No 0838: November 6, 2008
eNews is a weekly electronic newsletter
sent to all GP practices (with email addresses) within the
Chronic
Disease Management Latent Autoimmune Diabetes of Adulthood, Is Life! a
Lifestyle Modification Program?
Professional Development CPD events
HMR Increase
in HMR
Immunisation Immunisation scenario, Flu vaccine orders – 2009, Varicella-zoster (Chickenpox)
Information
Management RVEEH referral
form MD template, General Computer Tip,
Medical Director Tips and New on the Web
Items of
interest Advice on
X-rays, Eating disorder webcasts for GPs, Audiology workshops, Occupational
violence in general practice, GP
Network News
Mental Health BOiMH 2008-09 Guidelines, Review of the Mental Health Act
News for
Practice Staff Practice Managers final
meeting for 2008, Final end of year session for Practice Nurses, Nursing in General Practice Forum
NPS Last
audit open for enrolment, Now visiting on type 2 diabetes
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Dr Spiros Fourlanos, Endocrinologist and Researcher, Walter and Eliza Hall Institute for Medical Research Melbourne recently spoke to Norman Swan of the ABC Health Report, on Latent Autoimmune Diabetes of Adulthood (LADA). The transcript can be found at http://www.abc.net.au/rn/healthreport/stories/2008/2399254.htm
The Life! Taking Action on Diabetes Program has been accredited as a Lifestyle Modification Program. This now means that patients aged 40 and above, identified at high risk of type 2 diabetes using the AUSDRISK tool, and who don’t already have diabetes can be referred to a Life! course. For more information & referral click here.
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Meetings are held each Tuesday starting at 12.30 in the
Lecture Theatre, Ground Floor,
November 11 - Immunisation Update - Dr Peter Eizenberg
For full term Tuesday lecture program click here
Contact Anne Moutsos on 0420 895 910 (QA & CPD 2 points/per hour, unless part of Internal Affairs ALM)
The Burnet Institute will be hosting a 2-hour education session for GPs and practice nurses on STIs in men on 25 November 2008 (see flyer attached). Case studies will be examined and presenters include Dr Louise Owen, Clinical Director, The Centre Clinic, Ms Anne Mitchell, The Australian Research Centre in Sex, Health and Society, and Associate Professor Margaret Hellard and Dr Mark Stoove, The Burnet Institute.
Tuesday,
November 25th, 7pm – 9.30pm. At The Burnet Institute,
For further information please call Rebecca Jenkinson on (03) 8506 2311.
The Royal Australian and New Zealand College of Ophthalmologists invite GPs
to attend and participate in a half day symposium on Ophthalmology. The program
is intended to highlight developments in the diagnosis and treatment of
important ophthalmic disorders encountered in general practice. Emphasis will
be given to the role of the general practitioner in the care of patients with
these conditions. Five speakers have been invited to participate at the
symposium. The format of the symposium will allow ample time for questions and
discussion to the topics raised. Registration is free of charge. Registrants
are invited to a buffet lunch before the meeting (from 12.30pm) provided
courtesy of Alcon
Wednesday 26 November. 1:30pm - 4:40pm. At Melbourne Convention Centre, Cnr Flinders & Spencer Streets. (Bellarine 5 Room).
Please register with Meredith Damon, Alcon
Two-day workshop
on Saturday and Sunday, 29 & 30 November. At Skills
Laboratory, Level 1 East Wing Skills & Education Centre,
For enquiries, and to obtain a registration form, contact Dr David Lawrence,
Skills Laboratory Manager,
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Please note increase in HMR (Item 900) for GPs to $140.20 and $96.00 for RMMRs (Item 903)
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A 21 yearold women comes into your clinic for her 2nd Gardasil vaccine. Her first Gardasil vaccine was given 12 months ago. Should you start the course again?
No, you do not recommence the course! Give the 2nd dose, then observe the recommended interval of four months for the 3rd and final dose.
