North East Valley DGP eNews

No 1016: May 20, 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:
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In this issue:

Editorial                                                Clarification re item 723 & 732       

Aged Care                                             Assisting GPs to manage complex older patients   

Chronic Disease Management            Healthwise seminar - Type 2 Diabetes, New and improved online shop   

Professional Development                 CPD events   

Information Management                  Medical Director Tips

Items of interest                                  Urology Outpatient appointment, Do you want help with Care Planning & Health Assessments? Fact sheet for GPs on what Optometrists can do, GP Network News

Mental Health                                      Obsessive Compulsive Disorder

News for Practice Staff                       Two Day Diabetes Update, Exciting News from the Federal Budget for General Practice Nurses, New Technology for the Progressive Practice, Managing the Symptoms of Menopause, New UNE Partnerships Practice Manager Development Program for Divisions        

NPS                                                       NPS Audit update – COPD audit enrolments now open

Women’s Health                                  Jean Hailes Foundation update, Menorrhagia and Other Abnormal Uterine Bleeding                   

Positions vacant/wanted                            

Fun stuff                                                        


A Word from the Editor

Clarification re item 723 & 732 after 1 May 2010

Despite a subtle change of words in the recent update of items 723 & 732 after 1 May 2010, and the hope by many GPs, that the process had now been streamlined some what, Medicare has finally advised that the TCA has to be complete before the service can be claimed. A more detailed explanation is on the website.


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Aged Care

Assisting GPs to manage complex older patients

Aged Care Assessment Service (ACAS) determines the overall care needs of frail older people (70+) and assists them to access the most appropriate types of services.  ACAS:

    comprehensively assess older people taking account of their restorative, physical, medical, psychological, cultural and social needs,

    involve clients, their carers, and service providers in the assessment and care planning process,

    provide access to case managed packages of care for people with complex needs,

    provide approval for Commonwealth funded aged residential and respite care

St Vincent’s ACAS catchment area includes City of Darebin, Yarra and Boroondara, and the service has clinicians based at St Georges in Kew and St Vincent’s in Fitzroy. St Vincent’s ACAS works collaboratively with the Treatment Response Assessment for Aged Care (TRAAC) Service, a HARP (Hospital Admission Risk Program) rapid response service for aged clients at risk of hospitalisation. To refer to St Vincent’s ACAS complete the ‘Rehabilitation, Aged Care and Aged Psychiatry Referral Form’ and fax it to 9816 0588. For urgent referrals or for more information, please contact St Vincent’s ACAS on 9816 0566. If you would like ACAS staff to provide education by visiting your practice contact the St Vincent’s ACAS manager on 9816 0525.


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Chronic Disease Management

Healthwise seminar - Type 2 Diabetes 

The State Library of Victoria in collaboration with Melbourne Health is running an information seminar on Type 2 Diabetes. Diabetes is Australia’s fastest growing chronic disease. This is a free seminar open to both clinicians and the public. Key medical professionals Dr Spiros Fourlanos and Dr Ralph Audehm will discuss the risk factors associated with Type 2 Diabetes and what can be done to prevent the onset the disease. Dr Peter Greenberg will talk about evidence-based research into Type 2 Diabetes and advise on where to find credible evidence-based information. Opportunities for Q & As will be chaired by Kathleen Gray and presented in partnership with Melbourne Health, the Cochrane Consumer Network and the Chronic Illness Alliance. Thursday 27 May 5.30-7.00pm at Experimedia Room, State Library of Victoria. Bookings essential: Ph: 03 8664 7099, Online: Email:


New and improved online shop

The Diabetes Australia – Vic online shop is a one-stop shop for all National Diabetes Services Scheme (NDSS) and DA–Vic diabetes products. We have recently made significant changes to improve the online shop and we hope that it will now provide patients with an enhanced and more streamlined customer experience. Members of DA–Vic receive discounts on many products. Visit us at


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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 25 - Hearing Loss & Tinnitus - Mr David Marty

For full term Tuesday lecture program click here


Austin Health - Division of Medicine Grand Round

“Back to the Future” - Physician Education - Assessment and Exams presented by Stephen Warrillow, Doug Johnson, Scott Patterson

Wednesday 26th May, 12:30pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building, Opposite Medical Library. Lunch is now at 1.15pm outside the Lecture Theatre.


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


Toxicology Forum

Austin Health is presenting a Toxicology Forum on Friday 4th June from 9am - 1pm. The forum will be held in Lecture Theatre Level 4 Austin Tower. The forum is open to all FACEM's, EM Trainees, GPs, Pharmacists and other clinicians interested in toxicology. To find out more information and/or to RSVP (catering purposes) by 28th May contact


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Information Management

Medical Director Tip - Updating to the most recent MD version

In the MD Downloads section of the HCN website the latest update is 3.11.2, but the latest upgrade to Medical Director 3 is 3.11.5 (but shown as 3.11.4). Like 3.11.2 this resolves a few issues (bugs?) such as printing pathology requests for those providers whose name includes a quotation mark. This update is found under the Pracsoft downloads section of the HCN website and may be needed even though you are not a Pracsoft user. This update is primarily a PracSoft update, providing changes to incentive items for the May 2010 MBS. It is also a cumulative Medical Director/PracSoft update, allowing one download for those practices that have not yet installed 3.11.1 and/or 3.11.2.


