become the first female advanced trainee to take up an interventional cardiology fellowship at Nepean Hospital, and start her journey in interventional cardiology.

Our Steering Committee members are recognised both at national & international levels, and are recognised leaders in the Cardiology field or rising stars.
  • Dr Sonya Burgess, Chair WiC group, presented as faculty at TCT2023, one of the premier interventional congresses and had her STEMI papers cited in 2023 ESC guidelines, co-authored an EAPCI position paper on radiation safety (1) and secured funding and started early data collection for occupational radiation safety in pregnancy research.
  • Dr Sarah Zaman is invited as one of 21 Lancet Commissioners on the Lancet Commission on Atherosclerotic Heart Disease and has been included in CSANZ STEMI guideline committee.
  • Dr Elizabeth Shaw, our first Australian interventional cardiologist to perform TAVI has now also become the second female Head of Cardiology Department in New South Wales.
  • Dr Anastasia Mihailidou was invited Discussant at the American Heart Association Late Breaking Science this year and Keynote presentation at the 10th National Prevention Conference in Ireland. She also was one of the invited Faculty to review the content for the World Health Organisation technical specifications for pre-market assessment of blood pressure measuring devices (2).
  • Dr Ruth Arnold was the first female Head of department of Cardiology at Orange Health Service and successfully lead the initiative to include more women at the head of department cull meeting. Dr Arnold received an OAM for services to rural cardiology. With her colleague Dr David Amos, she has worked to establish an accredited rural advanced trainee position based at Orange and linked to RPAH. This is the first rural hospital to be able to recruit advanced trainees. She is hoping to expand the rurally based training program across western NSW.   
  • Dr Clara Chow received an OAM for her service to medicine and research, and was appointed as a new Fellow by The Australian Academy of Health and Medical Sciences and was Digital Health Technology Award Finalist.
  • Dr Rebecca Jedwab is a Critical Care Registered Nurse and PhD (Nursing) graduate from Deakin University. She is a Fellow of the Australian College of Nursing and passionate about advancing mentorship, professional development and research within her healthcare organisation.
  • Dr Louise Segan received the Baker Heart and Diabetes Institute Bright Sparks Scholarship Recipient and Baker Research Forum quarterly prize winner as well as APHRS Young Investigator Award 2023. Louise is one of our rising shining stars with having first author on original research published in European Heart Journal this year (3). 
  • Dr Alicia Chan is a co-author of the Australian Consensus on the Management of Heart Failure, active in the heart failure and pacing/cardiac devices space and is a board member of CSANZ and National Heart Foundation (SA).
  • Dr Belinda Gray is current Chair of the CSANZ genetics council and Heart Foundation Future Leader. Dr Gray was also the Australian lead and only Australian author for the recent LIVE-HCM- large multicentre international study assessing safety of vigorous exercise in hypertrophic cardiomyopathy which will bring change in clinical practice (4).
  • Dr Swati Mukheriee is the first woman of colour to qualify as an interventional cardiologist in Australia and New Zealand, and the first female interventionalist to be awarded a prestigious SCAl-USA Fellowship in recognition of interventional cardiology excellence. Dr Mukherjee is co- chair of the CSANZ Equity, Diversity and Culture Committee and member of Gender Equity in Medicine Committee of the Royal Australian College of Physicians (RACP).

References
1. Manzo-Silberman S, Velázquez M, Burgess S, et al (2023). Radiation protection for healthcare professionals working in catheterisation laboratories during pregnancy: a statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) in collaboration with the European Heart Rhythm Association (EHRA), the European Association of Cardiovascular Imaging (EACVI), the ESC Regulatory Affairs Committee and Women as One. EuroIntervention; 19(1):53-62. 

2. WHO (2023). Technical specifications for pre-market assessment of blood pressure measuring device with cuff, automated and semi-automated. 

3. Segan L et al. (2023) New-onset atrial fibrillation prediction: the HARMS2-AF risk score. Eur Heart J; 44:3443-3452 

4. Lampert R, Ackerman MJ, Marino BS, Burg M, Ainsworth B, Salberg L, Tome Esteban MT, Ho CY, Abraham R, Balaji S, Barth C, Berul CI, Bos M, Cannom D, Choudhury L, Concannon M, Cooper R, Czosek RJ, Dubin AM, Dziura J, Eidem B, Emery MS, Estes NAM, Etheridge SP, Geske JB, Gray B, Hall K, Harmon KG, James CA, Lal AK, Law IH, Li F, Link MS, McKenna WJ, Molossi S, Olshansky B, Ommen SR, Saarel EV, Saberi S, Simone L, Tomaselli G, Ware JS, Zipes DP, Day SM; LIVE Consortium. Vigorous Exercise in Patients With Hypertrophic Cardiomyopathy. JAMA Cardiol. 2023;8(6):595-605   

Non-Interventional Cardiologist – Gisbourne

Position: Non-Interventional Cardiologist, Gisbourne, New Zealand

Description:
As a Cardiologist at Gisborne, Hospital, you will collaborate closely with your senior and junior colleagues, ensuring a stimulating mix of consultative ward work and outpatient care. Our emphasis on teamwork fosters an environment where you will never feel isolated, and where sharing the knowledge and expertise is encouraged and celebrated.

