North East Valley DGP eNews

No 1220: June 14, 2012
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                                                EHealth workshop attracts huge crowd      

Aged Care                                             Aged Care Interest Group

Chronic Disease Management            The Community Asthma Program (CAP) update, Translated Information Sheets, GPs play a vital role in the early detection and management of Chronic Obstructive Pulmonary Disease (COPD)    

Professional Development                 CPD events   

Immunisation                                       Cessation of free whooping cough vaccine 

Information Management                  Medical Director Tips

Items of interest                                  GP Network News    

News for Practice Staff                       APNA news   

Paediatrics                                           Type 1 Diabetes in Children and Adolescents         

Women’s Health                                  Women’s Health - Keeping Women Well                

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

EHealth workshop attracts huge crowd

The Division’s final CPD event, before it hands over formal responsibility for General Practice support to the Northern Division of General Practice on July 1st, attracted an overflow crowd of 140 plus. Dr Nathan Pinskier, Deputy Chair of the clinical arm of the National eHealth Authority (NeHTA), spoke in some detail about the forthcoming PCeHR (Personally Controlled electronic Health Record) and its implication for general practice. Nathan emphasised that initially the electronic record would be sparsely populated, but that this would grow with time. He outlined the vital role for GPs in helping establish and then populate this record and its likelihood to becoming the pre-cursor of the “paperless practice”.

Dr Pinskier encouraged general practices to prepare now for the major health initiative that is the PCeHR. He was assured by the Division CEO (Ken Mansbridge) that the Division would continue to be available to support general practice as this initiative gathers steam over the next 12 months.

 

Dr Peter Eizenberg (Chair) described in some detail the Divisions journey over the last 19 years and referred to some of the many letters and phone calls received at the Division over the last 2 months lamenting the loss of “their Division”, while acknowledging the great support they had received over so many years. Noel Stewart provided a snapshot of Information Management support provided by the Division over the last decade, from the very first workshop in 1998 to the present day. Many GPs in the audience were able to relate to the milestones Noel identified, and practice managers and nurses remembered with affection his training sessions and with Janina De Silva & later Wendy Reid his support of the Network workshops.

 

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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.

'Rashes, Removals and Recipes' - Focusing on skin conditions in the elderly. Speaker: Dr Tim Rutherford (Dermatologist).

Monday 25th June 1-2pm (Light lunch 12.30pm) at Vasey House, 5 Tower Ave, Bundoora (near BECC). Please RSVP to Lorraine on 9466 9615.

 

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Chronic Disease Management

The Community Asthma Program (CAP) update

CAP is a HARP service that provides free asthma education to young people aged under 18 years and their families, in their own home.

Current waiting times are three weeks.

Remember the winter months is a peak time for children with asthma.

With the move to the new hospital Referral fax number is now 9345 4380 – this is included in the referral form link CAP referral form

For CAP referral information you may also call our intake workers on 9345 5295 or for further information regarding program contact:  Roslyn.Scholz@doutta.com.au

 

Translated Information Sheets

The National Diabetes Services Scheme (NDSS) has translated ten diabetes information sheets into ten languages. They are available in Arabic, Chinese (Traditional and simplified), Greek, Italian, Korean, Spanish, Turkish, Urdu and Vietnamese and can be accessed at www.ndss.com.au (under diabetes information – translated resources).

 

GPs play a vital role in the early detection and management of Chronic Obstructive Pulmonary Disease (COPD)

Although there is no cure for COPD, early diagnosis combined with sustained treatment and disease management can slow disease progression and keep patients well and out of hospital.

On World Show Us Your Lungs Day, 27 June (celebrated on 10 July in QLD) The Lung Foundation will be offering free spirometry testing in each capital city around the country. General Practitioners are being encouraged to help promote this important message by displaying material in their practice during the week of the 25 June.

General Practitioners can contact the Lung Foundation on 1800 654 301 or visit www.lungfoundation.com.au to receive a range of clinical resources.

 

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Continuing Professional Development

Austin Health - Division of Medicine Grand Round

"Should we be putting our Demented Patients on Treatment to Slow their Cognitive Decline?” Speaker: Dr Christian McGrath, General Medical Unit 3

Wednesday 20th 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.

 

Sleep - The Basics

An Active Learning Module for GPs. Tuesday 19th and 26th June from 7-10 pm. Light supper from 6.30pm at  Austin Hospital Education Precinct, Level 4 Austin Tower, Studley Road, Heidelberg. Flyer. Further enquiries contact Margaret Bunn on 9496 5390 or Margaret.bunn@austin.org.au

 

Gastrointestinal Update

Wednesday 20 June, 7.15 – 9.15pm (6.15 – 7.15pm buffet dinner) at Epworth Richmond, Auditorium, Level 2, 89 Bridge Road, Richmond

Speakers:  Ms Adele Burgess: When to refer a patient with PR bleeding; Ms Kaye Bowers: Hepatobiliary problems – stones, cancer, abdominal LFTs; Dr Andrew Brett: Reflux Disease

4 (Cat 2) points are available at this meeting. Flyer

 

Overweight and Obesity: the challenges and the solutions

Monday 23rd July 9am – 4.30pm at Baker IDI Heart and Diabetes Institute.

