Eugen Molodysky

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A/Prof
Eugen Molodysky
OAM, MMBS
NationalityAustralian
Occupation Clinician
Known forForeshadowing clinical utility of HPV testing
Awards Order of Australia (2008)
Academic background
Alma mater University of Sydney

A/Prof Eugen Molodysky OAM, MMBS is an academic and medical practitioner in preventive medicine and translational research. His research has been published in peer reviewed journals over the last 30 years. His clinical work has contributed to the early identification of HIV/AIDS in the 1980s epidemic in Australia.

Contents

He is known for his contribution to research and policy and has been a respected advocate and contributor to preventive medicine across a variety of fields including sexual health, disease prevention and longevity. [1]

Honours

Molodysky was awarded the Medal of the Order of Australia (OAM) in 2008 for service to medical education, through clinical teaching, curriculum and professional development and research into cervical cancer prevention. [1]

In 2015, he was awarded the ACNEM Braham Rabinov Award. [2]

Notable medical achievements

In 1983, during the first days of AIDS, Molodysky was the first primary care physician to identify patients infected with HIV when no specific testing was available, by using the Cell Mediated Immunity (CMI) test. [3] The same year, he established Australia's first HIV clinic, the Eastside Medical Centre, in Paddington. He then established one of Australia's first methadone clinics, at the United Gardens Private Hospital, in Summer Hill. [4]

In 1993, following research into cervical cancer, Molodysky introduced HPV testing as an adjunct to screening for abnormal cervical cells identified on microscopy, to the primary care setting as an early predictor of cervical cancer risk. [5] In 2000, his original HPV research thesis (PhD) foreshadowed the clinical utility of HPV testing. [6] It was not until September 2017, that HPV DNA (automated PCR) testing became the Australian national standard for the early detection of cervical cancer risk in women, and Australia is now on track to eliminate this cancer as a public health problem by 2028. [5] [7]

In 2016, A/Professor Molodysky published the first edition of the nutritional medicine-based Primary Care Fellowship Curriculum. This seminal document established a platform from which to launch formally, the education and training of primary care physicians in the delivery of preventive medicine in day-to-day clinical practice. [8]

In 2017-20, A/Professor Molodysky supervised MD Research students to undertake analyses of the prediabetes – type 2 diabetes landscape in Australia. [9] [10]

Heart disease risk assessment

Following briefing at the St Francis Hospital, New York with Dr. Alan D. Guerchi, in 2003 Molodysky introduced Coronary Artery Calcium Score (CACS) testing into the Australian primary care setting as a predictor of coronary artery disease risk. By 2020, the Heart Foundation of Australia added CACS testing to estimate the risk of having a heart attack or stroke. [11]

COVID-19 In 2020, Molodysky developed and introduced the COVID-Safe Workplace Policy for the Fink Group across all its restaurants. [12]

Key roles and appointments

In 1987, he was appointed by Professor Charles Bridges-Webb as the medical ethics lecturer with the Discipline of General Practice at the University of Sydney, and from 1987 to 1996, he assisted in the development of Problem-Based-Learning(PBL). [13] In 1997, when The University of Sydney replaced its six-year undergraduate medical program (UMP) with a new four-year graduate medical program (GMP), this PBL model became a teaching cornerstone across the new curriculum and in all four years of the Program. [14]

In 1989, in collaboration with the RACGP, A/Professor Molodyskydeveloped and produced Medicine Today, the first Video Education Series for Australian primary care doctors which was hosted by Prof. Kerryn Phelps and Dr. Derek Richardson, and which was launched by the President of the RACGP and the Federal Minister of Health Dr Neil Blewett. [15]

In 1979, Molodysky was instrumental in establishing the N.S.W. College of Osteopathic and Natural Therapies and the Osteopathic Board of NSW (now known as the Osteopathic Council of NSW) which resulted in the formal recognition and registration of osteopathy as a discipline which is now regulated by the Australian Health Practitioner Regulation Authority (AHPRA). [16]

