North East Valley DGP eNews

No 1115: May 26, 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                                             National Palliative Care Week 22-28 May - Let’s chat about dying

Chronic Disease Management            Supermarket Tours, Community Asthma Program 

Professional Development                 CPD events   

Immunisation                                       New parent free pertussis vaccine  

Information Management                  Medical Director Tips

Items of interest                                  New referral for Audiology Services, Helicobacter Pylori: New Perspectives in the Management, Nephrology private practice, Holmesglen courses in disability studies, GP Network News           

Mental Health                                      Group Therapy in Trauma Treatments, Eltham Chronic Disease & Mental Health Network Meeting, Cross-cultural Mental Health Care in General Practice        

News for Practice Staff                       Medical Receptionists Seminar, Practice Managers' Network, Medications Education Online     

Paediatrics                                           Ear, Nose, Throat and Eyes Practical Paediatrics   

Women’s Health                                  General Update on Pregnancy Care            

Positions vacant/wanted                            

Fun stuff                                                        

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Aged Care

National Palliative Care Week 22-28 May - Let’s chat about dying

People don’t like to talk about dying, let alone plan for the care they would like to receive towards the end of life, and we know that one of the greatest barriers to receiving quality care towards the end of life is a lack of knowledge and preparation. Despite the discomfort around talking about dying it can be thought provoking. For instance, would you prefer to be in a hospital or at home and who do you want with you? It’s important to communicate this to family and loved ones.

Palliative Care Australia has produced a number of resources that can help. These can be viewed, downloaded and ordered free of charge from the PCA website.

 

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Chronic Disease Management

Supermarket Tours

Diabetes Australia – Vic organises supermarket tours to help make shopping for food easier. As part of the two hour tour, local dietitians show you how to accurately read and understand food labels, select healthy food alternatives and identify products that are appropriate for people with diabetes. Participants will receive a show bag with the Diabetes Australia Healthy Shopping Guide, information sheets and other useful information. A tour is taking place at Coles Epping Plaza, Cnr Cooper & High Streets, Epping on Wednesday 1 June 2011 at 10.00am. Cost: $10 members and $15 for non-members. Limited bookings are available for each tour. To make a booking, contact the Diabetes Info and Advice Line (DIAL) on 1300 136 588.

 

The Community Asthma Program (CAP)

CAP provides a free service to young people (0 - 18) & their families, in their own home - usually 3 visits; provides education about asthma, medications and use of puffers & spacers; how to identify & avoid  asthma triggers; develop a written asthma action plan (WAAP); how to recognise warning signs of asthma & identify when to seek help and what to do; link or refer families to a range of community services and other agencies that may assist in the management of the young person's asthma.

To refer phone 9345-5295 or fax 9345-6231.

Useful links:

·         The Atrophogenic Potential of Topical Corticosteroids article.

·         Research: Asthma and swimming pools.

·         The Royal Children's Hospital WAAP.

·         Dr Gab Haeusler has recently revised the RCH influenza parent fact sheet. With the flu season about to take off-this is very helpful.           

 

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Continuing Professional Development

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.

 

Austin Health - Division of Medicine Grand Round

“Two important lessons my mentors taught me” (Concepts in natural history and treatment of neurological disease). Speaker: Prof Richard Frith, Neurology Department, Auckland Hospital.

Wednesday 1st June, 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.

 

Ear, Nose, Throat and Eyes Practical Paediatrics

See under Paediatrics.

 

Update on cancer screening and risk factors - Prostate, breast, bowel, ovarian cancers and more…

Saturday 18 June 9.20am—1.30pm (registrations at 9am) at Brokhoff Theatre, 3rd Floor, Peter MacCallum Cancer Centre, St Andrews Place. Flyer

 

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Immunisation

New parent free pertussis vaccine

The free pertussis vaccine for new parents, Boostrix, will be extended for another 12 months to the 30 June 2012.

Partners may have the Boostrix vaccine at any time during pregnancy and the mother can be vaccinated shortly after delivery.

An updated poster and fact sheet with the new dates will be posted to all immunisation providers to display.

 

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Information Management

Medical Director Tip - Get a widescreen monitor

Unless you have a widescreen monitor you probably don’t see all the options that are available, unless you scroll across the screen. A case in point is the medication screen of MD. Unless you scroll across you probably won’t see the First script or Reason for Medication columns. You can double click in the Reason for Medication column and either add or modify a reason for medication.

 

This week’s IM problem - Unable to register patient for CTG relief

Question: When I edit the patient details in MD to record ATSI status (Patient >Details…) the Registered for CTG Co-payment relief box remains greyed out.

