North East Valley DGP eNews

No 1413: May 7, 2014
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                                                Health politics          

Chronic Disease Management            Diabetes Beyond The Horizon

Professional Development                 CPD events   

Immunisation                                       So why do people choose not to vaccinate?

Information Management                  Medical Director & Best Practice Tips

Items of interest                                  ME Awareness Week, New Victorian Smoking Laws, GP Network News 

News for Practice Staff                       APNA newsletter

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Health politics

Lots going on in the political sphere regarding the future of health. Firstly came the National Commission of Audit’s recommendation of:

·         A $15.00 co-payment per GP visit

·         An increase in PBS co-payment

·         Higher income workers being forced to take health insurance cover

·         A co-payment structure for non-urgent hospital admissions

·         Extending the scope of nurses and pharmacists

 

While the government is not expected to take all recommendations on board, even some of the recommendations would see the dismantling of our widely acclaimed Medicare health system with the poor and the sick being worst off. AMA president, Dr Steve Hambleton roundly attacked the Audit report by saying he was struggling to see anything positive about the report, and the in effect many of the recommendations would end up costing the health system more and not save money. As reported in the Medical Observer, Dr Hambleton was quoted as saying, “The only good thing about the Commission’s health recommendations is that they will be easy for the Government to reject them – and the AMA will be urging the Government to do so”.

 

The next big ticket item in the health sector will occur when the Liberal National Party hands down its first budget. A $6.00 co-payment for doctor visits has been mooted but less clear, at this stage, is what will be the future of Medicare Locals? The rumour mills are grinding away with some even saying that funding for MLs will cease as of June next year to be replaced by larger (or in some cases amalgamated) MLs. Perhaps the confusing term “Medicare Local” will be replaced by something like Primary Care Health Organisation, the original name before PM Rudd insisted on calling them the “confusing” name of Medicare Locals. And maybe these PCHOs will tender out services to be provided for GP practices and others in the primary health sphere.

 

This is all conjecture at this stage but all we hope for, as a division, is a return to the high level of primary care support once provided by Divisions of General Practice as well as a return to greater GP participation at Board level.

 

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Chronic Disease Management

Diabetes Beyond The Horizon

DA–Vic, in partnership with Baker IDI Heart & Diabetes Institute, is again hosting this key educational event for diabetes nurse educators, dietitians and diabetes health professionals in 2014.

Friday 16 May at Melbourne Exhibition Centre, 2 Clarendon Street, South Wharf. Further more information and to register click here.

 

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Continuing Professional Development

Managing a Patient's Lifestyle

Managing a Patient's Lifestyle - Get Healthy Information and Coaching, is a new ThinkGP educational activity supporting doctors to encourage healthy lifestyle changes in their patients.
'The Get Healthy Information and Coaching Service' is a free 6 month telephone-based coaching service to help your patients make sustainable lifestyle changes in relation to healthy eating and being physically active to achieve and maintain a healthy weight. This module looks at your role as the GP through the program, through the process of assessing patients for their sign-up suitability, the patient referral process and a description of the program.

 

Dementia, Driving & New Directions Forum RACGP ALM 40 points

Saturday 31 May (Registration 8.30) 9-4.30 pm at the Whitehorse Centre, 397 Whitehorse Road Nunawading. Alzheimer's Australia Victoria, DBMAS, The Dementia Training Study Centre & Inner East Melbourne Medicare Local invite GPs, Practice Nurses and allied health staff to an all-day education event focusing on roles & responsibilities driving assessment for people with dementia. There will also be sessions on new directions in dementia care. Speakers include Geriatricians, Vic Roads, OT driving assessor, GPs, practice nurses and other specialist speakers. Click here for more information and registration or see flyer.  

 

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Immunisation

So why do people choose not to vaccinate?

From The Conversation, 30 January 2014:
Often cited as one of the most important medical breakthroughs in human history, immunisation has been a hallmark of public health interventions for more than 200 years. Globally, an estimated 2.5 million deaths are prevented annually because of vaccinations.
So why not vaccinate? The decision not to vaccinate is often explained by many factors, from fear and misinformation through to an aversion to the Western medical model, or perhaps a desire to live a more “natural” lifestyle. This article in The Conversation looks at these issues and at the ‘I Immunise’ campaign that was launched last year in Western Australia. This is mainly an approach for working with people who choose to live an alternative lifestyles.
Listed below are resources to assist health professionals when working with those who may be hesitant or opposed to vaccinating themselves or their children.
For health professionals:
Myths and Realities: Questions and Answers
The 10th Edition Australian Immunisation Handbook
National Centre for Immunisation Research and Surveillance: Health Professional Resources 
WHO website: What are some of the myths-and facts-about vaccination?
For consumers:
The Science of Immunisation Questions and Answers 
National Centre for Immunisation Research and Surveillance: Consumer Resources   

 

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Information Management

Medical Director Tip - Creating LetterWriter templates from Word documents

A lot of problems are created when you import or copy and paste a Word document into an MD template. The main problem is that Word documents have lots of embedded formatting that LetterWriter can’t interpret. This leads to a totally dysfunctional template and a lot of frustration with the amount of lost time.

A solution to this is to copy text from a Word document and then use Paste Special and select Unformatted text so that fewer formatting items are imported. But this doesn’t always work perfectly!

The best solution is to retype the text directly into LetterWriter. This may seem the long way round but you’ll find that it will actually save you time in the long run.

 

Best Practice Tip - Creating LetterWriter templates from Word documents

A lot of problems are created when you import or copy and paste a Word document into a BP template. The main problem is that Word documents have lots of embedded formatting that LetterWriter can’t interpret. This leads to a totally dysfunctional template and a lot of frustration with the amount of lost time.

