North East Valley DGP eNews

No 0831: September 4, 2008
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                                           If a doctor is served with a subpoena, what are their obligations?       

Professional Development               CPD events          

Immunisation                                   Additional information required on the vaccine order form for vaccine supply, Whooping Cough and Diabetes Targeted by New PBS Listings 

Information Management                Clinical Audit Tool upgrade, also includes General Computer Tip, Medical Director Tips and New on the Web

Items of interest                               Free Access to Gym! Private Practice Expo, GP Network News       

Mental Health                                  Dementia Awareness Week 19-26 September, Health Review Newsletter       

News for Practice Staff                    Diabetes Update for Busy Practice Nurses  

Paediatrics                                      School Exclusion Table     

Women’s Health                              Contraception: Update and Current Options, Family Planning Victoria e_Update             

Positions vacant/wanted                     

Fun stuff                                              

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A Word from the Editor

If a doctor is served with a subpoena, what are their obligations?

You may have noticed that the Victorian WorkCover Authority (VWA) and the Transport Accident Commission (TAC) are using the court subpoena process to obtain documents before a trial commences so as to inspect the contents. The following is information you may find useful when responding to such requests from the VWA and/or TAC.

Do I have to comply?

Yes - once a subpoena has been served, the person upon whom it has been served is obliged to comply with its terms. Although rarely exercised, the Court can issue a warrant on a person neglecting or avoiding service of a subpoena. However, an objection to produce documents can be raised with the Court. The Court has the power to set aside a subpoena if any of the material sought is irrelevant, oppressive, an abuse of process of court or privileged.

How long do I have to comply?

The subpoena will generally have stamped upon it a Return Date (the date the documents must be supplied to the court), which is 21 days after the Court has issued the subpoena. The records must be provided before this date. If the subpoena cannot be complied with within time, agreement can be reached with the party issuing the subpoena (generally the VWA or TAC), to agree to a time extension for the production of the documents.

Can I be paid?

Yes - attached to the subpoena will be a cheque for Conduct Money. This is historically defined as the ‘reasonable expenses’ of a witness. The expenses incurred are payable by the party who issues the subpoena (generally, the VWA or TAC).

For free additional information on the Court Subpoena Process or any other legal issue, please call Maurice Blackburn on 1800 810 812.

 

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CPD

Term 3 GP Lecture Program

Meetings are held each Tuesday starting at 12.30 in the Lecture Theatre, Ground Floor, Pathology Building, Repatriation Hospital, Austin Health, West Heidelberg. Lunch is provided. Course Leader: Dr Vin Nursey Phone: 9457 1736

September 9 – Contraception: Update and Current Options - Dr Paddy Moore

For full term Tuesday lecture program click here

 

Austin Health - Division of Medicine Grand Round

Department of General Medicine - (Medical Unit 2): “Even When the Heart Stops Beating, It’s Still Bleeding”

Speakers: Dr Clement Lo (Medical 2 Registrar); Dr Chris O’Callaghan (General Medicine Physician); Dr Paul Gow (Gastroenterologist); Dr Mark Horrigan (Cardiologist) & Dr David Story (Anaesthetist)

Wednesday 10th September, 12:10pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building, Opposite Medical Library - followed by lunch in Zeltner Hall at 1:00pm

 

St Vincent’s GP Education

GP Workshop in Skin Cancer Basic Techniques: a hands-on practical workshop at St. Vincent's Education Centre, 3rd Floor, Healy Wing, St. Vincent's.

Saturday, October 25th 2008, 8.45am - 4.15pm Learning Objectives: Punch biopsy, shave biopsy, excisional biopsy, cryotherapy, curettage & diathermy, simple ellipses, topical treatments including photodynamic therapy. Strictly 26 places only, so get in early.

Accommodation deal available at Metropole Apartments for rural GPs and/or families.

Contact: Juliet Gavens on 9288 4781 or Juliet.gavens@svhm.org.au

See www.svhm.org.au/gp for detailed flyer, program & accommodation offer.

