North East Valley DGP eNews

No 1028: August 12, 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:

Editorial                                                NEV website wins award

Aged Care                                             Pain Management Kit for Residential Aged Care

Chronic Disease Management            New Asthma website, Spirometry study results

Professional Development                 CPD events

Immunisation                                       Available Immunisation Courses for nurses

Information Management                  Medical Director Tips

Items of interest                                  NEMICS annual forum, Toxicology Forum, Notification of telephone survey of National Diabetes Services Scheme Registrants, Austin Health Resources, GP Network News, BECC waiting times

Mental Health                                      Psychiatrists accepting referrals now, HeaD-ON project

News for Practice Staff                       The Diabetic Foot and Wound Care Seminar for Nurses, Orientation for Nurses New to General Practice, Nursing & Allied Health Scholarship & Support Scheme

Women’s Health                                  Menarche to Menopause ALM

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

NEV website wins award

We are very pleased to announce that once again the www.nevdgp.org.au website is a Hitwise Top 10 Award winner for January - June 2010.

During this period, www.nevdgp.org.au ranked No. 5 based on market share of visits among all Australian websites in the Hitwise Health and Medical - Primary and Specialist industry. We last won this award in 2007 and in 2005 we were No. 1 in our category for that whole year. The homepage of our website is now sporting the new prize logo.

 

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Aged Care

Pain Management Kit for Residential Aged Care

The Australian Pain Society developed the Pain in Residential Aged Care Facilities: Management Strategies to assist services to develop protocols for the effective management of pain for its residents. An Implementation Kit is available here and contains suggestions for assessment, documentation and management of pain.

 

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Chronic Disease Management

New Asthma website

The Asthma Foundation NSW has announced the launch of its new website www.asthmafoundation.org.au. The site was designed after extensive benchmarking against best

practice websites and consultations with the community. Feedback on the new site is welcome via webmaster@asthmafoundation.org.au.

 

Regular spirometry not associated with benefits for asthma and/or COPD

The aim of this study was to determine whether spirometry with regular medical review improves the quality of life or other health outcomes among patients with asthma or chronic obstructive pulmonary disease (COPD) managed in general practice. The researchers concluded: "Three-monthly spirometry and regular medical reviews by general practitioners are not associated with any significant improvement in quality of life or other health outcomes for patients with asthma and/or COPD." Spirometry may be a helpful tool for diagnosis, but not for monitoring. For the full abstract, click here.

 

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Continuing Professional Development

CPR update

Please note that the session scheduled for September 2nd has been CANCELLED.

 

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. Tea and Coffee provided. Course Leader: Dr Vin Nursey Phone: 9457 1736. Allocated CPD: 2 points/hour.

Aug 17 - Anorectal Disorders - Mr Richard Brouwer.

For full term Tuesday lecture program click here

 

Austin Health - Division of Medicine Grand Round

“Signal vs Noise” presented by Dr Wojt Janowski & Dr Sandra Zammit.

Wednesday 18th August, 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.

 

Pain Management Education for GPs and Practice Nurses

2 full-day sessions on September 11th & December 4th. For full details see the St Vincent’s website www.svhm.org.au/gp or see flyer

 

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Immunisation

Available Immunisation Courses for nurses

See under News for Practice Staff

 

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Information Management

Medical Director Tip - Redoing Investigation requests

When a patient loses their Investigation request referral it is a little painful to have to redo it from scratch. One way to insure yourself against this is to do the following:

1.   With no patient record open, from the Tools >Options >Investigations tab, select “Save clinical details in progress notes”.

2.   When in the forgetful or careless patient’s record (they lost the form didn’t they?) go to the Progress tab and find the previous progress note where the test names and clinical notes were recorded.

3.   Highlight both the test names and clinical details and use Control + C to copy them.

4.   Click on the Pathology or Imaging Request buttons and in the Requested Tests to be Printed panel, select paste (Control + V or Right click Paste) – this will paste in both the test names and clinical details.

5.   Highlight the clinical details and use Control + X to cut.

6.   Click in the Clinical Details – Selected panel and use Control + V to paste in the details.

7.   Print the request.

Note: Recording clinical details is especially helpful when redoing a form for tests another doctor has ordered and (s)he is absent on the day the patient requires the new form.

 

This weeks IM problem - Missing Product Information Sheets

Question: I notice that some patient PI sheets for certain medications are missing. Where are they?

Answer: This has been a problem and is being quickly redressed (e.g. Champix now has its PI). There is additional product information under the Monographs. When prescribing click once on the drug you wish to prescribe and then click on the Monograph button. These independent drug monographs, formerly only supplied to the Hospital and Pharmacy market under the banner of AusDI, contain similar clinical information as held in PIs plus other information sourced from the world's medical literature. An associated monograph does exist for most products that do not currently have a PI. These monographs are available to Medical Director customers using MD3.11 onwards.

