North East Valley DGP eNews

No 1021: June 24, 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            Lifestyle Modification Program, National Diabetes Week  

Professional Development                 CPD events   

HMR                                                      PPIs - their place, long term effects and other GI issues    

Immunisation                                       Reminder when giving Infanrix Hexa and Varilrix vaccines from 10 dose packs

Information Management                  Medical Director Tips

Items of interest                                  GP Network News    

News for Practice Staff                       VHIA Paid Parental Leave National Scheme            

Paediatrics                                           Sending a child to the Emergency Department?     

Women’s Health                                  Shared Care for Breast Cancer at The Women’s, The Royal Melbourne and Western Hospital                 

Positions vacant/wanted                            

Fun stuff                                                        

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Chronic Disease Management

Lifestyle Modification Program

LMP Newsletter

This is a new newsletter to assist with information and where to find resources for the roll out of the LMP program – referral of the 40-49 year olds who are at risk of developing diabetes,

Key messages of the Newsletter are:

·        Training session feedback

·        Use the one form for referral process to both commonwealth and state Life programs

·        Change of risk score to 12

·        Additional division resources and assistance available

·        Monthly prize for most referrals

The Newsletter can be found on our website and the LMP section of the website is here.

MBS claiming information for LMP referral

Courtesy Sabrina Ostowari, General Practice QLD, a single page sheet explaining when to claim and when not to claim the relevant MBS item number for referral to an LMP.

 

National Diabetes Week

Diabetes Australia – Vic will launch a new campaign on Sunday 11 July 2010 to mark the start of National Diabetes Week. This year the campaign theme is “PREVENT type 2 diabetes and AVOID kidney damage”. Campaign resources are available in the form of brochures, postcards and posters, and can be ordered by contacting Amber Osborn on (03) 9667 1783 or emailing aosborn@diabetesvic.org.au.

 

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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

There will be no lecture during school holidays. The first lecture for next term will be on July 13th.

 

Austin Health - Division of Medicine Grand Round

“Tension in the renal arteries” Presented by MED 3 - speakers: Paul Yeh (registrar) & Linny Phuong (intern)

Wednesday 30th June, 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.

 

Minor Surgery for General Practitioners

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. Saturday and Sunday, 14 & 15 August - Day One (9.00am – 4.00pm) Day Two (8.00am – 4.00pm) at RACS Skills & Education Centre, Royal Australasian College of Surgeons, Corner of Spring Street and Lonsdale Street, Melbourne. For more information and registration click here.

 

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Home Medicines Review

PPIs - their place, long term effects and other GI issues

Wednesday 7 July, 7pm-9pm (Dinner from 6.30pm) at John Scott Meeting House, La Trobe University, BUNDOORA (Entry via Car Park 7). Enquiries to Cherry Braine on Tel. 8480 4606. RSVP by FaxBack. Click here for flyer.

 

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Immunisation

Reminder when giving Infanrix Hexa and Varilrix vaccines from 10 dose packs

The Department of Health Immunisation Program has received several reports this week from immunisation providers who have missed reconstituting vaccines:

1.      the Hib pellet in the Infanrix hexa vaccine and

2.      the chickenpox pellet in the Varilrix vaccine

In these cases all infants who were given the vaccine from the 10 pack had to be recalled for re-administration of either Hiberix vaccine or Chickenpox vaccine. All the babies were recommended to have an additional Hib or chickenpox vaccine as it could not be determined which babies did indeed receive the reconstituted Hib and chickenpox pellets.

Infanrix hexa vaccine must be reconstituted by adding the entire contents of the syringe to the Hib vial and shaking until the pellet is completely dissolved.

Varilrix vaccine must be reconstituted by adding the entire contents of the syringe to the chickenpox vial and shaking until the pellet is completely dissolved.

The errors have occurred when a 10 dose vaccine packs of Infanrix hexa and Varilrix have been used.  The pellets are located at one end of the packs and the syringes are at the other end of the pack.

 

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Information Management

Medical Director Tip - Streamlined Authority Prescriptions - adding the details

A streamlined authority automatically adds the authority number and a text description (e.g. Fosamax Tablet 40 Mg). Other prescribed items (such as Fosamax Weekly Tablet 70 Mg has a variety of text descriptions – in this case you need to click on the View List button in the Authority window.  Double click on the appropriate Approval # and then click OK. This will place the text in the “Text to appear on new prescription” text area.

 

This weeks IM problem - Exporting a patient record

Question: Can you help? I recently wrote to one of our Division practices requesting a summary or disc of his previous records. Instead, they supplied him with a 65 page print out from MD3 which weighs a ton, is never going to be read and makes transfer of data to our MD3 quite difficult. We phoned them and asked politely if they would kindly export the data in XML format onto a disk. They replied that it was not possible. Perhaps you could do an article on exporting and importing showing how easy it is compared with printing – this would assist all the division practices to enter the modern age.

Answer: This has been done and can be found on our website in the IM resources section – “How to” sheets. - http://www.nevdgp.org.au/?content=14#How_To_Sheets.  I suggest you direct the practice to the 2 cheatsheets:

  1. Exporting patient records in MD3 and saving to CD and
  2. Importing and Exporting patient files between MD2 and MD3 where the process for exporting patient records in electronic format is explained.

In summary:

Create a folder to save the file and from MD3 HCN Maintenance > Common > Import/Export – select Export > Clinical and when prompted, export in xml format. Save to disk.

 

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Items of Interest

GP Network News

This week’s edition includes: GPs call for individual health identifier; AMA calls on Senate to pass National Preventative Health Agency Bill to put spotlight on prevention; Tobacco excise legislation passed; plain packaging for tobacco products next – AMA; Practice nurse funding changes:  AMA survey closing soon; AGPT 2010 training year fact sheet; Remote GP training – applications now open;

 

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News for Practice Staff

VHIA Paid Parental Leave National Scheme

The Paid Parental Leave Bill recently passed by Federal Parliament has established a national scheme that will commence in transitional form on 1 January 2011 and be fully operational from 1 July 2011. Full article.

