Emerging priorities of the National Children’s COmmissioner

Megan will discuss some of the issues raised during the Big Banter as outlined in her statutory report to parliament – the Child Rights Report 2013. These themes include: a child’s right to be heard; freedom from violence, abuse and neglect; the opportunity to thrive; engaged citizenship and action and accountability. She will highlight some of the emerging priorities on the office of the National Children’s Commissioner, relevant to these themes.

Epilepsy Surgery and the Impact of Modern Neuroimaging

Next month, the 500th epilepsy surgery patient will be operated at The Royal Children’s Hospital. In this Grand Rounds presentation, Dr Harvey will provide some background to epilepsy surgery in children, describe the changing landscape of epilepsy surgery at the RCH over the last 30 years, highlight the important role of neuroimaging advances, and mention some of the complex issues the epilepsy program is dealing with currently.

The Melbourne Children’s Trials Centre; changing the landscape for trials on campus

Trials are an important aspect of establishing evidence for the effectiveness of new and established treatments. There are considerable challenges in doing trials, especially in children. This talk will outline some of those challenges. Successful and clinically important trials require carefully considered designs, experienced staff and substantial resources.

RCH Telehealth – Clinical experience and study results

An RCH study of 50 Nephrology telehealth video-consultations analysed the impact of telehealth on families and financial costs and benefits to the RCH and the regional clinician. The study indicated substantial days off school were saved; families or travel assistance schemes were saved an average $510 per consultation by avoiding travel; 20% of families were saved a flight and 22% of families saved an overnight stay.

The Future of Met at RCH

This Grand Round will consider the results of the trial of our mandatory MET system, the rationale of new wards observation charts and rapid response system, and extension of the system to the whole hospital.

Communication Conundrums: Avoiding mistakes and errors

This presentation will explore common challenges clinicians face including lack of previously established relationships, misaligned surgical or treatment expectations, language and cultural misunderstandings, heightened emotionality, time pressures, family-staff conflict, and fractured teamwork. Impediments to good communication and relationships will be highlighted.