Note: In exceptional circumstances, such as overseas travel, the interval may be reduced to three months at the absolute minimum.
The older persons free influenza (flu) and Pneumovax23® vaccination program will commence on 1 March 2009. A new system will be introduced in 2009 in an effort to ensure all clinics will have some flu vaccine for the start of the program. In 2009 each clinic will receive a proportion of flu vaccine related to their previous two year’s initial orders. The new system will strive to be more equitable so that no clinic will miss out on flu vaccines from early March. After the delivery of the initial flu vaccine, a clinic can place further flu vaccine orders to meet their usual requirements using the standard vaccine order form.
Please note: No flu vaccine orders will be accepted prior to March 2009. Pneumovax23® vaccine will also be proportioned for the initial delivery.
NCIRS has updated their fact sheet titled "Varicella-zoster
(chickenpox) vaccines for Australian children". This fact sheet is now
available from the NCIRS web site.
NCIRS hopes that providers will find this fact sheet useful. This is timely
given that all GPs in Victoria are currently being sent a letter from the
Communicable Disease Prevention & Control unit of DHS regarding the Health
(Infectious Diseases) (Amendment) Regulations 2008. Among the amendments to
the regulations, varicella-zoster
virus infection (chickenpox and herpes zoster) is now listed as a Group
B notifiable disease. (GPs are required to notify cases of infectious diseases
within
Further information on what and how to notify can be found on the IDEAS (Infectious Diseases Epidemiology and Surveillance) website
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Apologies to those
practices and GPs who had problems with the Royal Victorian Eye and
Once you start bookmarking web site your list of favorites can grow. You need to organise your favorites into folders.
1. From the Favorites menu select Organise Favorites…
2. Click on the New Folder button of the Organize Favorites window.
3. Rename the folder from New Folder to e.g. Medical sites.
4. Drag any previously saved Medical sites into the folder.
It is particularly important to record the “Reason for contact” for every contact with a patient. This can be enforced so that you can’t close a patient record until a reason for contact is selected.
· MD2 – No patient record open >Tools >Options >Clinical tab – check the Enforce reason for contact box. Save
· MD3 - No patient record open >Tools >Options >Clinical tab – check the Show Reason for Contact box. Save
If you only view a patient record (no notes or measurements recorded) you don’t get the prompt – this is a good thing!
Question: There is a template in MD which needs some adjusting. The margins were set too close to the left hand side of the page, making it a pain to fold so the address appeared in a window envelope. One of our receptionists managed to move the majority of the text further to the right, but the suburb line refuses to budge. Any hints?
Answer: Highlight the name and address lines. On the ruler move your left margin a few centimetres to the right - place the pointer on the bottom of the two triangles, hold down the mouse key and drag the 2 triangles to the right. This will change the margin settings only for the name and address lines.
1. Collabratives - using PEN Clinical Audit Tool to complete your CHD and Diabetes Baseline Report. Found under Clinical Audit Tool - Other documents
2. Is Life! a Lifestyle Modification Program? - The Life! Taking Action on Diabetes Program has been accredited as a Lifestyle Modification Program. Found under Diabetes Resources
3.
The last
NPS/QUM clinical audit
available for the QPI year: 1 May 2008 - 30 April 2009 titled ‘Optimising
management of type-2 diabetes’ is now open for enrolment. Found under Program Support
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Usually patients are handed back their films
with advice that they should keep them in a safe place in case they are needed
for comparison in the future. The reason for this is that in fact the films are
owned by the patient, not by the doctor or by the radiology department, except
perhaps in the case of a public patient. Therefore a doctor should NOT
dest
The dilemma is when the patient cannot be
found. In that circumstance the time for keeping before destruction is the same
as for other records, currently for adults 10 years since the last consultation
and for children 25 years (or 7 years after the child reaches the age of
majority).