Since 1982, Molodysky has served in a number of key roles, including as the chair of the Medical Education Committee of the NSW Faculty and as a member of both the Medical Education Committee and Prevocational Subcommittee of the National Education Standing Committee under the Royal Australian College of General Practitioners (RACGP), the chair of the Eastern Sydney Division of General Practice (ESDGP) (the forerunner of the Central and Eastern Sydney Primary Health Network), the foundation chair of GP Synergy (previously SIGPET - Sydney Institute of General Practice Education and Training) and as both president and vice president of the Australasian College of Nutritional & Environmental Medicine (ACNEM). [17]

In 1989, as chair of the NSW Continuing Medical Education Committee (CMEC), and as a member of the Medical Education Committee of Council (MECC) of the RAGCP, Molodysky introduced ongoing medical education (QI & CPD) and continuous professional development for primary care doctors which would eventually become mandatory for continual medical registration throughout Australia with AHPRA. [18]

In 2006, he was appointed as a member of the NSW Medical Board by the Governor of NSW and remained a member until 2009, at which time the Australian Health Practitioner Registration Agency (AHPRA) was introduced to supersede the NSW Medical Board. [2]

Related Research Articles

<span class="mw-page-title-main">Pap test</span> Cervical screening test to detect potential cancers

The Papanicolaou test is a method of cervical screening used to detect potentially precancerous and cancerous processes in the cervix or, more rarely, anus. Abnormal findings are often followed up by more sensitive diagnostic procedures and, if warranted, interventions that aim to prevent progression to cervical cancer. The test was independently invented in the 1920s by the Greek physician Georgios Papanikolaou and named after him. A simplified version of the test was introduced by the Canadian obstetrician Anna Marion Hilliard in 1957.

<span class="mw-page-title-main">Cervical cancer</span> Cancer arising from the cervix

Cervical cancer is a cancer arising from the cervix or in any layer of the wall of the cervix. It is due to the abnormal growth of cells that have the ability to invade or spread to other parts of the body. Early on, typically no symptoms are seen. Later symptoms may include abnormal vaginal bleeding, pelvic pain or pain during sexual intercourse. While bleeding after sex may not be serious, it may also indicate the presence of cervical cancer.

Internal medicine, also known as general internal medicine in Commonwealth nations, is a medical specialty for medical doctors focused on the prevention, diagnosis, and treatment of internal diseases in adults. Medical practitioners of internal medicine are referred to as internists, or physicians in Commonwealth nations. Internists possess specialized skills in managing patients with undifferentiated or multi-system disease processes. They provide care to both hospitalized (inpatient) and ambulatory (outpatient) patients and often contribute significantly to teaching and research. Internists are qualified physicians who have undergone postgraduate training in internal medicine, and should not be confused with "interns", a term commonly used for a medical doctor who has obtained a medical degree but does not yet have a license to practice medicine unsupervised.

<span class="mw-page-title-main">Podiatrist</span> Medical professional devoted to the medical treatment of disorders of the foot

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<span class="mw-page-title-main">Preventive healthcare</span> Prevention of the occurrence of diseases

Preventive healthcare, or prophylaxis, is the application of healthcare measures to prevent diseases. Disease and disability are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices, and are dynamic processes that begin before individuals realize they are affected. Disease prevention relies on anticipatory actions that can be categorized as primal, primary, secondary, and tertiary prevention.

