North East Valley DGP eNews

No 1013: April 29, 2010
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:

Chronic Disease Management            Will You Recognise Your Heart Attack?       

Professional Development                 CPD events   

HMR                                                      Preventing Cardiac and Renal Disease in People with Diabetes    

Immunisation                                       Whooping Cough Vaccinations, Suspension of Seasonal Influenza Vaccine in Children under 5, Information on Pandemic H1N1 2009 Influenza

Information Management                  Medical Director Tips

Items of interest                                  Community Eye Care Partnership News, GP Network News           

Mental Health                                      A Collaborative Mental Health Care Workshop, Eating Disorders Day Program,       

News for Practice Staff                       Orientation Program for Nurses New to General Practice (Online), National Registration and Accreditation Scheme Update, New Nurses Award 2010 Frequently Asked Questions, Clinical Practice Guidelines Portal and Register, National Practice Nurse Survey 2009          

Women’s Health                                  Intrapartum Management – A Review for the GP, Monitoring Fertility: Assisting Conception                       

Positions vacant/wanted                            

Fun stuff                                                        

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Chronic Disease Management

Will You Recognise Your Heart Attack?

Low awareness puts people with coronary heart disease at heart attack risk. The Heart Foundation has developed a Will you recognise your heart attack? action plan and patient fact sheet. These resources are free to patients and their carers when they contact us the Heart Foundation on 1300 36 27 87 or health@heartfoundation.org.au. Also available in six other languages. Visit the website.

 

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Continuing Professional Development

Term 2 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. Tea and Coffee provided. Course Leader: Dr Vin Nursey Phone: 9457 1736

May 4 - Low Back Pain - Mr Lu Tan. For full term Tuesday lecture program click here

 

Austin Health - Division of Medicine Grand Round

“Emerging Issues in Staphylococcal Infections” Speaker: Dr Ben Howden.

Wednesday 5th May, 12:10pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building, Opposite Medical Library. Lunch is now at 1.15pm outside the Lecture Theatre

 

Hyperbaric Wound Care

The hyperbarichealth wound centre will hold an education evening for GPs, Practice Nurses and other Healthcare Professionals discussing what Hyperbaric Oxygen Therapy is, the benefits and the conditions that can be treated.

Tuesday 18th May 7pm registration. Dinner and drinks provided at Ink Bar & Restaurant, 5 Rae Street (Cnr Alexandra Pde) North Fitzroy. Limited Seats Available – RSVP by Thursday 13th May to Natt McGregor email: natt@hyperbarichealth.com or Ph: 0400 047 430.

 

Getting Plastered

A hands-on workshop for GPs and PNs on the management of straightforward fractures and the application of plaster and synthetic casts.

Thursday 20 May, 6:30 – 9:30pm (Registration & dinner from 6pm) at Fracture Clinic, St Vincent’s Clinics, Ground Floor, Daly Wing, 35 Victoria Parade, Fitzroy. Flyer

 

Focus on Eyes - Recognition and Management of Common and Emergency Eye Conditions

Tuesday, 25th May, 6pm for 6.30pm start at Staff Development Centre, Level 1, Peter Howson Wing, Eye and Ear Hospital, East Melbourne. Flyer

 

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Home Medicines Review

Preventing Cardiac and Renal Disease in People with Diabetes

Wednesday May 5, 7-9pm (Light meal & registration 6.30pm) Speaker: Dr Richard MacIssac, Endocrinologist, Austin Hospital at Northern Division Training Room 232 Plenty Rd. RSVP by Fax 9416 7749 or phone to Cherry Braine 9416 7689 by 30 April. For more information and registration see flyer.

For information about Medication Reviews contact Dr Jenny Gowan 0417 506 944 or jenny.gowan@ndgp.org,.au

 

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Immunisation

Whooping Cough Vaccinations

It is now possible to provide Whooping cough vaccinations to children under 4 years of age. The Australian Technical Advisory Group on Immunisation (ATAGI) now recommends that the vaccine for Pertussis (in a conjugated form) may be given to a child between 2 and 6 months, and between 3½ and 4 years. This is a change to the determination as previously the child needed to be 4 years of age. The schedule now allows for opportunistic vaccinations for these younger children as a legitimate immunisation which will be accepted by the childhood register.

