North East Valley DGP eNews

No 1106: March 16, 2011
eNews is a weekly electronic newsletter sent to all GP practices (with email addresses) within the NEV catchment. The aim is to provide up to date information relevant to GPs and to disseminate the latest activities and resources from the division. All feedback and enquiries welcome and should be addressed to Patty Marshall. You can also visit our website at: http://www.nevdgp.org.au/.
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In this issue:

Aged Care                                             Aged Care Interest Group, Centre for Palliative Care Symposium  

Chronic Disease Management            Diabetes Australia – Vic presents ‘Getting Started’

Professional Development                 CPD events   

Immunisation                                       New cervical cancer vaccine website          

Information Management                  Medical Director Tips

Items of interest                                  Toxicology Autumn Forum, Medicare Local Web Site, SunSmart update, GP Network News          

Paediatrics                                           Groin & genital issues in boys         

Women’s Health                                  Menarche to Menopause ALM, Childbearing                      

Positions vacant/wanted                            

Fun stuff                                                        

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Aged Care

Aged Care Interest Group

Support and education in geriatrics for GPs who visit or are interested in visiting Aged Care Facilities.

The Rhythm of Life - Who needs a Pacemaker? AF in the elderly – which drugs? Implantable Defibrillators – issues in terminal care. QT prolongation in antipsychotics. Warfarin in the elderly.                                  

Speaker: Dr David O’Donnell,Cardiologist and Electrophysiologist

Monday April 4th 1-2 pm (Light lunch 12.30pm) at Vasey House, 5 Tower Ave, Bundoora (near BECC). RSVP to Lorraine on 9466 9615

 

Centre for Palliative Care - Inaugural Annual Symposium

All those interested in palliative care are invited to attend this inaugural symposium, which will provide an overview of some of the latest clinically relevant initiatives in palliative care.

Friday 8 April 10am–3pm (registration from 9.30am) at St Vincent’s Medical Education Centre, 3rd Floor, Healy Wing, Victoria Parade, Fitzroy.

No charge (lunch will be provided). Click here for registration form and flyer. Please register by 28 March.

 

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Chronic Disease Management

Diabetes Australia – Vic presents ‘Getting Started’

Wednesday 23 March 5-8:30pm - A diabetes information session for people with type 2 diabetes who are newly diagnosed or have not had diabetes education in the past. Information sessions are held at DA–Vic Head Office, 570 Elizabeth Street, Melbourne. Cost is $10 for DA–Vic members, or $15 for non-members. No referral is required but bookings are essential. For enquiries or to register, please phone the Diabetes Infoline on 1300 136 588.

 

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Continuing Professional Development

Term 1 GP Lecture Program

Meetings are held on Tuesday starting at 12.30 in the Lecture Theatre, Ground Floor, Pathology Building, Repatriation Hospital, Austin Health, West Heidelberg. Tea and Coffee provided. Allocated CPD: 2 points/hour.

22 March – next week’s lecture is still to be confirmed. Regular attendees will be notified. Please call the division on 9496 4333 for more information.

 

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Immunisation

New cervical cancer vaccine website launched by Cancer Council Australia

A quarter of girls aged 12–13 are not having the cervical cancer vaccine Gardasil, despite it being available to them free of charge under the school-based National HPV Vaccination Program. Cancer Council Australia has launched a new website www.cervicalcancervaccine.org.au designed to increase uptake of this important vaccine.

Cancer Council encourages health professionals working in primary care to opportunistically suggest the vaccine to eligible girls and their parents, and refer them to the new website. The website contains evidence-based information about HPV and the cervical cancer vaccine for girls and their parents. It also contains guidance for GPs administering Gardasil in a primary care setting, including how to order the vaccine and reporting requirements for doses given.

 

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Information Management

Medical Director Tip - Using Drug Protocols

Protocols are combinations of commonly-prescribed drugs, which can be selected and prescribed quickly as if they were a single entity. This is useful if doctors have a common set of drugs they prescribe simultaneously, for example, protocols are useful is in cancer treatment, where certain cancer drugs are used together plus anti-nauseants plus analgesics and so forth.

To create a Protocol

  1. With no patient record open select Clinical ->Drug Protocols.
  2. Click on the Add new protocol button.
  3. Give the protocol a name, e.g. Cancer Treatment and Save.
  4. Click on the Add to protocol button – enter the drug name followed by dosage details.
  5. Repeat the process for each drug and click on Close when complete.

To prescribe a protocol

  1. From the patient record select Clinical ->Prescribe ->Protocol
  2. Select a protocol from the list and click on Prescribe.
  3. Complete the Reason for prescription (if turned on) and your drugs will be ready for printing.

 

This weeks IM problem - Manually added results not appearing in printed lists

Question: If a result is manually added (in this instance a Bone dexa done at Austin Research) i.e. we are unable to downloading electronically.  The GP is able to action that result – No Action, Discuss or Return Urgently. However when the Urgent or Discuss lists are printed, the manually entered result do not appear on the list. This means it could easily get lost to follow-up, as has happened with this instance.

Answer: When you prepare the lists for printing: No patient record open:

1.      Investigations >Results…

2.      From the Investigation results: drop down list at the top of the screen, select Requested (usually defaults to Checked)

The manually entered result will now appear on your Discuss or Urgent lists.

(Question and answer provided by Pauline Oakley, Wingrove MC)

 

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Items of Interest

Toxicology Autumn Forum

Friday 15th April, 9am – 1pm at Lecture Theatre, Level 4 Austin Tower, Austin Hospital. Target group: FACEM’s, EM Trainees, GP’s, Pharmacists, Clinicians interested in Toxicology. RSVP by April 11th to Lynne.STANLEY@austin.org.au

. See flyer for more information.

