North East Valley DGP eNews

No 1113: May 12, 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:

Editorial                                                Tuesday Lunchtime Lecture Program          

Aboriginal Health                                BBVs and STIs - Clinical Management in General Practice: Engaging your Aboriginal Clients

Chronic Disease Management            Getting Started         

Professional Development                 CPD events   

Immunisation                                       Latest Immunisation Update           

Information Management                  Medical Director Tips

Items of interest                                  Medicare Benefits Schedule, GP Network News, Northern Health Continuing Care Inpatient Services        

Mental Health                                      Managing Depression in a Primary Care Setting     

News for Practice Staff                       Practice Managers' Network           

NPS                                                       NPS GP Clinical Audit Update

Paediatrics                                           Ear, Nose, Throat and Eyes Practical Paediatrics, Better Start       

Women’s Health                                  Residential and Day Programs for mothers and their infants                     

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Tuesday Lunchtime Lecture Program

This note is a reminder that the Tuesday Lunchtime Lecture Program is still looking for a GP program leader to create program content, identify & confirm presenters & sponsors, advise Division of details for circulation to members, introduce & thank speakers.

Any member interested in taking on the course leader role as described above is invited to contact Ken Mansbridge at the Division – 9496 4333.

 

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Aboriginal Health

BBVs and STIs - Clinical Management in General Practice: Engaging your Aboriginal Clients

This FREE course provides an overview of the epidemiology, testing, principles, pathogenesis natural history and treatment of HIV, hepatitis B and C infections (Blood-Borne Viruses) and common Sexually Transmissible Infections (STIs) in Aboriginal populations. Sexual history taking and performing a sexual risk assessment will also be covered and cultural competency will be discussed in detail throughout the course. Flyer.

 

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Chronic Disease Management

Getting Started

A diabetes information session presented by Diabetes Australia – Vic, for people with type 2 diabetes who are newly diagnosed or have not had diabetes education in the past. The 3.5 hour session is run by our diabetes educator and dietitian, who will provide you with valuable information to get you started managing your diabetes. Information sessions are held at DA–Vic Head Office, 570 Elizabeth Street, Level 1 (stairs only) 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. The next information session is on Tuesday 17 May from 1.00pm-4.30pm. Encourage your patients to register and ‘Get Started’.

 

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Continuing Professional Development

Austin Health - Division of Medicine Grand Round

“A benign mimic of disseminated malignancy on FDG PET/CT” Speakers: Drs Ami De Silva & Sam Berlangieri

Wednesday 18th May, 12:30pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building (opp. Medical Library), Austin Campus. Informal lunch at 1.15pm outside the Lecture Theatre.

 

Bowel Cancer Screening CPD

General Practitioners and Practice Nurses are invited to attend an update on Hepatitis C treatment followed by an update on Bowel Screening & Hydrogen Breath Testing.

Speakers: Dr. Scott Patterson and Dr. Steve Lontos, Department of Gastroenterology, Austin Health

Thursday, 26th May, 6:30 – 9:15pm at Barrio Restaurant, 77 Upper Heidelberg Road, Ivanhoe. [Application Form]

 

Managing Acute Low Back Pain in Primary Care

Tuesday 31st May 7-9pm (registration & dinner from 6.30pm) at John Scott House, La Trobe University [Map]. This NPS workshop provides a valuable opportunity to discuss up-to-date, independent, practical, evidence-based information on managing acute low back pain. The interactive case-based workshop includes a presentation by a specialist and an opportunity to discuss important aspects of care. Speaker: Dr William Howard (Austin, Acute Pain Service). For more information contact Dr Mary Levidiotis on 9496 4333. See flyer to RSVP.