 

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Paediatrics

Sending a child to the Emergency Department?

Before sending to the RCH Emergency Department – please call first on 9345 7060 and tell the doctor:

  • WHY you’re sending to the emergency department, and why TODAY
  • Whether admission is likely and
  • Why RCH rather than a more local ED. Please always consider a more local ED first.

As well as providing clinical advice, the ED staff may be able to help with alternatives such as an OPD appointment or timing of investigations.

  • RCH GP website (Kids Connect) for more information on the RCH ED: www.rch.org.au/kidsconnect/emerg.cfm?doc_id=8610
  • Lab results after an E.D. visit – please call the RCH lab on 9345 7060.  The number is also at the end of the ED discharge letter.  Please don’t call the E.D.

 

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Women’s Health

Shared Care for Breast Cancer at The Women’s, The Royal Melbourne and Western Hospital           

The combined Royal Melbourne/Royal Women’s Breast Service and the Western Hospital Sunshine Breast Unit are trialling a shared care model between the hospitals’ breast units and GPs, for women with breast cancer, in the belief that patients are better served if their care after breast cancer treatment is shared between their GP and the Hospital. 

After women have completed treatment with surgery, chemotherapy and radiotherapy, both the woman and her GP will be provided with a summary of the pathology of the disease, a summary of treatment received and planned and a detailed follow-up plan.  As this is a Pilot study, until this is routine practice you will be asked to sign and return a form indicating that you are happy to participate in this Shared Care Project when your patient consents to involvement.

MBS Item # 729 - Contribution to a Multidisciplinary Care Plan – would be appropriate for patient’s GP to apply for in these cases of shared care.

If you have any questions, for RMH/RWH patients please contact us at breast.service@thewomens.org.au,  bruce.mann@mh.org.au or ines.rio@thewomens.org.au and for Western Hospital patients at meron.pitcher@bigpond.com.au

 

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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 - VR GP required for established 25-year-old practice.  P/T, mixed billing, relocation incentive available.  Ph Ken Dickinson 03 9467 5433.

 

Diamond Creek (near Eltham & Greensborough) -  Dr wanted full time or part-time to join our lovely established Family Practice, accredited since 2001, computerised & with mixed billing. 1 in 6 Saturdays 8.30am – 12.noon. No Sundays or Public holidays. Outer Metro area (Relocation incentive grants). Pay and conditions negotiable. Opening hours Mon- Friday 8.30am – 7pm. Contact Sheila Bouskill on 03 9438 388 or e-mail diamondvalleyclinic@netspace.net.au

 

Fairfield - F/t or P/T VR GP or Subsequent Trainee GP positions available. (To cover maternity leave position and other sessions available) GP operated, computerised, fully accredited medical centre with nursing support.  A friendly and supportive team environment with flexible family friendly working hours. Excellent remuneration. Please contact Rosa on 03 9481 4861 or 0417 596 180

 

Ivanhoe - VR GP Full time or Part time required to work in this GP operated accredited medical centre. A friendly and supportive team environment in this computerised medical centre with allied health, nursing staff and radiology on site. No A/H’s flexible working hours family friendly. Please contact John or Ken on 03 9497 1188

 

Kensington - Locum position available from July to December: Interesting community-based general practice including youth, young adults, newly arrived refugees. An enthusiastic, compassionate, dedicated VR GP reqired to work 2-4 days/week for six months, more if possible. Excellent nursing support - GP/Nurse ratio 1 to 1 FTE. Fully electronic, Collaboratives practice, participate in preventative care utilising the PEN CAT Data Extraction Tool and Doctors Control Panel. Salary or percentage split options. Flexible hours between 8:30am-6:00pm. Research and special interests encouraged. Contact Janina De Silva on (03) 8378 1600 or email Janina.desilva@dgchs.org.au

 

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 www.doctorsofnorthcote.com

 

Positions wanted

GP Locum available - Experienced VR / FRACGP doctor available for short term locums for inner north / northeast suburbs from July 5th . Please call John 0419 353 501 for details.

 

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Humour

New Element found - Administratium

The heaviest element known to science was recently discovered by physicians at Whatsamata University.

The element, tentatively named Administratium, has no protons or electrons and thus has an atomic number of 0. However, it does have 1 neutron, 125 assistant neutrons, 75 vice neutrons, and 111 assistant vice-neutrons. This gives it an atomic mass number of 312. These 312 particles are held together in the nucleus by meson-like particles called memos

Since it has no electrons, Administratium is inert.  However, it can be detected chemically as it impedes every reaction it comes in contact with. According to the discoverers, a minute amount of Administratum caused one reaction to take 4 days to complete when it would normally take 1 second.

Administratum has a normal half life of approximately 3 years, at which time it does not actively decay, but instead undergoes a reorganization in which assistant neutrons, vice-neutrons, and assistant vice-neutrons exchange places. Some studies have shown that the atomic mass number actually increases after reorganization.

Research at other laboratories indicates that Administratum occurs naturally in the atmosphere. It tends to condense and concentrate at certain points such as governmental agencies and universities, and can usually be found in the newest, best-appointed, and best-maintained buildings.

Scientists point out that Administratum is known to be toxic at any level of concentration, and can easily destroy any productive reaction where it is allowed to accumulate. Attempts are being made to determine how Administratum can be controlled to prevent irreversible damage, but results to date are not promising.

 

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And remember

 

      …A synonym is a word you use when you can't spell the word you first thought of.