North East Valley DGP eNews

No 1121: July 7, 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/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Editorial                                                Alert for General Practitioners - Potential cases of Listeriosis       

Aboriginal Health                                RACGP Online Cultural awareness training, Aboriginal Health - new clinics

Chronic Disease Management            The Diabetes MILES survey, Getting Started           

Professional Development                 CPD events   

Immunisation                                       Childhood Pneumococcal Immunisation     

Information Management                  Medical Director Tips

Items of interest                                  Sarcoma Resources, NEMICS newsletter, GP Network News         

Mental Health                                      Interested in an alternative treatment for symptoms of schizophrenia or schizoaffective disorder?     

Paediatrics                                           Immunisations update with clinic placement option, General Paediatrics Update         

Women’s Health                                  National Gestational Diabetes Register                  

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Alert for General Practitioners - Potential cases of Listeriosis

A brand of chocolate trifle sold through some Coles supermarkets has been found to contain Listeria bacteria in one batch. A media alert has been issued warning Victorians not to consume the Coles Chocolate Trifle if there is any remaining in their homes. They have also been advised to seek medical attention if they believe they have consumed this product and develop mild to moderate flu-like symptoms.
GPs are being asked to consider a diagnosis of Listeriosis in patients who may have consumed this product.

If you have any queries about tis alert please contact Communicable Disease Prevention and Control Unit on 1300 651 160.
Further information http://www.health.vic.gov.au/ideas/bluebook/listeriosis

 

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Aboriginal Health

RACGP Online Cultural awareness training

Just a reminder that the RACGP Online Cultural awareness training is now available free of charge to two general practice staff (including one GP) for practices registered for the Indigenous Health Incentive, and to other GPs and health professionals. It is available at www.gplearning.com.au for RACGP members. Non-members can access this activity at www.clined.com.au .

Completion of this module by a minimum of two practice staff at least one of whom must be a GP will meet the requirements for cultural awareness training for the Indigenous PIP.

Here are the instructions for ClinEd:

1.    Go to http://www.clined.com.au/search.aspx?search=cultural&Open=753217_clined_1113

2.    Click on red box ‘sign up for online education’, or log in if you already have a username and password.

3.    Scroll down and you will see the activity title.

4.    Click on the activity and the description will come up, on the right hand side there is a login register button, please click on this button.

5.    If you have not done so already, you will need to create a user account.

6.    Once created and a username and password has been issued you may need to log in again or you may notice that the button on the right hand side of the activity description will now say either ‘enrol in activity’ or ‘start activity’.

You must set your browser to allow pop-ups. There is a guide sheet provided on the site on how to do this.

If you are having trouble accessing the activity you can contact the helpdesk on 1800 284 789 or email contactus@gplearning.com.au.

 

Aboriginal Health - new clinics

As a result of a partnership between The Northern Hospital and Plenty Valley Community Health, there are now two new clinics specific for Aboriginal people at Plenty Valley Community Health, Epping. There will not be long waits for appointments.  These are:

·         Endocrinology Clinic: The clinic will run approximately every 2 weeks on Friday or Monday afternoons and is now taking referrals. Through the clinic, patients will have access to allied health staff, including dieticians, social work, physiotherapy and drug and alcohol services. Referrals to the clinic can be faxed to 9408 9508 and marked “ATSI Endocrinology/Diabetes Service” “Urgent” attention Tanya (T: 8401 1373)

·         Nephrology Clinic: The clinic will run roughly every 2-3 weeks on Wednesday afternoons. 60 minutes consultations for new patients and 30 minutes for follow-up appointments allowing adequate time for assessment of complex patients and patient education. An Aboriginal liaison officer will work to overcome cultural barriers and work towards improving compliance with follow-up and management Referrals to the clinic can be faxed to 9408 9508 and marked “ATSI Renal Service” “Urgent” attention Tanya (T: 8401 1373)

 

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Chronic Disease Management

The Diabetes MILES survey

The Management and Impact for Long-term Empowerment and Success survey is now online at www.DiabetesMILES.org.au. This study is the largest national survey of adults (18-70) with Type 1 or type 2 diabetes dedicated to improving the quality of life and addressing the psychological needs of Australians with diabetes. Help promote this important study by distributing the Diabetes MILES Study Flyer within your workplace. For more information contact the Centre (03 86481844 or diabetesMILES@ACBRD.org.au)

 

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 Thursday 21 July 1pm-4.30pm. Encourage your patients to register and Get Started.

