North East Valley DGP eNews

No 1437: October 22, 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/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Editorial                                                Primary Health Networks Update   

Aged Care                                             Identifying & Managing Pain in Older People

Professional Development                 CPD events   

Immunisation                                       New advice on Ebola Virus Disease

Information Management                  Medical Director, Best Practice & General Computer Tips

Items of interest                                  Cancer screening advice site, “D-Day for Cancer: at what cost?” First National Primary Care Guidelines for sexually transmissible infections now available, New Certificate of Capacity, GP Network News 

Women’s Health                                  Managing heavy bleeding in women in their 20s, 30s and 40s      

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Primary Health Networks Update

Last week was a hectic week caused by the long-awaited release of the new Primary Health Network (PHN) boundaries which effectively cut the NEVDGP catchment into 2 sectors, the ‘North West Melbourne’ and the ‘Eastern Melbourne’, commencing 1 July 2015.

Those of our practices in the City of Darebin (Thornbury, Northcote, Alphington, Fairfield) will be in the ‘North Western Melbourne PHN’, those in the City of Banyule and the Shire of Nillumbik (Ivanhoe, Heidelberg, Rosanna, Greensborough, Eltham) will be in the ‘Eastern Melbourne PHN’.

This shock announcement led to the cancellation of the October 21st Primary Health Network Forum by the ‘North and West Melb Primary Care Network’ (that was to be facilitated by Dr Norman Swan at the Darebin Arts Centre).

This cancellation had the flow on effect of NEVDGP announcing the cancellation of its Wound Management replacement course for nurses which was to have been held on November 18 for the convenience of those who wished to attend the October 21st PHN meeting (now cancelled). We sincerely apologise for the inconvenience, frustration and confusion that these cancellations may have caused.

We will be offering our services to the successful tenderers in both the East and the North West Melbourne (whoever they are) to continue to provide our current and possibly expanded services to you, our member practices, in both of these areas.

As to who is tendering for the PHNs becomes clearer - we will keep you informed of continuing developments.

 

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Aged Care

Identifying & Managing Pain in Older People

Wednesday 12th November - ahalf day Seminar at National Ageing Research Institute, Parkville. For more information click here.

 

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Continuing Professional Development

Cancellation of Wound Management Workshop November 18

This workshop was to provide nurses with an alternative to the Northern Melbourne ML’s Wound Management course which was being run on the same night as the Norman Swan facilitated Primary Care Network meeting on October 21st. The North East Valley Division’s November 18th wound management workshop was intended to provide the opportunity for nurses who would have liked to attend both the Forum and Wound Management session. With the cancellation of the PCN Forum on October 21, this led to the cancellation of the Novemeber 18th NEVDGP Wound Management session as well. We sincerely apologise for the inconvenience, frustration and confusion that these cancellations may have caused.

 

ThinkGP introduce a new activity named Guides
ThinkGP's Guides will provide you with a quick update on correct evidence and best practice in a variety of topics commonly encountered in primary healthcare. They will help support you in applying the latest evidence and guidelines in your day-to-day practice. 
The first Guide outlines Chronic Obstructive Pulmonary Disease (COPD). It discusses key points in diagnosis, examination, investigation, management and referral.

Minor Surgery for General Practitioners

Saturday 8 and Sunday 9 November at Skills Laboratory, RACS Skills & Education Centre, Royal Australasian College of Surgeons, Corner of Spring Street and Lonsdale Street, Melbourne.

This program aims to enhance the surgical skills required for minor surgical procedures most likely to be carried out by GPs in rural or remote settings where specialists are not readily available.

For more information and registration click here.

 

Best Practice Management of Alcohol and Other Drugs Conference

Saturday 8 November 9.30am-3pm (9am registration) at Amora Hotel Riverwalk Melbourne, 649 Bridge Rd, Richmond. This Inner North West Melbourne Program in Primary Care conference provides an excellent opportunity to improve service coordination between alcohol and drug, welfare, general practice and the primary health care sector. For primary health care professionals from general practice, pharmacy, hospital and emergency, drug and alcohol, allied health, mental health and community health. Alcohol and Drug Conference Flyer.

 

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. It has been confirmed the evening session will be facilitated by NEVDGP Chair, Dr Peter Eizenberg. It is recommended to book now before places are filled.

 

CPR update

Thursday 20th November 6-8:30pm at Kaplan House, Gound Floor, 369 Royal Parade, Parkville. Presented by INWMML and The Benchmarque Group. Register here.

 

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Immunisation

New advice on Ebola Virus Disease

Health professionals should be alert to the possibility of Ebola in unwell travellers returning from affected areas of West Africa, and obtain a full travel and exposure history. Immediately apply appropriate infection control measures and contact your state/territory public health authorities urgently to discuss patient transfer to hospital and the management of contacts.
A new information sheet (10 October) for general practice can be found here, and for more information visit www.health.gov.au/ebola.

 

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Information Management

Medical Director Tip - How to find the diagrams saved in the Progress Notes of Medical Director

Previous visits are displayed on the right hand side of the Progress Notes. You will notice there are 3 buttons at the bottom (Append, Diagrams and Search). The Diagrams button will be greyed out. As you click on the previous visits the Diagrams button will become activated (becomes black) if there is a diagram associated with that visit. Click on the Diagrams button and the diagrams will be displayed.

 

This week’s MD problem - Some things that MD can do

These are a few of the things that you can do in MD but not in BP.

Question: Adding additional items to the Dose and Frequency panel – how do I do this?

Answer: To add other items under Frequency do this: from the patient record select Tools > Options > Lists. From the drop down list select Frequency and type in any frequency times you want. Then click Add. Be aware, however, that you are limited to 10 characters (including spaces).