 

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Immunisation

Latest Immunisation Update

The  Commonwealth  government  has  announced  advice about the Prevenar 13 (conjugate  pneumococcal  vaccine)  to be included in a catch-up program as follows:

·    A single free supplementary dose of Prevenar  13® will be provided to children aged between 12 and 35 months who have completed their primary vaccination course with the Prevenar® vaccine, to ensure these children can also benefit from the improved vaccine. Prevenar 13® protects against 13 strains of pneumococcal disease, and will replace an existing pneumococcal vaccine, Prevenar® that protects against 7 strains.

·    The catch up program will be available for one year and is due to commence from 1 October 2011 to 30 September 2012.

·    This complements the listing of Prevenar 13® on the National Immunisation Program as a three dose course of Prevenar 13® which will be given to infants at 2, 4 and 6 months of age. A 4th dose should also be given to medically at risk children at 12 months of age.

·    The ongoing program for Prevenar 13® for the primary course is due to commence from July 2011.

Formal written confirmation of the introduction of this vaccine will be posted in the near future to all immunisation providers.

 

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Information Management

Medical Director Tip - Save on closing when recording measurements

Have you noticed that when you record a BP or Ht/Wt you click in Save and then Close. You can reduce this to one click by changing one of the Clinical Options.

  1. With no patient record open select Tools >Options…
  2. Click on the Clinical tab
  3. Click on the Close on saving or Save on close option.

Now once you have recorded the measurement you only require one click. Imagine how many seconds you would save over a year by doing this.

 

This weeks IM problem - Printing a “Prescribed elsewhere” script

Question: I have added to the patient current medication list those medications that have been prescribed by a specialist. I now wish to print a repeat script for the patient but I am blocked from doing so. How do I print a script that has been “Advised or prescribed elsewhere”.

Answer: You will notice in the current medication list of medications there is a “Purpose” column and it will have “Elsewhere” for those prescriptions that have been entered  “Advised or prescribed elsewhere”.  Simply double click on the “Elsewhere” medication, make sure the “Dose”, “Frequency” and “Instructions” are filled out. Then click on the “Print prescription” radio button under “Purpose of action”. You may also have to add the “Quantity” as well. Once all this is done it is tagged for printing and press the Print icon.

 

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Items of Interest

Medicare Benefits Schedule

Medicare has announced there will not be a new Medicare Benefits Schedule released on 1 May 2011. Instead, it will be released on 1 July 2011.

 

GP Network News

This week’s edition includes: Federal Budget; Senate inquiry into AHPRA; AMA National Conference May 2011; General practice research grant opportunities; GlaxoSmithKline (GSK) to disclose payments to health professionals; Exclusive I.T. deals on APPLE, SYMANTEC and more!; Post new comment

 

Northern Health Continuing Care Inpatient Services

Current inpatient waiting times are Gem 7-10 days & Rehab 5-7 days.

For further information/ assistance please contact: The ACCESS office on 9495 3443.

 

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Mental Health

Managing Depression in a Primary Care Setting

Heidelberg Mental Health Professionals Network Meeting on Tuesday 7th June 6.30pm – 8.30pm at Banyule Community Health Service, 21 Alamein Road, West Heidelberg. Flyer.

 

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News for Practice Staff

Practice Managers' Network

Wednesday 22nd June 6:30 pm-9:00 pm (Dinner from 6.15pm) at John Scott Meeting House, La Trobe University.

·        Occuational Health and Safety

·        IM Update - Personally Controlled Electronic Health Record

·        Bowel Cancer Screening project Target Group: Practice Managers

Flyer and more information next week.

 

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National Prescribing Service

NPS GP Clinical Audit Update

The following audits are available for the for the new QPI year: May 2011 – April 2012. Note that there are only two paper audits available in this period and quite a few e-Audit options. Clinical e-Audits:

• are quick and easy to complete

are free and area an independent quality improvement activity as are paper audits

• provide evidence-based clinical guidance and patient resources as do paper audits

• offer secure data transmission

• offer immediate individualized feedback

• compare improvements in your practice against best practice clinical indicators and your peers as do paper audits

 

Clinical e-Audit: Review of proton pump inhibitor (PPI) prescribing. 