 

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Continuing Professional Development

Lung and Respiratory Issues

Wednesday 20 July 7.15 – 9.15pm (buffet dinner is served from 6.15pm) at Epworth Richmond, Auditorium, Level 2, 89 Bridge Road. Flyer

 

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Immunisation

Childhood Pneumococcal Immunisation

Here is the latest link to the provider guidelines for Prevenar 13.

 

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Information Management

Medical Director Tip - Adding your own clinical details to investigation requests

You can always free type you own clinical details into both pathology and imaging requests. To save that text to the available clinical details is different for a pathology and investigation request.

Imaging request - Adding free text to the available clinical details

1.      Simply free type the free text of the Clinical details

2.      Click in the Save text to list box (there is no need to print the request)

3.      Print or Close the Imaging request window

4.      Upon re-opening the Imaging request you will notice you free text has been added to the bottom of the Clinical details list, but not in alphabetical order

Pathology request - Adding free text to the available clinical details:

1.      Add a requested test first

2.      Then free type your Clinical details and then click in the Save text to list box

3.      Print the request

4.      You will notice the item has been added to the available clinical details in alphabetical order

Note: you can delete any of the available clinical details items you have created but not the preset ones

 

This week’s IM problem - Bulk deleting results from the holding file

Question: Is there a way to bulk delete results from the investigations holding file in MD? The local hospital has sent me several hundred copies of their new discharge summaries. It takes 3 clicks for each deletion and there are still hundreds left to delete after >15 min (&RSI) of effort.

Answer: The short answer is no.

Note:

1.      Shift clicking for a contiguous selection does not work

2.      Control clicking for non-contiguous selection does not work either.

Hence the long answer is also no.

Therefore it has to be done one by one and you’ll have to put up with the resultant RSI.

 

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Items of Interest

Sarcoma – resources for general practitioners

Sarcoma is a disease with a high rate of mortality and morbidity. Diagnosis is often difficult but early detection is of enormous value leaving the best possible surgical options open to patients. Cancer Council Victoria and the Victorian Sarcoma Service encourage all GPs to familiarise themselves with the Department of Health patient management framework for bone and soft tissue sarcoma.

The 2011 Annual Sarcoma Conference will be held on October 15-16 at St Vincent’s Hospital, 55 Victoria Parade, Fitzroy.

More information and other resources can be accessed through The Australasian Sarcoma Study Group via Executive Officer Dr Sally Whyte on 1800 177 657 or by visiting here.

Professor Peter Choong will also be presenting a lecture - Sarcoma Surgery from Limb Reconstruction to Amputation - at Peter MacCallum Cancer Centre on Monday July 25, 12.30 – 1.30pm - Level 3, Jack Brockhoff Lecture Theatre. For more information please view the Peter Mac Callum website.

To refer a patient contact Peter MacCallum directly 9656 1111 or fax to 9656 3743. Alternately, contact the Dept of Orthopaedics, St Vincent’s Hospital Melbourne on 9288 3980: fax to 9416 3610

Visit the Cancer Council website or call the Cancer Council Helpline on 131120 for patient resources or support.

 

North Eastern Metropolitan Integrated Cancer Service

The latest edition the NEMICS newsletter is available here.

 

GP Network News

This week’s edition includes: AMA Survey – Mental Health Cuts; ANF Medical Centres and Clinics Claim; AMA Council of General Practice (AMACGP); Medicare Locals; Medicare Rebates for Telehealth from 1 July 2011; NSW Court of Appeal Decision; Stopped receiving your medical magazines?; Veterans’ Medicines Advice & Therapeutics Education Services (Veterans’ MATES) Topic 27.

 

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Mental Health

Interested in an alternative treatment for symptoms of schizophrenia or schizoaffective disorder?