The first Medical Update Focus on the topic of Eating Disorders has just
launched. The presentations were filmed live at the Centre for Eating and
Dieting Disorders’ breakfast meetings held at
Medicalupdate.com.au
attends educational meetings all over
The
Audiological Society of
The latest edition can be found here.
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The guidelines state: “In addition, the referring practitioner may consider that in exceptional circumstances the patient may require an additional six individual focussed psychological strategies above those already provided (up to a maximum total of 18 individual services per patient per calendar year). Exceptional circumstances are defined as a significant change in the patient's clinical condition or care circumstances which make it appropriate and necessary to increase the maximum number of services. It is up to the referring practitioner to determine that the patient meets these requirements. In these cases a new referral should be provided, and exceptional circumstances noted in that referral.”
For further information please contact Nicky
at the Division 9496 4333
GPV invites interested GPs to participate in a consultation on the review of
the Mental Health Act 1986 on the 16th
December at GPV,
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Put in your diary now - the final meeting for this year will be on Thursday
4th December - NOT
27 November as previously mentioned. More
details in the next eNews.
Tuesday
November 18, 6.30 – 9pm (dinner
provided) - Work/Life Balance – Looking after yourself. This workshop will
include ideas on how to rejuvenate and help you to consider the importance of
your own health and well-being. Guest speaker: Del Lovett, RN, Practice Nurse
Leader. At
Registrations are now open - 2009 National Divisions third Nursing in General Practice Forum will be held at The Sebel Albert Park, Melbourne on Wednesday 4 March and Thursday 5 March 2009. To register online click here. For more information on registration, travel rules and a draft program click here.
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The last NPS/QUM clinical audit available for the QPI year: 1 May 2008 - 30 April 2009 titled ‘Optimising management of type-2 diabetes’ is now open for enrolment. You can enrol online on the NPS website or you may download an audit form here. Audit enrolment closes on Friday January 9th 2009. Note: 1/ this is an electronic audit only & 2/ completed audits must be received by the NPS by 30th April 2009 for the current QPI Cycle.
The ‘Early use of insulin & oral antidiabetic drugs’ in type 2 diabetes’ program provides an opportunity to discuss up-to-date, independent, evidence-based information on insulin initiation, particularly in combination with oral therapy; strategies to overcome patient barriers to insulin use; the importance of continued lifestyle interventions in slowing or preventing disease and looks at recent glitazone safety updates.
Benefits include: 1/ a personal update with an NPS Facilitator at a time/place convenient to you - practice visit approx 30 - 40 minutes duration. 2/ a small group interactive case study discussion with your peers: case study meeting approx 50 - 60 minute duration (min of 3 GPs) & 3/ RACGP QA & CPD category 2 points (total 2 points) & QPI PIP credit
To order visits contact Dr
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Please
note: only new ads, paid ads or resubmitted ads will be posted here. All other
ads can be found on the website
Doctors
Bundoora
- VR GP assistant required for established 25 year old practice. F/T or
P/T W/WO view. Mixed billing. Relocation incentive available. Start Jan/Feb 2009.
Phone Dr
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.
Practice
Staff
Northcote area – Part time Div 1 Practice Nurse required to assist our medical staff in a busy general practice. Duties include wound care, travel health, immunisatons, health assessments, patient triage and all other duties required in a general practice. Commencement date can be negotiable. Visit our website www.doctorsofnorthcote.com for more information or call Diane Cronin 03 9481 1214. To apply forward your resume to manager@doctorsofnorthcote.com
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Dan was a single guy living at home with his father and working in the family business.
When he found out he was going to inherit a fortune when his sickly father died, he decided he needed a wife with which to share his fortune.
One evening at an investment meeting he spotted the most beautiful woman he had ever seen.
Her natural beauty took his breath away. "I may look like just an ordinary man," he said to her, but in just a few years, my father will die, and I'll inherit $20 million."
Impressed, the woman obtained his business card and three days later, she became his stepmother.
......Women are so much better at financial planning than men.
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And remember……
….. change is inevitable –
except from the Coke Machine.