 

Question: Moving the positions of the columns (Rx) – how? I want to move the “Reason for prescription” column to the left where it is visible and hence more relevant?

Answer: Place the cursor on the in the column heading. A “hand icon” will appear. Hold down the mouse button and drag the column to the new position.  You can arrange the columns any way you want using this method.

 

Question:  Sorting columns in Past visits? Chronological order, reverse chronological order?

Answer: Simply place the cursor on the Date column heading and click once – this will change the chronological order. All other columns can be sorted as well using the same method.

 

Question:  How do you change history preferences in LetterWriter? For example include Comments for history items.

Answer: Open LetterWriter and go into Modify template and open the template you wish to modify the preferences. Right click on the <<Clinical Details:History List>> and select Preferences. Click on Include comments.

 

Question:  How do you print a medication list which includes reason for prescription?

Answer: Open LetterWriter and go into Modify template and open the template you wish to modify the preferences. Right click on the <<Clinical Details:Medication List>> and select Preferences. Click on th Reason for Medication checkbox.

 

Question:  How to add a “Provisional diagnosis” in the Reason for contact/Reason for medication dialogue boxes.

Answer: There is a Differential diagnosis checkbox in the Reason for contact/Reason for medication dialogue boxes.

 

Best Practice Tip - How to find the diagrams saved in the Past Visits

Simply click on the plus sign next to Past visits to display a list of all past visits.

Click on an individual visit – if there is a diagram associated with that visit that will be clearly displayed in the progress note of that visit.

 

Best Practice problem - Some questions answered from BP

I recently submitted a few questions to BP as I couldn’t work out how to do them. I appreciate their quick response and straightforward answers and these are detailed below.

Question:  How do you print medication lists (as a summary)

Answer: You can do this by going to File > Print Health Summary and then just ticking Current medications and past prescriptions.

 

Question:  Where is the consultation time recorded (either in Today’s notes or past visits – it displays date of visit and time of visit, but not the total consultation time from time start to time finish)

Answer: When you first click on the Past Visits Menu you will get a list of all the past visits in the right hand side. Here you will also find a column which holds the duration of the visit.

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Question:  Are Today’s notes automatically saved? Can you manually save them (such as Control + S)?

Answer: Today’s are automatically saved.

 

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Items of Interest

Cancer screening advice site

Key information for healthcare professionals is available at www.cancerscreening.gov.au.  

 

“D-Day for Cancer: at what cost?”

Invitation to the Smallwood Oration - Annual public lecture honoring the immense contributions made to Australian Medicine and Austin Health by Professor Richard Smallwood AO. Lecture to be given by Professor Richard Kefford AM, Director Westmead Institute for Cancer Research.

Tuesday October 28th 5.30pm at Austin Health, John Lindell Lecture Theatre, Studley Road, Heidelberg.

 

First National Primary Care Guidelines for sexually transmissible infections now available

The first Australian guidelines for sexually transmissible infections (STI) for use by primary care professionals are now available. These guidelines aim to provide nurses, doctors and other health workers with clear, brief and convenient access to everything they need to know while a patient is in front of them. Visit www.sti.guidelines.org.au to view the guidelines and other useful tools and resources.

 

New Certificate of Capacity

Health professionals play a critical role in supporting patients to return to safe and sustainable work. With support and guidance from their health professional, a patient is more likely to return to work sooner. The new Certificate of Capacity has been designed to incorporate key aspects of the evidence. Visit tac.vic.gov.au/certificate for more information and to access the new certificate.

 

GP Network News

This week’s edition can be found here.

 

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Women’s Health

Managing heavy bleeding in women in their 20s, 30s and 40s

Heavy Menstrual Bleeding (HMB) can interfere with a woman's physical, social, emotional and material quality of life, and could affect up to 20% of the reproductive age female population.
Take part in this ThinkGP module to review the definition of heavy menstrual bleeding and understand the aetiology of HMB as classified according to the underlying mechanism. The module then explores treatment options, and how to best assess how appropriate each different treatment option may be for an individual patient. Click here to begin the module.

 

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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.

 

headspace Collingwood - currently seeking part-time or sessional GPs. A position is available for an enthusiastic and compassionate GP/s to join our team which consist of Psychiatrists, Psychologists, Social Workers, Occupational Therapists, Youth Workers, Alcohol and Drug Counsellors and specialist Div 1 nurses. GPs with an interest in one or more of the following: mental health, sexual health, drug and alcohol, nutrition and with a genuine interest in young people between the ages of 12 to 25 should apply. To find out more and obtain a position description, please contact Janina De Silva, Practice Manager on 9417 0150 or jdesilva@headspacecollingwood.org.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.

 

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

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).

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.

 

Positions wanted

Locum/Assistant available NOW, any session, anywhere, anytime even with short notice; Competent experienced VR GP, minimum fee $220 per hour plus travel allowance plus GST; Phone 0412 188 332

 

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Humour

A sweet grandmother telephoned the local Hospital. She timidly asked, "Is it possible to speak to someone who can tell me how a patient is doing?"
The operator said, "I'll be glad to help, dear.  What's the name and ward number of the patient?"
The grandmother in her weak, tremulous voice said, "Norma Findlay, Medical Ward 3."
The operator replied, "Let me put you on hold while I check with the nurse's station for that room."
After a few minutes, the operator returned to the phone and said, "I have good news. Her nurse just told me that Norma is doing well. Her blood pressure is fine; her blood work just came back normal and her Doctor has scheduled her to be discharged tomorrow."
The grandmother said, "Thank you. That's wonderful. I was so worried. God bless you for the good news."
The operator replied, "You're more than welcome. Is Norma a relative of yours?"
The grandmother said, "No, I'm Norma Findlay”

 

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And remember

 

            It's not the jeans that make your bum look fat.