Highlights of the position include, but are not limited to:
· Opportunities for teaching and mentorship in humanities and clinical practice
· Balanced workload with 40-hour weeks and no on-call duties
· Typical workday from 8:30am to 4:30pm, leaving ample time for leisure and family activities
· A generous annual leave of 6-weeks, CME 2-weeks with a 16K stipend, a matching retirement
saving plan and other benefits.
· Supportive environment for professional and leadership development
· Engaging case discussions and collaborative decision-making
· Many of our clinicians hail from diverse backgrounds, including the USA, UK, Wales and Scotland, enriching our team with varied perspectives and experiences

Qualifications:

  • Medical Council of New Zealand (MCNZ) Vocational registration in the Scope of Practice of Internal Medicine or eligible for MCNZ Provisional Vocational registration in the Scope of Practice
    of Internal Medicine
    · Have a current New Zealand driver’s license or ability to obtain

Application details:
To apply please visit our website:

https://tas-adhbrac.taleo.net/careersection/.tai_ext/jobdetail.ftl?job=HAU01491&tz=GMT%2B13%3A00&tzname=Pacific%2FAuckland

For further information, please contact Carl MacDonald – Interim Group Manager of Shared Services, email [email protected]

HAVE YOUR SAY IN A GLOBAL SURVEY

This survey aims concerns the factors influencing the decision to pursue adult congenital heart disease (ACHD) as a career around the globe.

The investigators are focused on gathering insights from cardiologists and trainees regarding their ACHD interest.

The primary objective is to understand what motivates physicians to pursue a career in ACHD, and to identify factors that may discourage them from doing so. By examining both the positive and negative forces, they hope to gain a comprehensive understanding of the factors that influence career choices in this field.

This questionnaire will request demographic, and training factors and can be completed in 5-7 minutes.

Principal Investigator Katia Bravo ([email protected])

Read more and start survey here 

This study has been deemed exempt by Mayo Clinic Institutional Review Board (23-006759).

Consultant Cardiologist, Permanent – Nelson Marlborough, New Zealand

Position: Consultant Cardiologist (Permanent)
Te Whatu Ora- Health New Zealand, Nelson Marlborough seeks experienced Cardiologists to join the Cardiology team from January 2024

  • 2x Permanent, part-time 0.7FTE (2x 56 hours a fortnight)
  • Be part of a supportive multidisciplinary team
  • On-call 1:5
  • Nelson Hospital, Nelson, New Zealand

Ā mātou rōpū (About our team)
The Nelson Marlborough region, located at the summit of the South Island in Aotearoa, New Zealand, is spectacular. It is a great place to live for both work and leisure. Nelson offers all the luxuries and attractions one would desire. It is well connected to the rest of New Zealand and the world via its centrally located and well served domestic airport terminal.

The schools are excellent. There are three national parks nearby providing ample opportunities for quality family-time and appreciation of nature’s wonders. The region is renowned for its breath-taking natural landscapes, with stunning geography capturing everything from unbelievably long golden beaches to rugged mountains and untouched forests. These magnificent features offer endless opportunities for mountain biking, walking/hiking, water sports and skiing. The region is also well known for its café culture, wineries, art, crafts, and relaxed lifestyle. Visit the pages to uncover more about how to strike a better work-life balance being in Nelson https://www.nelsontasman.nz/ and https://www.newzealand.com/nz/nelson-tasman/

Te Whatu Ora, Nelson Marlborough has approximately 3000 employees, providing health services in the Nelson, Tasman, and Marlborough regions, serving almost 150,000 people. Facilities at Nelson Marlborough include four hospitals (Nelson, Wairau, Alexander, and Murchison Hospitals), a district wide public health service, and four community health Centre’s located in Richmond, Marlborough, Motueka, and Golden Bay. Our vision is for all people to live well, get well, and stay well, and our mission is to work with the people of our community to promote, encourage, and enable their health, well-being, and independence. Respect, innovation, teamwork, and integrity represent our fundamental values.

Te Whatu Ora, Nelson Marlborough has a full interventional service providing PCI, pacemaker, and implantable defibrillator insertion, as well as a progressive non interventional service including advanced echocardiography, heart failure, GUCH, cardiac MRI, and CTCA.

Ētahi atu mōhiohio (More Information)

https://www.youtube.com/channel/UC34XErxkHJ5YAn59o6SrhnA

Ngā mōhiohio e pā ana ki tēnei mahi (About this position)
The successful candidates will:

  • Deliver quality services to improve health of the population in Nelson region.
  • Participate in the 1:5 general cardiology on-call roster.
  • Supervise and participate in teaching of junior medical workforce.
  • Enjoy work/life balance in one of New Zealand’s most sought-after regions.