This weeks IM problem - Modifying current medication display

Question: If I include the list of medications in my letters to other doctors, the top line always appears (Drug name/Strength/Dosage/Reason/Last script). It makes it look rather untidy, and I spend some time removing unwanted columns from the letter before I print them.

Is there anything I can do to my template so that this line does not appear on top of the medication list? Or at least, remove the “Reason” and “Last script” parts?

Answer: You can change the number of columns that appear in the medication list so that only 3 appear as in the example below.


Current Medications:

Drug Name



AVAPRO HCT 150/12.5 Tablet


1 daily c.c.


1,500mg (600mg Ca)



This is much “tidier” – the headings remain but you get rid of several columns.

1.   Open LetterWriter and from the File menu select Modify template and select your referral template.

2.   Right click on the Medications field (<<Clinical Details:Medication List>>) and select Properties.

3.   Deselect the appropriate columns – in your case Reason for Medication and last script.


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Items of Interest

Urology Outpatient appointment

Guidelines for referring your patients for a Urology Outpatient appointment at Austin Health are now available on Austin Health website under section For Healthcare Providers – GP Access Refer your Patients. A ‘Haematuria Checklist’ and 'Urology Referral Guidelines' for referring patients with lower urinary tract symptoms are both now available.


Do you want help with Care Planning & Health Assessments?

A professional service conducted by a Division 1 RN performing MBS Primary Care Items for doctors local to the NEVDGP. Italian spoken. Call Glenda at HEALTHPOWER on 0448 681 048 or email for further information.


Fact sheet for GPs on what Optometrists can do

Do you want to know what services Optometrists can provide or find a specialty optometrist in your area?  A fact sheet for GPs on what Optometrists can do to help them provide Eye Care for their patients and how to find a local Optometrist is now available to be downloaded from the Optometrists Association Australia website.


GP Network News

This week’s edition includes: Health Budget 2010-11:  how primary health fared; Kidney health awareness; Support Family Doctors.


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Mental Health

Obsessive Compulsive Disorder

An introduction to assessment and treatment presented by The Anxiety Recovery Centre Victoria. Friday June 11th, 9.30-12.30 at Northern Division of General Practice, Ground Floor, 232 Plenty Road. RSVP by 4/6/10. For more information contact Rachel Watts on 9430 9100 or Paul Sutherland on 8480 3801. To register, please forward your details via email to Rachel at


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News for Practice Staff

Two Day Diabetes Update  

Diabetes Australia - Vic presents a two day Diabetes Health Professional update for Division 1 and 2 Nurses working in general practice, acute care or community health to update their diabetes management skills and knowledge. Areas covered include Anatomy/physiology overview, Medications, Monitoring, Nutrition, Physical activity, Complications. Plus more.

17-18 June 2010, 9.30am–4.30pm at Trawool Valley Resort 8150 Goulburn Valley Hwy Trawool. HP Member (Diabetes Australia – Vic) $300.00 (incl GST) $275.00 Early Bird (EB) rate. Non member $350.00 (incl GST) $300.00 EB rate. Register by 3 June 2010 for the EB rate. Includes all course materials, morning tea and lunch. Enquiries and RSVP contact Diabetes Australia – Vic on Tel. 9667 1728 Fax: 9667 1778 or


Exciting News from the Federal Budget for General Practice Nurses

The University of Melbourne, Department of General Practice has invested in practice nurses by developing the Certificate/Diploma of Primary Care Nursing delivered by distance education.

The Federal Budget announcement around investing in Primary Care Nursing is welcome. Every GP can now get a substantial subsidy of $25,000 to employ a nurse in general practice. We encourage nurses to enrol in the Certificate or Diploma of Primary Care Nursing course to enable them to expand their scope of practice. It has been developed by experienced practice nurses and general practitioners to suit the needs of busy practice nurses in areas (chronic disease management, quality systems and risk management, health promotion, women’s health, mental health and youth health) that will complement previous experience. Further details: or call Ms Bernie Cooper, course administrator on 03 8344 7275.


New Technology for the Progressive Practice

Saturday 19th June Professional Development Day hosted by Australian Association of Practice Managers. Practice Managers face a number of challenges when working in a rapidly changing and competitive environment. This program will provide you with information to ensure your practice has its own competitive edge and to provide high quality service to your clients. For more information and registration click here.


Managing the Symptoms of Menopause

Small Group Learning Session for Practice Nurses – Topic: Guest speaker: Dr Mary Levidiotis, NPS Facilitator, North East Valley and Northern Division of GP. Topics will include: Discussing the most effective treatment for women with menopausal symptoms, understanding the potential benefits & harms of prescribing oestrogen, with or without progestogen, considering the use of oestrogen & progestogens for the shortest duration and lowest effective dose, discussing the efficacy and safety of complementary and alternative medicines.