 

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Immunisation

Additional information required on the vaccine order form for vaccine supply

To ensure the lawful supply of vaccines for the National Immunisation Program under the drugs, Poisons and Controlled Substances Act 1981 and Regulations 2006, additional information is required on the vaccine order form. This information will assist the vaccine distributor (CSL Logistics) to carry out the required checks prior to supply of a vaccine order

·         The GP’s name, Victorian registration number (not provider number) and signature. Only one GP name can be accepted per DHS account number. This GP is responsible for all vaccines stored and administered at the site and relevant record keeping.

Copies of the new form can be downloaded from www.nevdgp.org.au  then click on program support / immunisation / resources.

 

Whooping Cough and Diabetes Targeted By New PBS Listings

From 1 September 2008, the liquid form of clarithromycin will be available on the Pharmaceutical Benefits Scheme (PBS) for the treatment of pertussis or ‘whooping cough’, and for atypical Mycobacterium infections. An additional brand of blood glucose tests strips for diabetics will also be added to the PBS. The listing of the liquid form of clarithromycin (Klacid®) will offer patients more choice of treatment for pertussis and infections caused by mycobacteria, and in particular will help patients who have difficulty swallowing tablets. The tablet form is already PBS-listed. The listing of an additional brand of blood glucose test strips (On-Call Plus®) will offer more options to people with type 1 and type 2 diabetes. Over one million Australians currently have diabetes. No additional cost is expected for the PBS as the test strips will serve existing patients. Click here to read the full media release.

 

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Information Management

Clinical Audit Tool upgrade

The new version will appear on Monday September 8 and will include 3 new features.

1.   New Immunisation Tab - reports for Influenza, Pneumococcal, HPV (Gardisil) and Pertussis.

2.   Summary Report - this new report provides an instant snapshot of practice data quality across most of the graphs provided

3.   Cross-Tabulation – this is very exciting!!! A cross tabulation report will provide the ability to find patients who appear on more than one graph.

All of these are more fully explained and with graphic examples in the September 3 PenPals Newsletter found on the website and emailed to PCAT users on Wednesday. The PENpals Newsletter also explains how to set up Clinical Audit on the server so multiple users can access the data extracts.

 

General Computer Tip - Adding a link to a document

Rather than emailing an attachment for a colleague to look at and perhaps modify it is better to provide a link to the document. This overcomes the problem of multiple versions of the same document existing in an organisation or group.

In Word type in: You will find my document here:

Highlight the word “here” and from the Insert menu select Hyperlink… (or Control + K) and then navigate your way to the document. Once you find the document double click on it. This will close the Insert Hyperlink dialogue box and the word here will now be a link to your document.

Note:

1.   You can also hyperlink webpages, email addresses and even a place in a single document.

2.   This method works in many other programs besides Word:  Outlook, PowerPoint, Publisher all work as well.

 

Medical Director Tip - Quick check of history summary items

Before creating a referral you should check the past history and see which items are summary items (i.e. they will have a “Yes” in the summary column). A quick way of checking what the summary list will look like in the referral go to the Summaries menu and select Limited History. If there are too many or not enough items go back to the Past History and edit the appropriate history item.

 

This weeks IM problem - Marking “No Action” results as “Notified”

Question: We have been downloading results since 2003, but not correctly. We have a large volume of "No Action" results in the file. We are hoping to start dealing with results correctly with participation from the doctors. My question is, is there any way of clearing the Investigation results file other than manually  marking each result as “Notified”?

Answer: The answer is Yes, but why bother. There is no need to fix up the “No Action” results other than opportunistically as there is no medical or legal imperative to do so. Just leave them there. It is the “Discuss” and the “Urgent” results that need to be followed up and always marked as “Notified”.

 

New on the Web

1.   PenPals Newsletter No 4 – Found under Information Management – Pen Clinical Audit.

2.   Vaccine Order Form – Victorian Government (DHS) Funded Vaccine Order Form - this form should be used for all vaccine orders. Found under Immunisation - Resources

 

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Items of Interest

Free Access to Gym!

