Regulatory Tug-of-War at Australia’s Royal Australasian College of Physicians (2026)

In a stunning development, Australia's esteemed Royal Australasian College of Physicians (RACP) finds itself in a state of turmoil, with a major medical body now seeking the intervention of the charities watchdog to resolve a deep-seated crisis. The situation has reached a boiling point, with the college's leadership under fire and a complex web of infighting and allegations casting a shadow over its operations.

The catalyst for this crisis is a disagreement over the organization's governance structure. Honorary treasurer Dr. Nicholas Buckmaster, in a letter to the college's vast membership, revealed the board's inability to function effectively due to months of dysfunction and infighting. The heart of the matter lies in the ongoing dispute between outgoing president Professor Jennifer Martin and Dr. Sharmila Chandran, a Melbourne-based renal physician, over the separation of the roles of president and board chair. Professor Martin, a visionary leader, sought to align the organization's constitution with industry standards, but her efforts have been met with staunch resistance from Dr. Chandran and her supporters.

Dr. Buckmaster's letter is a call for urgent action, as the board has requested the Australian Charities and Not-for-profits Commission (ACNC) Commissioner Sue Woodward to intervene. The commissioner is now tasked with the delicate responsibility of assessing the situation and potentially removing directors, including Dr. Chandran, who has faced multiple challenges in her path to becoming president. The college's core functions, including training and accrediting doctors, remain unaffected, but the internal turmoil has raised concerns about the organization's long-term stability.

Dr. Chandran, a formidable figure in her own right, has successfully navigated three extraordinary general meetings (EGMs) aimed at altering the constitution. She has also launched a legal battle against the college, albeit one that she has since dropped. Her stance on the matter is clear: she distances herself from the board's announcement, labeling it as 'highly improper'. She argues that the members have the right to act, and their actions, including the EGM against Professor Martin, are a testament to their power.

This crisis highlights the challenges faced by medical bodies in maintaining harmony and effective governance. The RACP's situation underscores the importance of transparent and accountable leadership, especially in organizations with a significant impact on healthcare. As the charities watchdog steps in, the future of the RACP hangs in the balance, leaving the medical community and the public alike awaiting the outcome of this complex and high-stakes dispute.

Regulatory Tug-of-War at Australia’s Royal Australasian College of Physicians (2026)

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