Ko wai he kaitono tōtika? (Who is an appropriate applicant?)
The ideal applicants will:

  • Bring their medical expertise to an acute secondary care hospital and contribute to critical care to the patients in the Nelson region.
  • Have sub specialist training recognised by cardiac society in either interventional cardiology, non-invasive imaging, or heart failure.
  • Have specialist accreditation in cardiology including device insertion, advanced non-invasive imaging (CT or Cardiac MRI), or percutaneous coronary intervention would be preferred.
  • Hold Fellowship of the Australian and New Zealand College of Physicians (FANZCP), or equivalent.
  • Be eligible for an Annual Practising Certificate and vocational registration of Cardiology with the Medical Council of New Zealand.
  • Work with others to promote a cohesive team culture of collaborative practice, openness, humour, and respect across disciplines.
  • Demonstrate commitment to continuing medical education and professional development.

Collegiality and collaboration across all disciplines are keys to provide successful services to our patients and community. Should this be the type of environment in which you will thrive, we would like to hear from you!

Ngā huanga o tēnei mahi (The benefits of this position)
The salary for this position is based on the current Senior Medical Officer collective agreement dependent on skills, experience, and vocational registration in NZ. Meca | ASMS

In addition to your salary, you will:

  • Receive a generous annual allowance cover your continued medical education expenses (including associated travel and accommodation costs) as well as paid time off to attend events including international conferences.
  • Have access to an employer matched Superannuation contribution of up to 6% of annual earnings.
  • Be reimbursed competitive relocation, accommodation, and car rental expenses (conditions apply).

Me pēhea ahau e tono ai? (How do I apply?)
For general enquiries please contact our recruitment team on [email protected] or +64 3 539 5777.

For role specific information please contact:
– Pat Davidsen – Service Manager, [email protected], or

– Tammy Pegg – Cardiologist, [email protected]

To apply please follow the link to complete our online application form https://nmdhb.careercentre.net.nz. Applications via email will not be considered.

Whilst it is no longer mandatory, for the health and safety of staff and patients, employees in this role are expected to be fully vaccinated against Covid-19 (primary course plus booster).
N23-580
Applications close: Open until filled.

Te Whatu Ora- Health New Zealand, Nelson Marlborough strongly endorses Te Tiriti o Waitangi.
We believe that to achieve equity in health outcomes for Māori we need a workforce reflective of the population it serves. We strongly encourage applications from candidates who identify as Māori and we recruit for cultural competence.
He waka eke noa. We are all in this together.

Cardiologist – Wellington, New Zealand

Position:   Cardiologist
Location:  Wellington Regional Hospital, Kenepuru Hospital, Hutt Hospital
Service:    Cardiology Service
Contract:  Full time, fixed term 12 months starting asap (Negotiable)
Salary:      As per ASMS MECA

Kōrero mō te tūranga – About the role
Wellington Regional Hospital is looking for an experienced Cardiologist to treat patients across our region.

This is a fixed term position to cover a series of sabbaticals within the Cardiology Department. A background of strong general cardiology is required. Applications are encouraged from those with an interest a broad range of skills due to the requirements of cross-covering cardiologists with variable specialities. Therefore experience in device therapy, imaging, adult congenital heart disease, interventional procedures or heart failure or combinations there of are all welcome.

The position holder will provide consultant services and cooperative leadership for the cardiac medical team to facilitate provision of appropriate high quality service to the patients that come under their care and commits to maintaining a collaborative and collegial professional development.

They will provide diagnostic and treatment services for patients in the central region. Their skill set is well-established experience in general cardiology as well as a subspecialisation). They will work cooperatively with other medical, nursing and technical staff

The position holder will be expected to perform and will be accountable for the key performance indicators as listed. The detail of the tasks will be contained in the protocols and guidelines pertaining to the specific area of work. The consultant cardiologists are involved in the development of these protocols and guidelines.

Moū – About you

  • Vocationally registered in Internal Medicine (Cardiology) with the Medical Council of New Zealand (MCNZ)
  • FRACP or equivalent qualification and be able to register for vocational registration with the MCNZ
  • Demonstrate a high degree of clinical skill, particularly in general cardiology
  • Participate in an on-call roster
  • Work in collaboration with multidisciplinary team
  • Able to provide consistently high standards of medical care
  • Relevant experience and training

E pā ana ki a tatou – About us
Capital, Coast and Hutt Valley district is located centrally in Wellington and has over 6,000 full-time equivalent staff, making us one of the major employers in the Wellington region. We operate three hospitals – Wellington Regional Hospital in Newtown, Hutt Valley Hospital and Kenepuru Hospital in Porirua – as well as the Kāpiti Health Centre at Paraparaumu.

Here at Capital, Coast & Hutt Valley District we embrace diversity and welcome applications from all people, including all gender identities, ages, ethnicities, sexual orientations, disability and religions. A workforce that is diverse and inclusive means that we are better positioned to understand and serve our community.

Capital, Coast & Hutt Valley District is a pro-equity health organisation, with a particular focus on Māori, Pacific Peoples, and the Disability Community.

Me pēhea te tuku tono – How to apply
Click the apply now button to send your application directly to us. For further information on this role please email [email protected] and indicate the job title and vacancy number in the subject line. Please note we will be reviewing applications as we receive them and continuing with the recruitment process.

We are accepting recruitment agency’s applications. Please apply online.

Ma tini, ma mano, ka rapa te whai
By joining together we will succeed

Apply now

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