Answer: You haven’t registered the practice for CTG.

1.      With no patient record open click on Tools >Options and then select the Practice tab.

2.      Place a tick in the Participate in the CTG PBS Co-Payment measure box.

3.      Return to the patient record and when you open the Patient >Details… you will now be able to place a tick in the Registered for CTG Co-payment relief box.

 

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Items of Interest

New referral for Audiology Services

The company, “Hearing Professionals",who have branches in Ivanhoe, Bundoora, Burwood, Boronia, Preston and Sunshine, have developed an easy to use referral for your clinical software. This can be found at the Information Management Resources section of our website at: http://www.nevdgp.org.au/?content=14#Other

 

Helicobacter Pylori: New Perspectives in the Management of H.pylori.

Dr. Aruni H.W. Mendis  (PhD, D.I.C) & Prof. Barry J. Marshall FRACP,FAA,FRS. Nobel Laureate

Health workers around the world are increasingly concerned with the emergence of new antibiotic resistant strains of H. pylori, (Hp) and the rather alarming finding that 20% to 25% of “first-line” or primary treatment regimes designed for eradication of Hp end in failure.

It is of paramount importance that practitioners provide a follow-up breath test request to patients at the time they are prescribed anti-Hp therapy following the initial evaluation. The crucial & essential need for a follow-up breath-test, four weeks after completion of the eradication therapy, to establish “Proof-of-Cure” cannot be stressed more. Since it is well documented that H. pylori can be transmitted within families, if one member of a family has an H. pylori infection there is an excellent case for performing a breath test on all adult members of the family, and also on any children with G.I. symptoms.

 

Nephrology private practice

Having completed Nephrology/General Medical training at Austin Hospital and Monash Medical Centre, Dr Niroj Obeyesekere has commenced private practise at 226 Burgundy Street Heidelberg (Ph 9459 2222 fax 9457 1726). Inpatient services are also available at Warringal Private Hospital and Epworth Hospital in Richmond. His interests in nephrology include diabetic nephropathy, chronic renal failure, hypertension and glomerulonephritis. He is also interested in General Medicine and would welcome referrals which require a general physician.

 

Holmesglen are offering the following courses in disability studies

1. Certificate IV in Disability CHC40308

2. Dual Qualification - Certificate IV in Disability CHC40308 & Diploma of Disability CHC50108

Course commencement July 2011. Apply now! Further information T: 9564 1999, E: wendy.simpson@holmesglen.edu.au, www.holmesglen.edu.au/certivdisability

View the website for detailed course information and to download an application form.

 

GP Network News

This week’s edition includes: GP Mental Health Treatment Plans; 2011-12 Federal Budget analysis; AMA resources for setting fees and transitioning to patient billing; AMA Annual Report 2010; AMA Indigenous Health Report Card 2010-11; Nurse Practitioner Models of Practice in Aged Care Grants; Use your American Express card and you could have the chance to win 750,000 Rewards Points; Email the AMA; Post new comment to the website.

 

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Mental Health

Group Therapy in Trauma Treatments

Challenges & Triumphs! - Presented by Post Trauma Victoria

Friday 3rd June, 9.30 am – 4.30 pm (registration 9am) at Austin Health, Heidelberg. Cost: $220 per person, $200 AASW Members

For further Information and to register click here. Phone: (03) 9496 4329 or Email: Donna.Zander@austin.org.au

 

Eltham Chronic Disease & Mental Health Network Meeting

Thursday 30th June 7pm – 9pm at The Eltham Hotel, 746 Main Street, Eltham. Flyer 

 

Cross-cultural Mental Health Care in General Practice

A distance education unit for GPs offered by the NSW Institute of Psychiatry and NSW Transcultural Mental Health Centre for 15 weeks from July 25, 2011. The unit involves readings/assessments; 5 telephone tutorials and one workshop in Sydney in September. This unit of study will provide new and experienced GPs with the skills, knowledge and means of building better therapeutic relationships and working more effectively with patients from culturally and linguistically diverse (CALD) backgrounds. Scholarships available for GPs and GP registrars across Australia. GPs working in rural and remote areas are encouraged to apply.

To be accredited with ACCRM & Mental Health Skills Training (GPMHSC), RACGP QA & CPD 40 points.

Scholarship applications close on June 17, 2011. For further information contact Jennifer Herron at the TMHC on 02 9840 3800, email Jennifer_Herron@wsahs.nsw.gov.au  or visit the NSW Institute of Psychiatry  website: www.nswiop.nsw.edu.au (See Medical Education then click on GPs and then Application forms)

 

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News for Practice Staff

Medical Receptionists Seminar - Triage at the front desk

Tuesday 21st June 6:30 pm-9pm (Dinner from 6pm) John Scott Meeting House, La Trobe University. Presented by: Panel of NEV staff, PMs, PNs and GPs.  