<span class="mw-page-title-main">Westmead Hospital</span> Hospital in New South Wales, Australia

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<span class="mw-page-title-main">HPV vaccine</span> Class of vaccines against human papillomavirus

Human papillomavirus (HPV) vaccines are vaccines intended to provide acquired immunity against infection by certain types of human papillomavirus (HPV). The first HPV vaccine became available in 2006. Currently there are six licensed HPV vaccines: three bivalent, two quadrivalent, and one nonavalent vaccine All have excellent safety profiles and are highly efficacious, or have met immunobridging standards. All of them protect against HPV types 16 and 18, which are together responsible for approximately 70% of cervical cancer cases globally. The quadrivalent vaccines provide additional protection against HPV types 6 and 11. The nonavalent provides additional protection against HPV types 31, 33, 45, 52 and 58. It is estimated that HPV vaccines may prevent 70% of cervical cancer, 80% of anal cancer, 60% of vaginal cancer, 40% of vulvar cancer, and show more than 90% effectiveness in preventing HPV-positive oropharyngeal cancers. They also protect against penile cancer. They additionally prevent genital warts, with the quadrivalent and nonavalent vaccines providing virtually complete protection. The WHO recommends a one or two-dose schedule for girls aged 9–14 years, the same for girls and women aged 15–20 years, and two doses with a 6-month interval for women older than 21 years. The vaccines provide protection for at least five to ten years.

<span class="mw-page-title-main">Medical education in Australia</span>

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<span class="mw-page-title-main">Ian Frazer</span> Scottish-born Australian immunologist

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<span class="mw-page-title-main">Royal Australian College of General Practitioners</span>

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A Paramedic in Australia is a health care professional who holds a minimum of a Bachelor's Degree in Paramedicine and is registered with the Paramedicine Board of Australia via the Australian Health Practitioners Regulation Agency (AHPRA) As of December 2021, there are over 22,500 registered paramedics in Australia, of which approximately 70% (15,750) work for a jurisdictional service, and of which 47% of which are female. Paramedics in Australia may undergo further training and complete a Master's Degree to specialise in either Intensive Care or Primary Care medicine.

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<span class="mw-page-title-main">Cervical screening</span> Type of medical screening

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References

  1. 1 2 "Australian Government, Department of the Prime Minister and Cabinet". honours.pmc.gov.au. Retrieved 2 November 2021.
  2. 1 2 "Associate Professor Eugen Molodysky".
  3. ↑ "University of Sydney(CPD)".
  4. ↑ "University of Sydney(CPD)".
  5. 1 2 Health, Australian Government Department of (17 September 2019). "Changes to the National Cervical Screening Program". Australian Government Department of Health. Retrieved 28 June 2021.
  6. ↑ "University of Sydney(CPD)".
  7. ↑ "Eugen Molodysky Inventions, Patents and Patent Applications - Justia Patents Search". patents.justia.com. Retrieved 28 June 2021.
  8. ↑ "University of Sydney(CPD)".
  9. ↑ "University of Sydney(CPD)".
  10. ↑ "National Library of Medicine".
  11. ↑ Jennings, Garry LR; Audehm, Ralph; Bishop, Warrick; Chow, Clara K.; Liaw, Siaw-Teng; Liew, Danny; Linton, Sara M. (17 May 2021). "National Heart Foundation of Australia: position statement on coronary artery calcium scoring for the primary prevention of cardiovascular disease in Australia". The Medical Journal of Australia. 214 (9): 434–439. doi: 10.5694/mja2.51039 . PMC   8252756 . PMID   33960402.
  12. ↑ "Fink Covid-Safe House Policy". OTTO Brisbane. Retrieved 9 November 2021.
  13. ↑ "University of Sydney(CPD)".
  14. ↑ "University of Sydney(CPD)".
  15. ↑ "University of Sydney(CPD)".
  16. ↑ "2012.95 - N.S.W. College of Osteopathic and Natural Therapies Prospectus | Museum of Osteopathic Medicine". momicoh.pastperfectonline.com. Retrieved 27 January 2022.
  17. ↑ "ACNEM e-News". 2 July 2021. Archived from the original on 2 July 2021. Retrieved 27 January 2022.
  18. ↑ "Royal Australian College of General Practitioners (CPD)". RACGP.
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