01/04/2022
I was asked by members to describe my position on Public Health and its importance as a discipline within the RACP.
Please find my response below:
The Importance of Public Health and the AFPHM to the future of the RACP
The pandemic, coupled with the past few years of unprecedented climate events, should have elevated the importance of thinking about the role of public health (as a discipline) to the forefront of the community’s and particularly all doctors’ minds. It is set to become even more important in the future as we increasingly face threats such as pandemics, new diseases and climate change and their effects on health and society.
It is likely that the public did not even know that Public Health physicians existed, let alone what they did, until the pandemic was upon us. Now, their critical role in population health and strategic planning is obvious to all.
In order to elevate the importance of Public Health physicians and trainees, the President-Elect must recognise the critical role that public health policy plays across the multiple layers of the healthcare system. I do. The Public Health Faculty may be small in terms of relative numbers, but needs a loud voice in the future.
We have seen, particularly at the outset of the pandemic in the absence of detailed medical knowledge about a new pathogen, the critical importance of responsiveness to public health measures to protect the population from mortality and morbidity. As the pandemic progressed, we saw the effects of COVID on disadvantaged groups: the elderly, recent immigrants, Indigenous, socially disadvantaged, those with disability.
It is critical that Public Health physicians within the RACP are able to be responsive, strategic, and nimble in providing advice to government as well as the broader health care sector and the community during turbulent times. They also must be enabled to play a central role in strategic planning for the future health of all Australians and New Zealanders.
In order for the AFPHM to deliver the best outcomes for the health of Australians and New Zealanders, the RACP must act to enable more autonomy and self-governance within this Faculty; this applies to the other Faculties also who similarly have shown the relevance and importance of their discipline skills in this pandemic, the recent bush fires and ongoing climate change issues. I am committed to pursuing this objective and determining the best way forward to achieve it.
As President-Elect, I will act collegially to identify a clear process for progressing the needs of the AFPHM and other Faculties. In 2017, the Future of the Faculty report was published. That was five years ago! How far along are we in achieving the goals outlined in this report? The 2018 update shows there remains a long way to go. We need to make more progress, and soon!
The unique needs of training for Public Health physicians must be explored, documented, and acted upon. I have already undertaken to propose an entire review of the Trainee program (see my flyer here: https://www.drjennifermartin.com.au/) and Public Health must be a key part of this review, as well as the other Faculties. The lack of responsiveness from the RACP to inquiries from both individuals, Faculties, and Societies has been highlighted to me a number of times. As a Board member, I have recognised this, but in standing for election, the feedback in this area has been overwhelming.
I have already stated that I believe the RACP is at a critical juncture and that we need to become future-focussed and outward looking (see my video https://www.youtube.com/watch?v=K9to369HJi4). Part of this is to put in measures that track and implement improvements in responsiveness to stakeholders at all levels. This is something as President-Elect I would work hard to establish with the management personnel at the RACP. I believe it needs to be elevated into a short-term strategic objective.
On a personal note, I have worked as a staunch and principled advocate in the area of climate change and health (https://www.drjennifermartin.com.au/news) and as a Clinical Pharmacologist. I am well connected at government level (PHARMAC and TGA) with respect to evaluations of medicines and medicines policy, to improve health. I have been seconded to work as a State (NSW) clinical pharmacologist working with the Ministry and Clinical Excellence Commission to develop a State formulary and COVID medicines advice.
My work as an adult physician connects me to all the specialty areas and I am able to translate the importance of public health measures in many aspects of my work. The work with PHARMAC reinforces the key role equity, a pillar of Te Tiriti of Waitangi has in health policy, and how pharmaceuticals can contribute to that.
In summary, thank you for the opportunity to speak on this matter. I always welcome openness, engagement, and interaction. I look forward to the opportunity to work with the AFPHM towards improving health outcomes for all New Zealanders and Australians.
Sincerely,
Jenny
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