 

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Items of Interest

North Eastern Metropolitan Integrated Cancer Service Annual Forum
NEMICS is holding its annual forum on the evening of Tuesday 31st August. This is an opportunity to hear about work that is being undertaken in the region to provide improved services and supports for cancer patients and cancer clinicians. The program will provide a range of interesting presentations around developments in the area of supportive care.  NEMICS will also be launching its NEW online cancer supportive care directory. RSVP essential to Megan Dendle on 9496 3322 or E: megan.dendle@austin.org.au by Friday 27th August. Please visit the NEMICS website www.nemics.org.au for further details. Flyer

 

Toxicology Forum

The Forum will be held on Friday, September 17th from 9am-1pm at Austin Health in the Lecture Theatre, Level 4, Austin Tower. The focus of the forum includes: current issues in paracetamol poisoning, the nature and outcomes of chemical eye exposures reported to the Victorian Poisons Information Centre, and irrigation of the whole bowel.

 

Notification of telephone survey of National Diabetes Services Scheme Registrants

A national NDSS project commencing this week involves a telephone survey of NDSS Registrants. This is a DoHA funded NDSS study being conducted on behalf of Diabetes Australia. The survey is being conducted via telephone by a Sydney based market research organisation - Taylor Nelson Sofres Australia Pty Ltd (referred to as TNS). On 17 and 18 August focus groups associated with this study will also be conducted in Melbourne. This information is being provided so that you are aware the study is being conducted and can verify its legitimacy to any Registrant who may call your practice. Any patient queries relating to this study should be directed to Diabetes Australia – Vic on 1300 136 588.

 

Austin Health Resources

 

GP Network News

This week’s edition includes: Coalition health policy – strong initiatives to stimulate the health debate; misleading claims about vaccination putting Australian lives at risk; general practice lobby kit; Support Family Doctors campaign materials; PIP teaching incentive.

 

BECC waiting times

Current inpatient waiting times for Northern Health Continuing Care Inpatient Services as of Wednesday 11/8/10 - Gem 20 days, Rehab 10 days. For further information/ assistance please contact: Access BECC office on 9495 3443.

 

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Mental Health

Psychiatrists accepting referrals now!

The Victoria Clinic Consulting Suites in Prahran have over 15 psychiatrists and 3 psychologists who practice in a number of speciality areas. We are pleased to welcome a number of new psychiatrists to our team, these psychiatrists are now accepting referrals. Phone Reception on 9521 2733 and fax through your referral to 9521 2799.

 

Does your patient suffer from recurrent headaches/migraines and co-morbid depression?

Please consider referring them to the HeaD-ON project, a randomised control trial of CBT designed for individuals suffering from chronic headache/migraine and co-morbid depression, to demonstrate the efficacy of this approach. We are seeking participants aged 18+ who have been diagnosed with frequent or chronic tension type headache and/or migraine (with or without aura). For further information or to refer a patient, please contact the Project Manager, Dr. Rachele Aiello, on 9594 1483 or Maria Lawlor on 9594 1465.

 

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News for Practice Staff

The Diabetic Foot and Wound Care Seminar for Nurses

Presented by Diabetes Australia – Vic - An interactive and informative day for division 1 nurses working in any practice setting to increase their knowledge of diabetes and enhance their skills in managing complex foot wounds and ulcers in patients who have diabetes. Tuesday 24 August 9.30am-4pm at Australian Nursing Federation, 540 Elizabeth Street, Melbourne. Cost: DA–Vic Health Professional member $200 (incl GST). Non member $220 (incl GST). Register two weeks prior to be eligible for early bird rate ($175 and $200 respectively). Bookings essential. Attendance attracts seven CNE points. For further information contact Lyra Lobo on 9667 1728.

 

Orientation for Nurses New to General Practice

The Orientation Program for Nurses New to General Practice for August is fully booked and GPV are now taking enrolments for the 28 and 29 October program.

Please find attached the enrolment form and information flyer for the next program.  

 

Nursing & Allied Health Scholarship & Support Scheme (NAHSSS) Update

The Royal College of Nursing Australia (RCNA) has been appointed as administrator of nursing scholarships under the Dept of Health and Ageing NAHSSS program. Previously the Australian Practice Nurse Association (APNA) administered the Continuing Professional Development (CPD) category for Practice Nurses. Under the new arrangements, the nursing element of the scheme is administered in 4 streams, Undergraduate, Postgraduate, Clinical Placements and CPD. CPD for Practice nurses will fall under the CPD NAHSSS stream.