 

Suspension of Seasonal Influenza Vaccine in Children Under 5 

The seasonal influenza vaccine is suspended nationally in children from 5 years of age and under. A statement by CMO Jim Bishop is available on the Health Emergency Website. The TGA has issued a website statement on the Western Australian reports of adverse reactions to 2010 seasonal flu vaccine in children under 5.

Information on Pandemic H1N1 2009 Influenza

The National Centre for Immunisation Research and Surveillance (NCIRS) has created a new fact sheet entitled Pandemic H1N1 2009 influenza vaccine for Australians.
It is available on the Immunisation Resources page of their website.

 

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Information Management

Medical Director Tip - More on enforcing “Reason for contact”

When enforcing “Reason for contact” a patient record cannot be closed until a reason is entered.

If you simply browse a patient’s record you are not prompted for a “Reason for contact”. However, if you make a minor change to a patient record, you are prompted to add a reason. A simple coded item for this is “Administrative procedure” and make sure it is not saved in the Past Medical History.

MD3 – no patient record open – Tools ->Options ->Clinical -> check the “Mandate entering a reason(s) for contact for each consultation” box.

(Thank you to Dr Jenny Bourke for this hint).

 

This weeks IM problem - Disappearing Recalls

Question: I have a lot of recalls that have gone missing – they don’t appear on printed recall lists but when I check the patient record the recall is there, flashing phone and all.

Answer: My bet is you have recently deleted or inactivated a user (GP, nurse or anyone that adds a recall). The recalls associated with those users do not appear in the lists you generate.  To rectify the situation you need to tick the box “Include active and deleted” under the Select Doctor panel (right side top).

 

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Items of Interest

Community Eye Care Partnership News

The Royal Victorian Eye And Ear Hospital partners with local optometrists and GPs to demonstrate successful outcomes for patients requiring screening/early monitoring for diabetic retinopathy, age-related macular degeneration and glaucoma.  For the latest newsletter on the Community Eye Care Partnership, please go to the eye and ear hospital GP resources webpage, or directly to the document. To have a hard copy mailed to you, please contact Dr Lina Nido, GP Liaison Officer, on 9929 8187.

 

GP Network News

This week’s edition includes: Suspension of seasonal flu vaccine to children five years and under, COAG health reform agreement: support for GPs needed, Productivity commission inquiry incomplete without examination of medical care for the elderly, HPV notification payments end in June, Centrelink Health Professional Advisory Unit, Medicare administrative position statements include.

 

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Mental Health

A Collaborative Mental Health Care Workshop

Wednesday 26th May - MHPN event for Practitioners with an Interest in Chronic Disease and Mental Health at Montsalvat in Eltham. See flyer for more information and registration.

 

Eating Disorders Day Program

The Melbourne Clinic in Richmond is currently accepting referrals for their The Eating Disorder Day Program. This program runs Monday to Friday and provides comprehensive treatment for individuals, groups and families using a flexible range of therapies. The program is designed to promote recovery of physical and emotional wellbeing in a supportive environment. It can also interface with our outreach service. Contact Keryn on 9420 9738 and fax referral to 9420 9355 (addressed to ‘Dear Doctor @ TMC’)

 

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News for Practice Staff

Orientation Program for Nurses New to General Practice (Online)

A new online orientation program has been developed for nurses new to general practice. The program focuses on nurses who are unable to attend face to face workshops, providing them with knowledge and baseline skills required to deliver high quality and safe health care services. Topics covered will include: Professional practice; Provision of clinical care; Management of clinical systems; Collaborative practice. If you would like more information about the online training program contact:  Connie Ryan on (02) 6228 0820 or visit here or contact Wendy or Janina on 9496 4333.