This one day program examines the nutritional, physical, psychological and medical options available to health professionals involved in providing weight management advise to clients with or without diabetes. Topics include; nutrition interventions for weight management; physical activity strategies, meal replacement and Very Low Calorie Diets; Medications for weight management; nutritional management after bariatric surgery; psychological strategies to manage emotional eating. Flyer

 

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Immunisation

Cessation of free whooping cough vaccine

The free Boostrix® vaccine program for all parents of newborn babies will cease after 30 June 2012. Boostrix® vaccine orders will be accepted until the close of business on Friday, 29 June 2012. Please encourage those eligible for the free vaccine to take up the offer prior to the program’s end on 30 June. If there is unused Boostrix® vaccine in the fridge after 30 June, the vaccine can be used for new parents until the 'new parent' Boostrix® stock is finished.

Parents with a baby born up to and on 30 June 2012 would need to have had thefree Boostrix® vaccine administered by 30 June 2012 to be eligible. These parents are not eligible for the free vaccine after this date unless they can source left over 'new parent' Boostrix® vaccine from an immunisation provider.

Please remove any promotional posters and flyers for the free Boostrix® vaccine program for new parents after 30 June 2012 for example in maternal and child health centres and clinic waiting rooms.

Vaccination against whooping cough remains our best means of protecting vulnerable babies from the disease by reducing and controlling its spread. Vaccination is still available to parents on prescription and should be encouraged on an individual basis.

 

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Information Management

Medical Director Tip - Removing today’s date when entering a history item

When adding a retrospective history item into the Past History it defaults to today’s date. This can be changed so it can be left blank by doing the following:

1.      From the Tools menu select Options

2.      Select the General tab

3.      Remove the tick from the checkbox: Insert today’s date on a new history item

 

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Items of Interest

GP Network News

This week’s edition includes: MBS funding for Shared Health Summary; ANF Claim – Update; After Hours Technical Working Group; MBS health assessment item error; The Professional Relationship between Doctors and Patients – Updated AMA Guidance

 

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News for Practice Staff

APNA news

APNA newsletter

Some of the presentations from the recent APNA conference.

 

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Paediatrics

Type 1 Diabetes in Children and Adolescents

Top Tips for GPs

1.      A child with a history of polyuria, polyudipsia, weight loss and elevated BGL is likely to have diabetes.

2.      An OGTT is not necessary to diagnose diabetes if there is already a random laboratory blood glucose > 11.1 mmol/l.

3.      Send any child with suspected diabetes to the emergency department IMMEDIATELY for further assessment.

4.      Diabetic Ketoacidosis can emerge and worsen rapidly. DKA is fatal if untreated.

Type 1 diabetes is increasing at 4% per year. Most children (95%) do not have a family history of type 1 diabetes. Many children who present to the Royal Children’s Hospital (RCH) emergency department in DKA have seen a GP in the week prior without a diagnosis of diabetes being made. If diabetes is suspected, send the child to the RCH or Monash Medical Centre or their local regional hospital immediately for further assessment. 

A family’s GP will continue to be their first port of call for health concerns. If you are seeing a child with pre-existing diabetes and have concerns you can talk to the RCH diabetes registrar on 9345 5522.

 

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Women’s Health

Women’s Health - Keeping Women Well

Warringal Private Hospital has much pleasure in presenting this GP symposium on Thursday 28 June. For further information and registration please contact Marianne via email beattym@ramsayhealth.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

Northcote – F/T P/T 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

Train travel

Sitting together on a train, travelling through the Swiss Alps, were a Kiwi guy, an Australian bloke, a little old Greek lady, and an attractive young blonde Swiss girl.

The Train goes into a dark tunnel and a few seconds later there is the sound of a loud slap.

When the train emerges from the tunnel, the Kiwi has a bright red hand print on his cheek.

No one speaks.

The old lady thinks: The Kiwi guy must have groped the blonde in the dark, and she slapped his cheek.  

The blonde Swiss girl thinks: That Kiwi guy must have tried to grope me in the dark, but missed and fondled the old lady and she slapped his cheek.

The Kiwi thinks: The Australian bloke must have groped the blonde in the dark. She tried to slap him but missed and got me instead .

The Australian thinks: I can't wait for another tunnel so I can smack the Kiwi again.

 

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And remember

 

            …jokes about German sausage are the wurst.