North East Valley DGP eNews

No 1431: September 10, 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                                                Time for a Spring Clean       

Chronic Disease Management            APNA CDM Workshop          

Professional Development                 CPD events   

Immunisation                                       Three big changes to the Vaccine program in 2015           

Information Management                  Medical Director, Best Practice Computer Tips

Items of interest                                  Business as usual at Gastronorth, Public campaign on use of methamphetamine (ice), GP Network News

Mental Health                                      CarerLinks North      

News for Practice Staff                       APNA CDM Workshop

Paediatrics                                           The Overweight Child and Adolescent Mental Health in Primary Care     

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Time for a Spring Clean

Fantastic to see spring has arrived and winter is behind us. And talking of spring maybe it’s time to spring clean your practice data. Keeping the medication list up to date and your histories current (summary items, active/inactive) should be an ongoing process by the GP. But other areas of the patient record could be a little “tattered”. You may wish to declare a “blitz of the month” and concentrate on one area that needs attention. Two areas that are often quite “messy”, are:

·         the address book categories

·         a long list of LetterWriter templates, many of which are not used.

Fortunately in Medical Director, cleaning up the address book categories is now a relatively easy process where you use the HCN Maintenance program to merge address book categories.

Fixing up the LetterWriter templates is a little more complicated as it requires a meeting of the clinical team to decide which ones to delete. Once cleaned up, though it’s so much easier to select from a short list rather than scrolling through a long list of templates.

The division produced book, “Clean Up Your Act”, which many practices received last week, has step by step instructions on how to improve the quality of your patient records. If you still need to acquire this book (MD only at this stage), you can email Noel for your copy (a free service for NEVDGP members only).

 

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Chronic Disease Management

APNA CDM Workshop

Primary health care nurses are ideally placed to assist their community with the management of chronic diseases. APNA’s Chronic Disease Management Workshops have been designed and facilitated by nurses including content delivered by leading Australian chronic disease management organisations.

Friday & Saturday 17 and 18 October at The Pullman, Albert Park, Melbourne. See here for more information and registration.

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Continuing Professional Development

Management of Incontinence in General Practice

Many people avoid discussing continence issues out of shame or embarrassment. ThinkGP invites you to participate in this education module and consider how you encourage patients to talk about managing faecal and urinary incontinence.

Click here to begin.

Austin Health - Division of Medicine Grand Round

“NFR: Untying the ‘Not’” Presented by: Assoc Prof Michael Dorevitch, Dr Louise Monk and Dr Larry McNicolDept of Aged Care Services, Dr Karen Detering - (RPC) & Ms Claire McNamara - Office of the Public Advocate

Wednesday 17th September, 12:25pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building (opp. Medical Library), Austin Campus. Informal lunch from 1.15pm outside the Lecture Theatre.

 

CPR Update

Thursday 18th September 6 -8.30pm at Ground Floor, 369 Royal Parade, Parkville. This Cardiopulmonary Resuscitation (CPR) update is brought to you by INWMML and The Benchmarque Group. See here for more information and registration or Contact Julie Sucksmith on (03) 9347 1188 or email events@inwmml.org.au. $55 per person, 4 category 2 RACGP points. RSVP 11 September.

 

Austin Health Cognitive Dementia and Memory Clinic (CDAMs) Annual Conference

Wednesday 8th October 9-4.30pm at the Darebin Performing Arts and Entertainment Centre, Cnr Bell St & St Georges Rd, Preston. Ms Ita Buttrose, AO OBE, will address the Conference on the topic of ‘Advocating for the Carer’. For more information and registration contact Kaye Milburn on Ph: 9496 2596; Fax: 9496 6337 or email: kaye.milburn@austin.org.au.

 

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Immunisation

Three big changes to the Vaccine program in 2015

A new factsheet is available with information for Victorian secondary schools on changes to the vaccine program.

 

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Information Management

Medical Director Tip - Recording medications prescribed by a specialist

Prescribe as normal but when you get to the Enter Dose window, click on the Advised or prescribed elsewhere button. Once you complete the script the medication will not be tagged for printing.

 

This week’s MD problem - Finding all patients on a specific medication

Question: How do I generate a list of all patients on a specific medication?

Answer: This is part of the patient database search and we did this a few years ago to find all patients on Vioxx so we could send out a recall letter.

1.      No patient record open:

Search >Patient…

2.      Under Drug/Condition click on the Currently taking drug radio button and type in the first few letters of the medication and select the drug from the drop down list.

3.      Click on the Search button.

4.      Once the search is complete, print the list.

 

Best Practice Tip - Recording medications prescribed by a specialist

When drug samples are provided, or a patient receives medications from other sources, such as from a specialist, these need to be recorded in the patient’s medication list as this list should reflect all the medications the patient is currently taking.

1.      Prescribe the drug as normal and when you reach the Long term or Once only screen, you will see a drop down list of options under the General note:

2.     

Select the Medication started by specialist from the list.

 

Best Practice problem – Finding all patients on a specific medication

Question: How do I generate a list of all patients on a specific medication?

Answer: For this you need to run a query on the patient database. This is part of the patient database search we did back in 2004 (in MD, not BP) to find all patients on Vioxx so we could send out a recall letter.

