North East Valley DGP eNews

No 1432: September 17, 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                                                Watch this space      

Aged Care                                             St Vincent’s Hospital Pain Clinic for Older People

Professional Development                 CPD events   

Immunisation                                       Vaxiplace     

Information Management                  Medical Director, Best Practice Computer Tips

Items of interest                                  Health Alert – Measles, New campaign for the National Stroke Foundation, GP Network News

Mental Health                                      National Borderline Personality Disorder Conference

News for Practice Staff                       APNA newsletter

Paediatrics                                           Australian Doctor Paediatrics Seminar

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Watch this space

There is no editorial this week but we urge you in the coming weeks to watch this space for important announcements from the division.

As the Chair of the division states, there are many important spaces to watch. These include the space:

·         between your teeth

·         between your vertebrae

·         weekdays at 6:30 PM on Channel 2

·         Wednesday at 8:30 on Channel 2

But all these pale into insignificance with the division’s forthcoming announcements. So remember to watch this space!!!!

 

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Aged Care

St Vincent’s Hospital Pain Clinic for Older People

The Pain Clinic for Older People offers a comprehensive geriatric assessment and non-procedural pain management for older people including those with multiple co-morbidities and on multiple medications. People with dementia or in residential care should be accompanied to the clinic. GP referral should include current medications, details of investigations, specialist opinions, past interventions/treatments whether effective or ineffective. There are no fees and the waiting time is around 6 -12 weeks. Inquiries- Assoc Prof Benny Katz 9816 0444 or Benny.Katz@svha.org.au.

 

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Continuing Professional Development

Osteoporosis – early detection, fracture prevention and treatment in primary practice

Developed by ThinkGP in partnership with Osteoporosis Australia, this education aims to provide guidance on osteoporosis and fracture management. It will help you reduce the impact and risk of osteoporosis and minimal trauma fractures in your patients. The activity discusses major risk-factors for osteoporosis, and different cases in which pharmacological therapy for osteoporosis would be recommended.
Click here to complete the module.

Clinical Vaccinology Update (CVU)
Wednesday November 12, 12-5pm and 5.30-9.00pm at Monash University Caulfield Campus.
Jim Buttery and the Monash Immunisation team have put together an excellent program of local and interstate speakers, addressing current vaccine topics and special interest areas. The program details and booking form is now open via our Melbourne Vaccine Education Centre (MVEC) website. This CVU is running both an afternoon and evening program, with options to book for one or both of the sessions. We hope the evening session will make it easier for busy immunisation providers and general practitioners to attend. The last talk is being presented by Michael Moore, the CEO of the Public Health Association of Australia. We hope this will facilitate a lively discussion on immunisation in primary care, a where to now? Following the demise of Medicare Locals.

 

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Immunisation

Vaxiplace

This website offers a variety of benefits to medical and nursing professionals including:

·         venue to access the latest information on immunisation

·         access to most recent travel vaccine recommendations and relevant vaccine-related news, articles and videos from Australia and around the world

·         unique opportunity to read KOL opinions

·         access to interactive tools to facilitate patient consults on vaccinations

Vaxiplace is sponsored by Sanofi Pasteur but does not feature product promotion and has no membership fees however you must register to view this website.

 

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Information Management

Medical Director Tip - Legal obligations when preparing Progress Notes and Health Summaries

1.      Regulation 4 Health Insurance Act 1999, and Section 81 which says effectively that “each entry needs to be sufficiently comprehensible so another medical practitioner relying on the records can effectively undertake the patient’s ongoing care…”     

2.      RACGP Standards for general practices (4th edition), criterion 1.7.2: health summaries. Our practice incorporates health summaries into active patient health records. Health summaries assist in providing ongoing care, both within the practice and on referral to other healthcare providers.

 

This week’s MD problem - Using voice recognition software

Question: I am an appallingly slow typist. Can I use voice recognition software to do my progress notes in Medical Director?

Answer: Technically you can, but we have field tested a program and found that the error rate is too high and it takes too long to “train” the program. Purchasing an electronic medical dictionary is prohibitively expensive. Keep persevering with typing and utilize the Comments and Management tools in the Progress Notes and Autotext in LetterWriter to create shortcuts of frequently used text.

