North East Valley DGP eNews

No 1109: April 7, 2011
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:

Professional Development                 CPD events   

Immunisation                                       New vaccines coming, Adult pneumococcal vaccine          

Information Management                  Medical Director Tips

Items of interest                                  GP Network News    

News for Practice Staff                       Last chance to apply for scholarships         

NPS                                                       New NPS Topic “Opioid Therapy in Chronic Pain”, New NPS RADAR Publication

Positions vacant/wanted                            

Fun stuff                                                        

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Continuing Professional Development

CPR Update

Wednesday 4th May 6.30 -9.30pm (Dinner from 6.15pm). Update your CPR skills in line with new ARC guidelines. Target Group: GPs, Practice staff and Practice nurses. Presented by: Mr David Bourke at John Scott Meeting House, La Trobe University. Flyer

 

Austin Health - Division of Medicine Grand Round

“Austin Student Elective Experiences” - Presented by: UoMAustin Clinical School

Wednesday 13th April, 12:30pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building (opp. Medical Library), Austin Campus. Informal lunch at 1.15pm outside the Lecture Theatre.

 

Sleep - The Basics

Saturday 30th April 9.30am - 5pm at Austin Hospital Education Precinct, Level 4 Austin Tower, Studley Road, Heidelberg. RSVP by Thursday 21st April. Flyer.

 

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Immunisation

New vaccines coming

The Minister for Health and Ageing, The Hon Nicola Roxon, announced in February 2011 that two vaccines will be listed on the Pharmaceutical Benefits Scheme from 1 April 2011. The two new vaccines will be added to the National Immunisation Program schedule in the near future for eligible children.

• Prevenar 13® is a vaccine used to protect children against thirteen strains of pneumococcal disease. Prevenar® will be replaced by Prevenar 13® and will be available as a three-dose course for children aged two, four and six months of age.

• Menitorix® is a combination vaccine used to protect children against two diseases: meningococcal C disease and Haemophilus influenzae type b (Hib). Menitorix® will replace Hiberix® and NeisVac C®. Menitorix® will be available as a single dose for children aged 12 months of age, and reduce by one the number of shots required.

All immunisation providers will be updated further when more information is available about the transition to the new vaccines.

 

Adult pneumococcal vaccine

The Pneumovax23® vaccine is recommended for the following at risk adults:

• All people from 65 years of age. Following a first dose a second revaccination five years later is recommended.

• People aged from 10 years with medical risk factors that increase their risk of invasive pneumococcal disease. Following a first dose a second revaccination five years later is recommended and a third dose either five years later or at age 65 (whichever is later). Medical risk conditions include but are not limited to chronic cardiac, renal, pulmonary disease, diabetes, impaired immunity, asplenia and CSF leak.

• Aboriginal and Torres Strait Islander people aged 50 years and over should have a first dose of a Pneumovax23® vaccine and a second revaccination five years later.

• Aboriginal and Torres Strait Islander people aged 15 to 49 years with medical risk factors that increase their risk of invasive pneumococcal disease. Following a first dose a second revaccination five years later is recommended and a third dose either five years later or at age 50 (whichever is later).

Eligible Victorians are under-immunised with Pneumovax23® and there are deaths occurring in the target age for vaccination. Notifying eligible patients in your medical service is an important way to encourage them to attend for their scheduled vaccines.

 

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Information Management

Medical Director Tip - Retrospectively adding “Reason for medication”

From your current medication list scroll to the right and you will see a “Reason for medication” column. Double click in the blank area of a particular medication where no “reason” has been added. You will be presented with the “Reason for medication” dialogue box - this allows you to enter the reason – here you will have the choices of adding Save to PMH, summary, active etc.

 

This weeks IM problem - Downloading VSRF+ templates

Question: One of our GPs wants me to import into Medical Director, the Victorian Statewide Referral Form, Osteoarthritis Hip and Knee Referral Form, from the St. Vincent’s Hospital website, but it won’t let me as it’s in .doc format. The template is located under the For GPs, Forms section of the St. Vincent’s website. Please help!

Answer: All the VSRF+ templates (Osteo, Maternity, Urology) are on the NEVDGP website. Go to our website and get the same thing: http://www.nevdgp.org.au/?content=14#Hosp  These are .rtf files and can be imported into MD. Remember to read the import instructions.

(Great, thanks so much Noel. It worked!  Practice Nurse)

 

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Items of Interest

GP Network News

This week’s edition includes: Professional Services Review (PSR); Mental Health; Medicare Locals - AMA Online Poll; Vaccinations Outside General Practice; Post new comment

 

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News for Practice Staff

Last chance to apply for scholarships

The current round of Nursing and Allied Health Scholarship and Support Scheme: Continuing Professional Development (NAHSSS CPD) scholarships close this week.

These Commonwealth scholarships assist nurses to undertake continuing professional education activities, short courses and conferences. APNA encourages all practice nurses to apply - applications close at 5pm on Friday 8th April. Read more here.

 

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National Prescribing Service

New NPS Topic “Opioid Therapy in Chronic Pain – Use a Planned Approach"
This new NPS topic explores ways of optimising the benefits of opioids in chronic pain while minimising the harms associated with inappropriate use.  Key points for consideration and discussion include careful patient selection, clear communication about the goals of opioid therapy, how to establish an opioid trial, careful advice about proper use and monitoring, as well as strategies for monitoring breakthrough pain.  As with the sleep program, a resources rich kit is provided to participants.
The following opioid resources have been developed for health professionals by the NPS and are available on Medical Director and/or the NPS website: 1/ Pain management plan 2/ Pain Diary for patients & 3/ Patient Information Leaflet: Using opioid medicines for your chronic pain.

To organise an individual visit or case study meeting on this topic, please contact Dr Mary Levidiotis on mary@nevdgp.org.au or call 9496 4333 or use this form. Alternatively contact Mary (as above) to arrange an Introductory NPS Visit.

 

New NPS RADAR Publication – April 2011

RADAR provides timely, independent information about new drugs.  This edition looks at:

Dautasteride (Avodart) for lower urinary tract symptoms due to benign prostatic hyperplasia.

Adapalene with benzoyl peroxide (Epiduo) for severe acne vulgari.  

Vildagliptin with metformin (Galvumet) fixed-dose combination tablets PBS listed for type 2 diabetes mellitus.

The latest reviews are also available in the April software updates of Genie and Medical Director. You'll now also find links to RADAR from eMIMS product information.

Click here to view online.

 

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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

Doncaster East - GP wanted. Part time (Tuesday to Thursday) to replace retiring practitioner.  Accredited, fully computerised, non corporate private practise.  RN support. Lovely light building with friendly team and great patients.   Contact: pither.andrew@gmail.com or 0425 748 495.

 

Ivanhoe Medical Clinic - PT VR GP for 2-4 sessions/week - must include Thursday & Friday afternoons. Modern, large supportive group(10 GPs), FT nurses, computerised, CDMs, no A/Hs, friendly ,flexible, mixed billing. Good remuneration. Contact: Dr. Stephen Smith or Dr. David Doig9499 1245.

 

Northcote – FT/PT 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.

 

North Melbourne - FT VR GP required to replace recently retired doctor in well established accredited family practice. Mixed billing. Excellent remuneration @ 70% of receipts. Hours negotiable. Contact Practice Manager 0438 125 118. 

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Humour

One afternoon, a husband and wife are sitting on their balcony drinking some wine.

The wife says “I love you”. 

The husband replies “Is that you talking, or the wine?”

The wife answers “That was me, talking to the wine!”

 

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And remember

 

            … If you believe everything you read, better not read.