Clinical e-Audit: Optimising management of type 2 diabetes.

Clinical e-Audit: Management of hypertension. Note, this e-Audit involves review of only 10 patients.

Online enrolment for these topics at www.nps.org.au/health_professionals.

 

Topics coming soon:

Osteoporosis paper version - will be available in June 2011.

Clinical e-Audit: Lipid management - will be available in July 2011.

Antipsychotics paper version - will be available in August 2011.

 

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Paediatrics

Ear, Nose, Throat and Eyes Practical Paediatrics

Thursday June 16th, 7-9pm (6.30pm to register and light refreshments) at Ella Latham Theatre, Royal Children’s Hospital

·        Ophthalmology: Latest recommendations for management of: Eye infections, corneal ulcers and abrasions, squint and pseudo-squint, ptosis and retinoblastoma detection.

·        Ears nose & throat - Latest recommendations for management of ASOM and recurrent ASOM, OME - prolonged antibiotics, ET exercises, diagnosing effusion clinically, grommets; otitis externa; the discharging ear in General Practice; pharyngitis/tonsillitis – the role of swabbing, antibiotics and managing recurrent.

See flyer and register online here.

 

Better Start

From 1 July 2011, eligible children diagnosed with Down syndrome, cerebral palsy, Fragile X syndrome, or a moderate or greater vision or hearing impairment, including deafblindness, will have access to funding and new Medicare items under the Better Start for Children with Disability (Better Start) initiative.

 

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Women’s Health

Residential and Day Programs for mothers and their infants

The recently renovated Mitcham Private Mother Baby Unit is staffed by an experienced and caring team of medical professionals, who can assist families struggling with issues associated with infant irritability and settling, feeding problems, maternal exhaustion and anxiety. Places are currently available for babies up to 12 months old.

Mitcham Private Hospital Mother Baby Unit, 27 Doncaster East Road, Mitcham. Tel: 03 9210 3134

Referral forms and further information can be found at www.mitchamprivate.com.au

 

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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

Epworth Freemasons – GP required part time for sessions in the Women’s Health Clinic. Excellent conditions and environment. Please phone Joy on 9918 8912 or email Joy.Millen@epworth.org.au

 

Fairfield - F/T or P/T VR GP required for GP operated, computerised, fully accredited medical centre with nursing support.  A friendly and supportive team environment with flexible family friendly working hours. Excellent remuneration. Please contact Rosa Merigan on 03 9481 4861 or 0417 596 180.

 

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.

 

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Humour

Why Parents Drink

The boss wondered why one of his most valued employees was absent one day but had not phoned in sick. Needing to have an urgent work problem resolved, he dialled the employee’s home phone number and was greeted with a child’s whisper. “Hello?

“Is your daddy home?” he asked.

Yes” whispered the small voice.

“May I talk with him?”

The child whispered, “No

Surprised and wanting to talk with an adult, the boss asked, “Is your Mummy there?” “Yes

“May I talk with her?” Again the small voice whispered, “No

Hoping there was somebody with whom he could leave a message, the boss asked, “Is anybody else there?”

Yes” whispered the child, “a policeman

Wondering what a cop would be doing at his employee’s home, the boss asked, “May I speak with the policeman?”

No, he’s busy” whispered the child.

“Busy doing what?”

Talking to Daddy and Mummy and the Firemancame the whispered answer.

Growing more worried as he heard a loud noise in the background through the earpiece on the phone, the boss asked, “What is that noise?”

A helicopter” answered the whispering voice.

“What is going on there?” demanded the boss, now truly worried. Again, whispering, the child answered, “The search team just landed a helicopter

Alarmed, concerned and a little frustrated the boss asked, “What are they searching for?”

Still whispering, the young voice replied with a muffled giggle...

ME

 

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And remember

 

            … I worry whoever thought up the term "quality control" thought if we didn't control it; it would get out of hand.