 

Best Practice Tip - Legal obligations when preparing Progress Notes and Health Summaries

1.      Regulation 4 Health Insurance Act 1999, and Section 81 which says effectively that “each entry needs to be sufficiently comprehensible so another medical practitioner relying on the records can effectively undertake the patient’s ongoing care…”     

2.      RACGP Standards for general practices (4th edition), criterion 1.7.2: health summaries. Our practice incorporates health summaries into active patient health records. Health summaries assist in providing ongoing care, both within the practice and on referral to other healthcare providers.

 

Best Practice problem - Using voice recognition software

Question: I am an appallingly slow typist. Can I use voice recognition software to do my progress notes in Best Practice?

Answer: Technically you can, but we have field tested a program and found that the error rate is too high and it takes too long to “train” the program. Purchasing an electronic medical dictionary is prohibitively expensive. Keep persevering with typing and utilize the Autofill shortcuts in both your progress notes and LetterWriter.

 

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Items of Interest

Health Alert – Measles 9/9/2014

Victoria’s Chief Health Officer has issued an alert this week after a baby, infectious with measles, attended at a number of public venues in Melbourne’s north and west between late August and early September. Following incubation, secondary cases are likely to present from now onwards. GPs are asked to be alert for measles cases, minimise transmission through isolation and to alert the Department of Health to any suspected or confirmed cases. There have been 72 cases of measles in Victoria this year, the highest since 2001.

 

New campaign for the National Stroke Foundation

The National Stroke Foundation recently launched a new report and website called ‘Stroke in Australia: No postcode untouched’ -  detailing the local impact of stroke and stroke risk in Australian cities and towns.  It contains federal electorate breakdowns of key information including the number of strokes, the scale of death from stroke, the number of people living with the effect of stroke and the number of people who live at risk of stroke. See here.

 

GP Network News

This week’s edition can be found here.

 

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Mental Health

4th Annual National Borderline Personality Disorder Conference 2014

Thursday 2nd October at the Darebin Arts & Entertainment Centre. Presented by the Australian BPD Foundation in partnership with VMIAC, Tandem, Spectrum & the Private Mental Health Consumer Carer Network (AUS), the conference features a range of respected speakers including an opening address from A/Professor Andrew Chanen, President of the International Society for the Study of Psychiatric Disorders. See here for more information.

 

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News for Practice Staff

APNA newsletter

See here for the latest newsletter.

 

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Paediatrics

Australian Doctor Paediatrics Seminar

Saturday 11 October 8am: registrations; 8:30am - 3.25pm: Paediatrics seminar; 3.25pm - 5.00pm: CPR (optional)at Law Building, University of Melbourne.

See here for more information and registration.

 

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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.

 

Ivanhoe Medical Clinic – an opportunity exists for VR GP to join this modern, computerized medical clinic. Large supportive group (12 GPs), FT nurses, CDMs, no A/Hs, friendly, flexible, mixed billing. Good remuneration. Contact:- Dr.Stephen Smith – 9499 1245.

 

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.

 

Coburg – Casual receptionists required to join our Customer Service Team. As the first point of contact to patients and visitors, you will play a vital role in the Practice with your key responsibilities being meeting and greeting patients, answering the phone calls and making appointments, processing payments, managing patient records and general administration duties. Email your resume to jskmedicalgroup@gmail.com.

 

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.

 

Heidelberg - Practice Nurse required by Mount Street Medical Centre. Previous experience in General Practice or RDNS is desirable. Two days per week – Wednesday and Friday, 8:30am to 5:00pm with a view to increase to three days per week. See here for more detail or contact Janina De Silva, Manager on (03) 9459 1100 or email mtstmedical@bigpond.com for a position description (Monday and Friday).

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

Sign language

I was working in the garden this weekend and my wife was about to take a shower. I realized that I couldn't find the rake. I yelled up to my wife.

“Where is the rake?"

She couldn’t hear me and she shouted back, "What?"

I pointed to my eye, and then I pointed to my knee and made a raking motion.

Then my wife wasn’t sure and said “What?"

I repeated the gestures.

"Eye - Kneed - The Rake"

My wife replied that she understands and signals back.

She first points to her eye, next she points to her left breast, then she points to her backside, and finally to her crotch. Well, there is no way in hell I could even come close to that one.

Exasperated, I went upstairs and asked her, "What the hell was that?”

She replies:  "Eye - Left Tit - Behind - The Bush”!!!

 

Editor’s note: Thanks to one of our GPs for this contribution. For anyone who thinks the quality of our humour has deteriorated your contributions are welcome.

 

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And remember

 

            … A bus is a vehicle that runs twice as fast when you are after it as when you are in it.