The Monash Alfred Psychiatry Research Centre (MAPrc) is currently seeking adult participants for a new research trial involving the use of an experimental treatment; transcranial Direct Current Stimulation (tDCS). We are interested in exploring whether tDCS may improve a range of symptoms of schizophrenia including low motivation, reduced energy, difficulties with concentration and remembering things, hearing voices and confused thoughts.

We are currently recruiting individuals with schizophrenia or schizoaffective disorder who experience these symptoms and who have not responded to medication.

The research trial involves daily treatment sessions for a period of three to six weeks in addition to fortnightly interviews. Medication therapy is permitted to continue during the trial. Some financial assistance for transport will be provided.

If you would like more information or are interested in participating please contact Susan, Sally, Amy or Nicci on (03) 9076 6595, a.peachey@alfred.org.au or see www.maprc.org.au

 

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Paediatrics

Immunisations update with clinic placement option

Did you know… that giving sucrose to some age groups of children helps decrease vaccination discomfort? Do you know the latest recommendations for giving flu vaccination to kids? How to manage catch up vaccines and vaccination variations? How about vaccinations for pregnant women?

Come along to a fascinating, informative and extremely useful update to be held at the RCH, and even better, sign up for an optional clinic placement with the infectious disease team or at the Drop-in centre.  Run in partnership with Divisions of General Practice.

Tuesday July 19th, 7-9pm at the Royal Children’s Hospital, Parkville. Registrations essential.  Queries to Susan Jury (03) 9345 4645 or susan.jury@rch.org.au. See flyer.

 

General Paediatrics Update

Saturday August 6th, 9am - 12 noon at the Royal Children’s Hospital.

Learning areas include UTI’s and nocturnal enuresis, the crying infant and recurrent abdominal pain in young children.

Lead GP Division is Northern – all GPs welcome. RACGP accredited (pending).

See website for more info on learning areas & speakers and to register.

 

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Women’s Health

National Gestational Diabetes Register

Over 17,000 pregnant women in Australia each year develop gestational diabetes. One in two of them may go on later in life to develop type 2 diabetes. Their babies also have increased health risk. Maintaining a healthy, active lifestyle and regular screening for diabetes are vital to their future health.

A new national register for women who have had gestational diabetes during pregnancy will help health professionals give their patients a good start to motherhood.

The National Gestational Diabetes Register, operating from 1 July, was established within the National Diabetes Services Scheme (NDSS), an initiative of the Australian Government administered by Diabetes Australia. Health professionals should register their patients on diagnosis, or as soon as possible after diagnosis, so women receive important health information to minimise the risk of type 2 diabetes and regular reminders for screening tests. They can also access subsidised NDSS products for 12 months after the date of registration.

Phone 1300 136 588 or visit www.ndss.com.au to learn more or to download a registration form.

 

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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

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 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.

 

Ivanhoe - VR GP Required for regular weekend work (weekly, fortnightly or monthly) in fully accredited, computerised, private billing General Practice. Excellent renumeration and friendly environment. Hours negotiable (Practice is open Sat: 9 – 4 and Sun 10 – 12). Please contact Dr Peter Eizenberg (Principal) or Mary Howe (Practice Manager) on phone: 03 9497 1644 or email: maryh@dr131.com.au.

 

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.

 

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Humour

A fascinating fact about Penguins

Did you ever wonder why there are no dead penguins on the ice in Antarctica - where do they go?

Wonder no more!!!

It is a known fact that the penguin is a very ritualistic bird which lives an extremely ordered and complex life. The penguin is very committed to its family and will mate for life, as well as maintaining a form of compassionate contact with its offspring throughout its life.

If a penguin is found dead on the ice surface, other members of the family and social circle have been known to dig holes in the ice, using their vestigial wings and beaks, until the hole is deep enough for the dead bird to be rolled into and buried.

The male penguins then gather in a circle around the fresh grave and sing:

"Freeze a jolly good fellow"
"Freeze a jolly good fellow"

Then they kick him in the ice hole. 

 

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And remember

 

            Don't waste time collecting other peoples autographs; rather devote it to making your own worth collecting.