Australian Doctor 1st April 2022 | Page 6

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6 NEWS

1 APRIL 2022 ausdoc . com . au

From top transplant physician to vaccine hub supervisor

Professor Bruce Pussell says volunteering during the pandemic has been a whole new experience .
vaccine training program , basic life-support training and a resuscitation course — and he also opted to complete a course on anaphylaxis .
But he says his specialist training has also been a big advantage .
“ There ’ s a lot of general medicine involved in nephrology , and I did my PhD in immunology ; that ’ s an area of interest for me .
“ There was no immunology specialty
45 years ago , so I did what was
Siobhan Calafiore
the next best thing at the time , and

BACK in early 2020 , Adjunct Professor Bruce Pussell — a retired doctor — felt he could not sit back and watch the unfolding of one of the biggest health

that was transplantation , which is also all about immunology .”
Professor Pussell says he has also been fortunate with medical insurance . Working in the public hospi-
crises of his lifetime .
tal system , he had always relied on
“ Medicine is a vocation ,” he says .
“ And when there is a pandemic , it ’ s all hands on deck as far as I ’ m concerned .”
So when AHPRA announced it
Professor Bruce Pussell with his grandson ,
Owen .
NSW ’ s Treasury Managed Fund , which also covers volunteer work , and he also had run-off cover for any necessary legal advice .
At the end of February , AHPRA
was introducing a ‘ sub-register ’
informed him that his registration ,
that would allow retired doctors to
director for about 20 minutes , during
“ It meant having to get com-
“ We ’ ve had quite a few people who
which was due to expire the following
help out in the COVID-19 response ,
which he talked about his career , his
pletely revaccinated .
had received transplants who needed
month , had been extended until the
he volunteered .
most recent research publications and
“ But I was determined to con-
advice before getting vaccinated , so
end of September .
A nephrologist , he had stopped
his reasons for volunteering .
tribute ; that kept me going through
all of that was very familiar territory
Other sub-registered doctors are
medicine just two years before ,
Like any other job interview ,
the process .”
for me ,” he tells Australian Doctor .
being offered the same opportunity to
after 15 years as the director of the
he also sent through a CV with the
His paperwork was eventually
He is also on the watch for any
keep working .
transplant unit at Sydney ’ s Prince
names of referees that could vouch
approved , and since August , he has
medical emergencies .
“ It ’ s been very rewarding for me
of Wales Hospital .
“ I was 68 , and I just wanted to leave on my own terms , not when somebody taps me on the shoulder and says , ‘ It ’ s time to go , mate .’
“ So I left fully competent , and I felt
‘ Medicine is a vocation … And when there is a pandemic , it ’ s all hands on deck as far as I ’ m concerned .’
“ We ’ ve only had a couple of anaphylactic reactions ,” he says .
“ The most common medical issue we ’ ve had to deal with is people having vasovagal syncope ; they ’ d faint during or immediately
personally ,” Professor Pussell says .
“ I ’ m back involved in medicine , in a field I think I ’ m very competent at , and I ’ ve met some very dedicated and remarkable GPs who genuinely care for their patients .
that I was very much still able to work .”
after the injection .
“ That ’ s been a whole new experi-
Initially , he reached out to his for-
for his medical skills .
been working one day a week , var-
“ Sometimes that was quite
ence for me .”
mer hospital in case they needed doc-
But it took three months of bureau-
ying from eight to 12 hours . He does
dramatic .
But has it been enough to tempt
tors to backfill to allow their staff to
cracy before he could officially start .
it for free , as his current pension is
“ We ’ ve also had a few people who
him back into the medical workforce ?
work on the front line in ICU .
“ It was crazy — just one thing after
more than adequate , he says .
developed chest pain after vaccina-
“ I have thought about it ,” he
He never heard back .
another ,” Professor Pussell says .
The role is mostly supervisory . He
tion , and I ’ ve had to assess them in the
admits .
Then , last April , he saw on the news
“ Mostly what held up the pro-
provides patients with basic medi-
emergency treatment room and send
“ But it ’ s a lot of bother . There are
that a COVID-19 vaccine hub at Sydney
cess was my vaccine history because ,
cal advice , usually when they are not
them off to ED .”
some very large hoops , and I ’ m not
Olympic Park was being opened .
when I was fully vaccinated against
sure about eligibility , and checks if
To prepare for the role , Profes-
getting any younger . I ’ ve also got
He applied and was interviewed
hepatitis B years ago , there was no
they have medical contraindications
sor Pussell had to complete the fed-
grandchildren and spending time
over the phone by the hub ’ s medical
record kept in those days .
or are immunosuppressed .
eral Department of Health ’ s COVID-19
with them is enjoyable .”

Is it time to stand face to face with patients ?

Heather Saxena NEARLY two-thirds of GPs in the UK want the option of a standing desk in their consultation room , although many worry about the impact on the doctor – patient relationship .
A survey of 843 GPs found that 92 % believed the desks were appropriate for telephone consults and administrative tasks .
Only 31 % believed they were suitable for face-to-face appointments , where able-bodied adult patients
would also be standing . According to the Loughborough University researchers , 26 % of those questioned said they were concerned the change could have a negative impact on the doctor – patient relationship .
“[ This ] was thought to be the most likely barrier to successful implementation [ of standing desks ],” they wrote in the British Journal of General Practice .
At the time of the survey , 121 GPs already had a standing desk in
their rooms . Most used it for telephone consults and admin work , with a third using them for face-to-face patient consults .
Br J Gen Practice 2022 ; 4 Mar .

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