 

Medicare Local Web Site

Changes are coming to healthcare. Be part of it by telling us your big ideas for how healthcare can be improved in your community. Created by Eastern Ranges GP Association. An information sharing forum and a place to blog your ideas and read that of others. www.medicarelocal.com.au

 

SunSmart update 

Australia has one of the highest rates of skin cancer in the world with two in every three Australians developing skin cancer before the age of 70. New data released by Cancer Council Victoria shows that melanoma incidence rates among rural Victorians are more than one third higher than for urban Victorians, putting this demographic in the most high-risk group for skin cancer in Victoria.

SunSmart will again be focusing on Victorian farmers and rural outdoor workers in March and April this year with the ‘Protecting your most important asset. You’ campaign to raise awareness of skin cancer prevention and early detection. Over exposure to ultraviolet (UV) radiation can cause sunburn, tanning, eye and skin damage and increase your risk of skin cancer. Early detection of skin cancer is important as it can often be successfully treated if found early. For more information, go to http://www.sunsmart.com.au/.

 

GP Network News

This week’s edition includes: New AMA Health Reform landing page; Australia to host the World Medical Association (WMA) Council; Multidisciplinary Team Care Arrangements (TCA) in the management of patients with chronic disease in Australian general practice – research paper; Medicare Australia (MA) Telephony Modernisation program – call for GPs to participate on a working group; Keep patients occupied with FOXTEL Business; Post new comment

 

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Paediatrics

Groin & genital issues in boys

Tuesday April 5th 7-9pm at the Royal Children’s Hospital. Most entertaining and highly knowledgeable speaker Mr Mike O’Brien will be giving an update on latest management & referral recommendations for balanitis, hypospadias, phimosis, paraphimosis and steroid cream use; circumcision; hernias and hydroceles; testes & acute scrotum.

  • More information & register online: http://www.rch.org.au/kidsconnect/edu.cfm?doc_id=8613
  • The Practical Paediatrics Program is run by Divisions of General Practice and The Royal Children’s Hospital. 
  • Urology update presented by Impetus, kindly sponsored by Nutricia.

 

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Women’s Health

Menarche to Menopause ALM

Menarche to Menopause: Health Advantages of Monitoring Fertility, an Active Learning Module is to be presented at the Novetel Hotel, Glen Waverley on Saturday 26th March, 2011 from 9.15am – 4.30pm by the Ovulation Method Research and Reference Centre for Australia Ltd. This is an ideal opportunity to update your knowledge on the signs and symptoms of fertility and infertility as well as to gain 40 Category 1 (Women’s Health) points for this current triennium.  For further information and registration telephone 1800 335 860 or see here.

 

Childbearing

An evening of free education for GPs presented by Mitcham Private Hospital covering:

·        Infertility Update - Dr Melissa Wong, Gynaecologist & Fertility Specialist

·        Obesity in Pregnancy - Dr Jason Chew, Obstetrician & Gynaecologist

·        Perinatal Mood Disorders - Dr Anupam Pokharel, Psychiatrist

·        Future Trends for Cervical Cancer Prevention - Dr Val Surtees, Pathologist

Tuesday, 22 March 6.30 - 9.30 (dinner provided) at the Beau Monde International, 934 Doncaster Rd, Doncaster East

To register, please email moutsosa@ramsayhealth.com.au or call Anne on 0420 895 910

 

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Positions vacant/wanted

Please note: only new ads or resubmitted ads will be posted here. All other ads can be found on the website

 

Positions vacant

Doctors

Ivanhoe Medical Clinic - PT VR GP for 2-4 sessions/week - must include Thursday & Friday afternoons. Modern, large supportive group(10 GPs), FT nurses, computerised, CDMs, no A/Hs, friendly ,flexible, mixed billing. Good remuneration. Contact:- Dr. Stephen Smith or Dr. David Doig9499 1245.

 

Northcote – FT/PT VR GP or Subsequent Trainee GP position. Fully accredited, computerised, long established doctor owned practice in a new purpose built facility with a fabulous work environment. Ancillary Health , Pharmacy and Pathology  services on site. Inquiries Diane Cronin (Practice Manager) 9481 1214. Visit our website www.doctorsofnorthcote.com.

 

Northern Health - Seeking GP Liaison Consultant (part time) to fill vacancy up to 16 hours per week. This non-clinical, innovative role demands flexibility and a diverse range of skills. You’ll have a strong advocacy role for both general practice and Northern Health, contributing to strategic and operational developments aimed at enhancing the continuity of care. For further information click here.

 

Practice Staff

Montmorency - Division 2 nurse required for blood collection, immunisations, sterilisation and EPC services. For more information contact Dr Ali on 9434 4411.

 

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Humour

The Haircut

One day a florist went to a barber for a haircut. After the cut, he asked about his bill, and the barber replied, 'I cannot accept money from you, I'm doing community service this week.' The florist was pleased and left the shop. When the barber went to open his shop the next morning, there was a 'thank you' card and a dozen roses waiting for him at his door.

Later, a cop comes in for a haircut, and when he tries to pay his bill, the barber again replied, 'I cannot accept money from you, I'm doing community service this week.' The cop was happy and left the shop. The next morning when the barber went to open up, there was a 'thank you' card and a dozen donuts waiting for him at his door.

Then a Member of Parliament came in for a haircut, and when he went to pay his bill, the barber again replied, 'I cannot accept money from you. I'm doing community service this week.' The Member of Parliament was very happy and left the shop. The next morning, when the barber went to open up, there were a dozen other Members of Parliament lined up waiting for a free haircut.

 

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And remember

 

            … Be true to your teeth and they won't be false to you.