 

National Registration and Accreditation Scheme Update

The new National Registration and Accreditation Scheme is due to commence on 1 July 2010. The Nursing and Midwifery Board of Australia is preparing for the commencement of the scheme. Communiques from the Board are available here. Further information on the scheme is also available at the Australian Health Practitioner Regulation Agency website.

 

Clinical Practice Guidelines Portal and Register

A new national Clinical Practice Guidelines Portal was recently launched that will provide links to current Australian guidelines developed by governments, professional colleges, specialty societies and non-government agencies. Clinical practice guidelines are critical tools used by health professionals and researchers to improve the health of Australians. Developed by the National Health and Medical Research Council’s National Institute of Clinical Studies, the new national portal is a ‘one stop shop’ for clinicians, researchers, policy makers and consumers to access guidelines developed during the preceding five years for use in the Australian health care system. In addition to the Portal, the NHMRC has developed a national clinical practice Guidelines in Development Register. This Register contains information about clinical practice guidelines that are planned or currently being developed in Australia. The Portal and Register can be accessed at www.clinicalguidelines.gov.au. 

 

National Practice Nurse Survey 2009

Practice Nurse numbers up – barriers to access remain The Australian Practice Nurse workforce is increasing, but patients still face barriers to accessing their care, according to a new survey released today by the Australian General Practice Network (AGPN). Practice Nurses – nurses who work in Australia’s 7000 general practices – have increased in numbers by more than 15 percent in the past two years from 7728 to 8914, continuing a trend in growing nurse numbers since the survey was first undertaken in 2003

 

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Women’s Health

Intrapartum Management – A Review for the GP*

Tuesday 11th May, 7-9pm (Registration & Refreshments from 6.30pm) Dr Bernadette White, Clinical Director Obstetric and Maternity Services, Mercy Hospital for Women.

Level 4 Mercy Hospital for Women, Heidelberg. Registrations: Merran Mackie 8458 4833 / mmackie@mercy.com.au

Allocated 4 (Category 2) points in the RACGP QA & CPD Program for the 2008-2010 triennium. *Pregnancy related for Shared Maternity Care Reaccreditation.

 

Monitoring Fertility: Assisting Conception

Seminar on Thursday 13th May will be held at Billings LIFE - Leaders in Fertility Education. 4B/303 Burwood Highway, East Burwood  5.00pm - 9.30pm. For further information contact OMR&RCA on 03 9802 2022.

 

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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

Hurstbridge - Seeking VR GP, Full time or Part time, to join our long established Family Medical Practice in semi-rural type setting. A friendly and professional work environment in this recently re-accredited, computerised medical centre with Allied Health and Nursing staff on site.  Come and smell the fresh air!  Call/email Heather Fisher, Practice Manager, (03) 9718 2611, 0407 355 035 or hfisher@hurstbridgemedical.net.au.

 

Practice Staff

 

Fairfield - RN Div 1 required for chronic disease management 8-10 hours a week in family friendly GP clinic. Role involves patient assessment, education, development of GP management plans and care co-ordination. Flexible hours, supportive environment and team approach to patient care. Email CV/Resume to Dr. Paul O’Halloran and Dr. Deborah Moors to wingrove@wingrovemc.com.au. 

 

St Helena – Accredited, computerised practice requires Div 1 nurse for immunisations, care plans and pathology collection. Div 2 nurse with medication endorsement and immunisation accredited may also apply. Contact Dr Arthur Bablis on 9432 7733 or send application to abablis@netlink.com.au.

Positions wanted

Eltham/Warrandyte area – Female GP looking for permanent locum work preferably in outer metro practice. Can start immediately. Call 0418 522 009

 

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Humour

Political Correctness (from an unidentified source – you know who you are)

There is an annual contest at Texas A&M University calling for the most appropriate definition of a contemporary term. This year's term was: "Political Correctness."

The winner wrote: 

"Political correctness is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end."

 

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And remember

 

            … Proofread carefully to see if you any words out.