1.      No patient record open:

Utilities >Search – this opens to a new query

2.      Click on the Drugs tab and when the Search for Rx window appears, type in the drug you wish to find.

3.      Click on the Currently taking drug radio button and type in the first few letters of the medication and select the drug from the drop down list and click Add. Then click OK.

4.      Click on the Run query button.

5.      Once the search is complete, print or save the list, using the buttons at the top of the screen.

 

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Items of Interest

Business as usual at Gastronorth

Drs Raouf Bassily, Simon Glance, Tin Nguyen, Shamilah Lachal, Alvin Chung. Despite Latrobe Private Hospital closing, the main rooms for Gastronorth will remain at Suite 1, Latrobe Private Hospital, Cnr Kingsbury Drv & Plenty Rd, Bundoora. We will still be consulting here until June 2015. Procedures will now be done at nearby Bundoora Endoscopy & Northpark Private Hospital. We will also continue to do procedures at Coburg Endoscopy, Cotham Private (Kew) & Epworth Eastern (Box Hill). For all bookings please call 9473 8865.

 

Public campaign on use of methamphetamine (ice)

This recently launched campaign aims to raise awareness of the physical and psychological harms and risks associated with using the drug ice and to raise awareness of the key sources of information and support available for people experiencing problems with ice use. The campaign includes major advertising and social media efforts over a period of six week. Advertising will direct people to a campaign website for facts and advice and to DirectLine (1800 888 236) for further help.

 

GP Network News

This week’s edition can be found here.

 

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Mental Health

CarerLinks North

The Mental Health carer support program at CarerLinks North now has its referral form available from the MCHS website. If you would like to make a referral, the referral form can be completed electronically and returned via E-referral or fax. For more information click here.

 

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News for Practice Staff

APNA CDM Workshop

Friday & Saturday 17 and 18 October see under CDM.

 

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Paediatrics

The Overweight Child and Adolescent Mental Health in Primary Care

Tuesday 14 October 6:30-9pm at Ella Latham lecture theatre – The Royal Children’s Hospital, 50 Flemington Rd. Parkville. As a GP or practice nurse it can be very difficult to point out to a family that their child is overweight.  The revelation may require careful timing and explanation. Mental health issues in the adolescent pose similar, but often more urgent challenges. This education event aims to provide the latest evidence based management and experience driven information regarding early recognition and discussion with the young person and their supports.  The presentation for these two very common and important topic areas will also discuss the role of the hospital and primary health care providers, and resources available to assist in management. For more information and to register 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

Bundoora - Female GP with Mandarin/Cantonese speaking skills wanted to work part-time in a DWS position. Tel: 0433 155 451.

 

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.

 

Northern Suburbs - Modern and well equipped practice seeking full time VR GP's, great support from nursing and allied health, in house pathology.  Partnership available for the right candidate.  Genuine enquiries most welcome.  Please contact Medprac@outlook.com.

 

South Morang Medical Centre seeking VR GP – would suit male wanting part-time afternoon sessions and some Sat am.  Contact Wendy Reichstein (9436 4222) or email southmorang@smmc.com.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

Bundoora - Div 1 Nurse to work part-time (Tuesday and Thursday) in a busy Practice. Good remuneration and friendly environment. Tel: 0433 155 451.

 

Craigieburn - Experienced Practice Nurse required for busy medical centre.  Two days per week, additional hours may be available.  Fully computerised practice. Award rates. Contact Leanne craigieburncentralmedical@gmail.com.

 

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).

 

Reservoir - Summerhill Medical Centre is seeking Full Time/Part Time Div 1 Nurses (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. The practice is computerised and accredited. Phone John on 0403 178 141 or email - summerhill@iinet.net.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

Puns

Some weeks ago we promised we would not stoop to cheap puns, and instead continue with quality humour. But given the current political situation which is awash with broken promises, shifty financial deals and a general distrust of what any politician has to say, we too have decided to break a promise and publish some of the worst puns we could find. Next week however, we will insist that we haven’t broken any promises and are delivering what we said we would deliver.

1.      The roundest knight at King Arthur's round table was Sir Cumference. He acquired his size from too much pi.

2.      I thought I saw an eye doctor on an Alaskan island, but it turned out to be an optical Aleutian.

3.      The butcher backed into the meat grinder and got a little behind in his work.

4.      A dog gave birth to puppies near the road and was cited for littering.

5.      Two silk worms had a race...      ...they ended up in a tie.

6.      A hole has been found in the nudist camp wall. The police are looking into it.

7.      Atheism is a non-prophet organization.

8.      Two hats were hanging on a hat rack in the hallway. One hat said to the other, 'You stay here, I'll go on a head.'

9.      I wondered why the baseball kept getting bigger.  Then it hit me.

10.  A sign on the lawn at a drug rehab centre said: 'Keep off the Grass.'

11.  It's not that the man did not know how to juggle, he just didn't have the balls to do it.

12.  Don't join dangerous cults... practice safe sects!

 

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And remember

 

            one good reason to only maintain a small circle of friends is that three out of four murders are committed by people who know the victim.