Austin Health and Victoria University research on the BENEFITS of EXERCISE to bone and well being. Who can participate? Females with and without diabetes (age > 30 who are diet controlled or on metformin for treatment of diabetes). For more information, please contact Dr Thuy Vu Mob 0413 528 824 Email: tdvu@student.unimelb.edu.au  

 

Private Practice Expo

Victorian GPs, specialists, practice managers and Doctors in Training can register now to attend the 5th Private Practice Expo (PPE 08), the most comprehensive showcase of local products and services for medical practices, to be held at Melbourne Park on 18 October. The PPE 08 program will feature a combination of presentations, panel discussions and networking opportunities for doctors and practice managers. Entry is free for AMA Victoria members and their practice managers. Non-member entry is $99. Register now at events@ama.vic.com.au  (03) 9280 8722 or visit www.privatepracticeexpo.com.au

 

GP Network News

Latest edition available at Full version.

 

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Mental Health

Dementia Awareness Week 19-26 September 

Help promote this important event which this year focuses on ‘Mind Your Mind’ and reducing risk factors for Dementia. Use this week to help our research in GP dementia services. For further details contact Dr Fiona Millard at fiona.millard@jcu.edu.au or visit Mackay Division of General Practice website at www.mackaydgp.com/events.php

 

Health Review Newsletter

The September 2008 edition of the Mental Health Review newsletter can be found here.

 

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News for Practice Staff

Diabetes Update for Busy Practice Nurses (only 25 places available at each session, you are welcome to attend both or just one which is of interest)

Session 1 (Introductory) Thursday 18th September Topics covered: What is diabetes, possible complications, MBS Item Numbers (including new item numbers), Diabetes Annual Cycle of Care, Use of Medical Director and the PEN Clinical Audit Tool, Self Monitoring and Practical Sessions with Glucometers.

Session 2 (Follow up) Thursday 25th September Topics covered: Current Management of Diabetes, Medications, Self Management, Footcare, Practical session with Insulin Pens and Monofilaments

Both sessions: 6.30pm – 9.00pm at John Scott Meeting House. To register download invitation

These workshops will provide education and training specifically around evidence based best practice diabetes management. Please note that these two sessions are one week apart.  For further information contact Janina or telephone 9496 4333.  

For more information on ‘Diabetes - resources for identifying and managing "at risk" patients of developing type 2 Diabetes’ see the website

 

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Paediatrics

School Exclusion Table

The DHS ‘school exclusion table’ is useful for GPs and the public as it indicates the minimum period of exclusion from schools and children’s services centres for children following and during an infectious disease. Exclusion from schools for infectious diseases

Kids Connect (RCH Primary Care Liaison) www.rch.org.au/kidsconnect

Kids Health Info (RCH factsheets for parents) www.rch.org.au/kidsinfo

 

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Women’s Health

Contraception: Update and Current Options

See under CPD – Tuesday lecture

 

Family Planning Victoria (FPV)

Family Planning’s e_Update aims to inform you and your organisation of current issues surrounding sexual and reproductive health, as well as events and happenings at FPV. FPV e_Update is distributed three times per year and if you wish to subscribe send an email to e_update@fpv.org.au with the word “subscribe’” in the subject heading from the address you would like e_Update sent to. All previous e_Updates are available at www.fpv.org.au

 

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Positions vacant/wanted

Please note: only new ads, paid ads or resubmitted ads will be posted here. All other ads can be found on the website

 

Positions vacant

Doctors

Ivanhoe Medical Clinic - sessions for PT or FT VR GP. Modern, large group with supportive colleagues and full time nurses, computerised, CDMs, mixed billing, flexible, friendly, no A/H, good remuneration. Contact Dr.Stephen Smith or Dr.David Doig on 03 9499 1245.

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Humour

Click on the ball

Want to get even more frustrated? Click the ball and it does change colour. Take it slow!

 

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