The scheme will invest more than $100 million over four years to support undergraduate and postgraduate study, clinical placements and continuing professional development activities for nursing and allied health students and professionals.

The scholarships worth up to a total of $1,500 per applicant for a one-year study period are intended to assist nurses in meeting the cost of their continuing professional development. This can include short courses, workshops and conferences.

Further information about the NAHSSS can be found on the DoHA website and the RCNA website. Applications open 14th August!

 

Available Immunisation Courses for nurses

La Trobe University offers the only accredited nurse immuniser training in Victoria - see here for scholarship details. Open to Division 1 nurses.

General Online courses available for immunisation that doesn’t lead to certification as independent immuniser but could be used as professional development

Course 1 - The education will be available until the end of the RACGP Triennium in 2010. To access visit; www.thinkgp.com.au and look for the childhood or adult Immunisation heading for individual modules.

Course 2 - The online Immunisation Activities for Australian Practice Nurses is open to all practice nurses and health professionals free of charge. You can register for free access to the course on the APNA website www.apna.asn.au  just click on the online learning

 

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Women’s Health

Menarche to Menopause ALM

Menarche to Menopause: Health Advantages of Monitoring Fertility, an Active Learning Module qualifying for 40 Category 1 (women’s health) points is to be presented at the Novetel Hotel, Glen Waverley on Saturday, 4th September 9.30 – 4.30  by the Ovulation Method Research and Reference Centre for Australia Ltd. This is an ideal opportunity to update your knowledge on the signs and symptoms of fertility and infertility as well as to gain 40 Category 1 (Women’s Health) points for this current triennium. For further information and registration telephone 1800 335 860

 

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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

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 peterenten@bigpond.

 

Diamond Creek  ( Near Eltham & Greensborough ) – VR GP 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 – 12noon. No Sundays or public holidays. Outer Metro area (relocation incentive grants). Pay and conditions negotiable. Opening hours Mon- Friday 8.30am – 7pm. Saturday 8.30am – 12noon. Contact Sheila Bouskill on 03 9438 3888 or e-mail diamondvalleyclinic@netspace.net.au

 

Heidelberg Heights - PT VR GP for friendly doctor operated family practice Thurs pm, Some Saturday mornings and assistance with holiday cover (especially September school holidays). Phone Dr Wallis 9459 9237 or 0419 135 194

 

Thornbury - Urgently seeking a VR GP to replace our "soon to retire GP".  Full time preferable. Happy, busy and supportive practice. You will love it here! Contact Dr Jenny Andrewes or Dr Danny Lipson on 03) 9484 2580 or email to dundasdr@bigpond.net.au.

Practice Staff

Heidelberg Heights - Friendly family practice requires part time experienced nurse/receptionist Mondays, Thursdays/Fridays and 2 in 3 Sat morns in holiday cover.

Phone Dr Wallis 9459 9237 or 0419 135 194

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Humour

You lovers of the English language might enjoy this...
There is a two-letter word that perhaps has more meanings than any other two-letter word, and that is 'UP'.
It's easy to understand UP, meaning toward the sky or at the top of the list, but when we awaken in the morning, why do we wake UP? At a meeting, why does a topic come UP? Why do we speak UP and why are the officers UP for election and why is it UP to the secretary to write UP a report?
We call UP our friends. And we use it to brighten UP a room, polish UP the silver; we warm UP the leftovers and clean UP the kitchen. We lock UP the house and some guys fix UP the old car... At other times the little word has real special meaning. People stir UP trouble, line UP for tickets, work UP an appetite, and think UP excuses. To be dressed is one thing, but to be dressed UP is special.
And this UP is confusing: A drain must be opened UP because it is stopped UP. We open UP a store in the morning but we close it UP at night.
We seem to be pretty mixed UP about UP! To be knowledgeable about the proper uses of UP, look the word UP in the dictionary. In a desk-sized dictionary, it takes UP almost ¼ of the page and can add UP to about thirty definitions. If you are UP to it, you might try building UP a list of the many ways UP is used. It will take UP a lot of your time  but if you don't give UP, you may wind UP with a hundred or more.
When it threatens to rain, we say it is clouding UP.  When the sun comes out we say it is clearing UP! When is rains, it wets the earth and often messes things UP.
When is doesn't rain for awhile, things dry UP.
One could go on and on, but I'll wrap it UP, for now my time is UP, so........it is time to shut UP!

Oh! ….... one more thing:
What is the first thing you do in the morning & the last thing you do at night?  

U-P!

 

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And remember

 

        …If you can smile when things go wrong, you have someone in mind to blame.