[Application Form]

 

Practice Managers' Network

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

·         Occuational Health and Safety

·         IM Update - Personally Controlled Electronic Health Record

·         Bowel Cancer Screening project Target Group: Practice Managers

[Application Form]

 

10.5 hours of Medications Education Online

This Medicines Collection Includes: 12 Learning Modules; 10.5 hours of CPD & 10.5 RCNA CNE Points; Video Education & Self-Assessment Tools; Relevant to Current Australian Standards (2011); Leading Educators: Dr J Gowan & Assc. Prof. L Roller. Access available with your AusmedOnline membership

Throughout the 12 learning modules, we address: regulations and terminology as well as professional boundaries and methods of drug delivery. This collection also includes information on: Drug actions; Pharmacokinetics; Drug toxicity; Drug absorption and elimination; Loading dose and monitoring are also addressed. Other content looks at drug problems and errors such as common side effects; adverse reactions; interactions and substrates; and also polypharmacy.

For more information phone AusmedOnline - Nursing Education Centre on (03) 9375 7311 or visit www.ausmed.com.au 

 

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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.

 

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Women’s Health

General Update on Pregnancy Care

The Royal Women’s Hospital with The Melbourne Division of General Practice is holding a CPD session for GPs, shared maternity care affiliates and other health professionals covering a range of common queries and concerns from GPs in their care of pregnant women. Speaker: Dr Ines Rio, Head GP Liaison Unit and clinician at RWH.

Objectives:

·         To be aware of the advice to give to women planning pregnancy

·         To be aware of routine investigations to consider in pregnancy

·         To be aware of how to manage a range of common concerns in pregnancy

·         To be aware of a range of management and referral options

Tuesday 7th June 7.30 pm - 9.15 pm (Light refreshments 30 minutes prior) at Seminar Room 7D, 7th Floor, The Royal Women's Hospital: Cnr Grattan St and Flemington Rds, Parkville. RSVP: By 3 days prior to session to Ines Rio: Ph: 8345 2064 email: ines.rio@rwh.org.au.  

Parking is available at the car park under the hospital: accessible from Flemington Rd. Cost is $12 for 2 hours. RACGP CPD points: Applied for (4 category 2 points). These points will also contribute to 2014-2016 reaccreditation as a shared maternity care affiliate GP at RWH.

 

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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

Diamond Creek – PT/FT GP wanted for accredited, computerised practice. Private billing (high fees), practice nurse support, visiting specialists. Physio, psychologist & psychiatrist on site. Supportive, friendly and happy workplace. Contact practice manager Lina Rogers on 9348 1911 or 0407 119 780.

 

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.

 

Hurstbridge – F/T or P/T VR GP required for computerised, fully accredited medical centre located in a lovely leafy semi-rural environment.  A fabulous, friendly work environment with nursing support and ancillary health.  Outer Metro Relocation Incentives could apply.  Contact Heather Fisher (Practice Manager) 9718 2611, 0407 355 035 or hfisher@hurstbridgemedical.net.au

 

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.

 

Macleod - PT VR GP wanted for accredited, fully computerised practice. Suits semi-retired GP. Trainee also welcome. Contact: Julie on 03 9459 8329

 

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.

 

Practice Staff

Greensborough - We require an experienced, highly motivated medical receptionist for our busy clinic.  Permanent part time including weekends.  Email resume to info@sunrisemedicalcentre.com.au

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Humour

Medicare - Aussie style

The phone rings and the lady of the house answers, “Hello.”

“Mrs Sanders, please.”

“Speaking”

“Mrs Sanders, this is Doctor Jones at Saint Agnes Laboratory. When your husband's doctor sent his biopsy to the lab last week, a biopsy from another Mr Sanders arrived as well... We are now uncertain which one belongs to your husband. Frankly, either way the results are not too good.”

“What do you mean?” Mrs Sanders asks nervously.

“Well, one of the specimens tested positive for Alzheimer's and the other one tested positive for HIV. We can't tell which is which.”

“That's dreadful! Can you do the test again?” questioned Mrs Sanders.

“Normally we can, but MEDICARE will only pay for these expensive tests once.”

“Well, what am I supposed to do now?”

“The MEDICARE Help desk recommend that you drop your husband off somewhere in the middle of town. If he finds his way home, don't sleep with him.”

 

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And remember

 

            1st rule of intelligent tinkering - save all the parts.