Tuesday 22nd June, 6.30pm registrations 7:00 pm start  at NEVDGP Board Room (map) Registrations (Flyer)  For further information, please contact Wendy Reid or Janina De Silva


New UNE Partnerships Practice Manager Development Program for Divisions

There will be Certificate IV by Workshops in Professional Practice Management in Melbourne starting on Friday 2 July. For more information visit the UNE partnership website.


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National Prescribing Service

NPS Audit update – COPD audit enrolments now open

Enrolments for the Management of stable COPD and smoking cessation audit are now open. This is the second out of three paper clinical audits available for the QPI year: 1 May 2010 – 30 April 2011. The remainder of the audits (another 3) will be in the e-Audit format (all done online). Unlike many other audits GPs are being asked to select only 10 patients who have been diagnosed with chronic obstructive pulmonary disease (COPD), preferably current smokers. Best practice guidelines will be used to review current patients, implement change and monitor their progress. The use of spirometry in confirming a diagnosis, recording smoking status and cessation strategies will all be looked at, along with the need for introducing short-acting and long-acting bronchodilators. A COPD audit sample pack can be viewed online at where you can also enrol. Enrolment forms can also be completed with your details and faxed back to NPS.


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Women’s Health

The Jean Hailes Foundation for Women's Health
Click here for the GP & HP Update May 2010.


Menorrhagia and Other Abnormal Uterine Bleeding

For GPs and other health professionals This session coveris key points and management options of these common problems for women in 2010. Objectives are to be aware of: the differential diagnosis of such problems; the options for women; the benefits and limitations of these options. Speaker: Dr Catarina Ang, Gynaecologist and Head Gynaecology Unit 1 RWH. Tuesday 1st June, 7.30-9.15 pm (Light refreshments 7pm) at The Royal Women's Hospital: Cnr Grattan St and Flemington Rds Parkville. Seminar Room 7D, 7th Floor. RSVP: By 4 days prior to session to Ines Rio on 8345 2064 or email:   


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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


Camberwell/Burwood – General Practitioners wanted. Excellent opportunities to join this well established practice which is ideally located. Mon to Fri. Part time & Full time positions. Hours 9 am to 5.30 pm. Email: or contact Galaxy Medical Recruitment on (03) 8720 7888.


Cheltenham - We are looking for a VR GP to join our midsized accredited practice. Comfortable new rooms, fully computerised, flexible sessions, pathology, physiotherapy, podiatry and psychology on site. Excellent remuneration, you will not be disappointed. Will suit GPT4 trainees. For further information please phone Peter Enten, 03 9584 9504, 0411 813 292 or email


Greensborough Road Surgery – GP Locum is required to replace a Principal GP on extended personal leave. Full-time or Part time VR to join our long established family medical practice. Friendly and Professional working environment, fully computerised and accredited practice, excellent remuneration and support.  Two full time RN’s. Please contact Ann McCormack on 9435 0711 or


Northcote – F/t P/T VR GP or Subsequent Trainee GP position. Fully accredited, computerised, long established doctor owned practice in a new purpose built facility with a fabulous work environment. Ancillary Health, Pharmacy and Pathology services on site. Inquiries Diane Cronin (Practice Manager) 9481 1214. Visit our website


North East After Hours GP Clinic - Austin Health is seeking an Expression of Interest from General Practitioners who would like an opportunity to work casual shifts in our clinic which is attached to the Austin Emergency dept. We offer competitive rates and our opening hours are Monday to Friday 7pm – 11pm; Saturday 2pm -8pm; Sunday 4pm – 10pm. To register your interest please contact Hana Wellington – Practice Manager at or 03 94693627


Thornbury - F/T P/T VR GP or subsequent Trainee GP required for a doctor owned practice established over 30 years. Fully accreditated, computerised, purpose built clinic with your own consultation room. Friendly and very professional working environment, with nurse support.  Excellent remuneration.  Email or telephone Evelyn on 9484 7762


Practice Staff

Thornbury - Medical receptionist required for part time position in a busy fully computerised, accredited and long established family medical practice. Hours to be negotiated.  Work in a friendly supportive environment with excellent remuneration. Email your resume and application letter to or contact Evelyn on 9484 7762.

Positions wanted

Lower Plenty/Ivanhoe area - Div 1 nurse looking to return to General Practice part time – hours flexible. Experienced in wound m'ment, diabetes, immunisation and emergency nursing. With pathology collection skills including gases, ECG, paps. Contact Antonia on 9439 0652/0418 585 596. 


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Dying lawyer

Two doctors in Royal Melbourne Hospital walking along the corridor together.

"By the way, did you tell that lawyer in Ward 10 that he was going to die?"

"As a matter of fact I did.  Why do you ask?"

"You bastard - I wanted to tell him!"


An amendment/correction to last week’s quotes:

“To do is to be” - Sartre, Jean-Paul

“To be is to do” - Immanuel Kant

“Do-be-do-be-do” - Sinatra, Frank

“Scooby Dooby Do”- Scooby Doo

“Yabba Dabba Doo!”- Fred Flintstone


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And remember


            …You are stuck with your debt if you can't budge it.