A solution to this is to copy text from a Word document and then use Paste Special and select Unformatted text so that fewer formatting items are imported. But this doesn’t always work perfectly!

The best solution is to retype the text directly into LetterWriter. This may seem the long way round but you’ll find that it will actually save you time in the long run.

 

Best Practice problem - Importing MD templates

Question:  I notice there are lots of Medical Director templates on your and other websites. Can I import these into Best Practice, and if so, is it very fiddly to change the fields.

Answer: Normally BP imports an MD template perfectly into BPs LetterWriter. Automatically transferring the MD filed formats into the BP format structure. Occasionally not all fields are converted and that’s when you need to modify BPs LetterWriter fields. Doesn’t happen often though. Don’t forget to save the template in LetterWriter once imported. [Next week – how to import an MD template into BP]

 

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Items of Interest

ME Awareness Week 11 – 18 May

Myalgic Encephalomyelitis (aka ‘chronic fatigue syndrome’) is a complex, multi system, neuroimmune condition with a multitude of symptoms related to the dysfunction of the brain, gastro-intestinal, immune, endocrine and cardiac systems. To raise awareness about ME, GPs are encouraged to utilise resources including posters and fact sheets for your waiting room as well as a range of professional development opportunities and self-help for patients. See here for further information. 

 

New Victorian Smoking Laws 

From 1 April 2014, smoking is now banned at outdoor areas where children are playing, swimming or participating in sport. The bans aim to protect children and young people from second-hand smoke and make smoking less visible and so less socially acceptable to children and young people. For more information on the statewide smoking bans where children play, click here

 

GP Network News

See here for this week’s edition.

 

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News for Practice Staff

APNA newsletter

For the latest APNA newsletter click here.

 

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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

Carlton - Full Time/Part Time VR GPs wanted (flexible hours). We are a group of female medical practitioners running a high-quality, family-orientated general practice, with a practice manager, practice nurse and allied health personnel onsite (podiatrist, dietitian, psychologist and women’s physio) plus on-site pathology. The practice is fully computerised and accredited. Phone 9380 4655, Email carltonmedical@bigpond.com, Web  www.carltonmedicalcentre.com.au

 

Greensborough Road Surgery is currently seeking a Full-Time GP, approx 8 sessions pw. A position is available for an enthusiastic GP to join our team in a modern, well-equipped 10-doctor practice, offering high-quality care in an experienced and supportive environment. Private billing, computerised, 2.5 full-time nurses, (clinical CVC, and CDM.)  Contact Ann McCormack (03) 9435 0711 or email grs@grs.net.au or see www.grs.net.au

 

Montmorency - GP needed to join 10 doctor busy family practice. Accredited, purpose built clinic. Fully computerized. Flexible hours. Supported by Div 1 nurses, pathology on site. No AH or on-call, excellent remuneration and support. Call Kay on 03 9435 1144 or Email: srmc@netspace.net.au.

 

Reservoir - Summerhill Medical Centre is seeking Full Time/Part Time VR GPs (flexible hours) to join a well-established practice of over 18 years. The practice is going through an unprecedented growth and is located in an ideal location only 15min from the CBD and in a shopping complex that will soon have Aldi, Coles, Kmart and IGA.  Excellent remuneration of 70% plus. The practice is computerised and accredited. Phone John on 0403 178 141 or email - summerhill@iinet.net.au.

 

West Heidelberg - GP wanted to join a solo GP practice, part time or full time. Please call 0435 815 187 or email lathaherath@hotmail.com.

 

Practice Staff

Northcote - Division 1 Nurse. An old, established, solo, fully computerised practice with warm and friendly atmosphere is seeking a Division 1 Nurse to work Monday, Wednesday and Friday from 9 am to 1 pm - total 12 hours. Salary: Award Rates. Contact details: Neelam Berera on 0411 196 940 (mobile).

 

Rosanna Medical Group is a family oriented Private General Practice that is fully computerised and accredited.  We are seeking a medical receptionist for 30 hours plus per week inclusive of evening work.  Knowledge in PracSoft and Medical Director is preferred.  This position would include general reception and administrative duties. Please contact Jeda or Jan on 9457 1463 and email CV to jeda@dmccoll.com.au

 

West Heidelberg - Div 1 GP nurse wanted to join a solo GP practice. Initialy 22 hours per week. Please call 0435 815 187 or email lathaherath@hotmail.com.

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Humour

1887 Nursing Job Description
In addition to caring for your 50 patients, each bedside nurse will follow these regulations:

1. Daily sweep and mop the floors of your ward, dust the patient’s furniture and window sills.

2. Maintain an even temperature in your ward by bringing in a scuttle of coal for the day’s business.

3. Light is important to observe the patient’s condition. Therefore, each day fill kerosene lamps, clean chimneys and trim wicks.

4. The nurse’s notes are important in aiding your physician’s work. Make your pens carefully; you may whittle nibs to your individual taste.

5. Each nurse on day duty will report every day at 7 a.m. and leave at 8 p.m., except on the Sabbath, on which day she will be off from 12 noon to 2 p.m.

6. Graduate nurses in good standing with the director of nurses will be given an evening off each week for courting purposes, or two evenings a week if you go regularly to church.

7. Each nurse should lay aside from each payday a goodly sum of her earnings for her benefits during her declining years, so that she will not become a burden. For example, if you earn $30 a month, you should set aside $15.

8. Any nurse who smokes, uses liquor in any form, gets her hair done at a beauty shop or frequents dance halls will give the director of nurses good reason to suspect her worth, intentions and integrity.

9. The nurse who performs her labors [and] serves her patients and doctors faithfully and without fault for a period of five years will be given an increase by the hospital administration of five cents per day.

 

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And remember

 

            When two egotists meet, it's an I for an I.