North East Valley DGP eNews

No 1116: June 2nd, 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:

Chronic Disease Management            Insulin Pumps and Beyond, National Diabetes Week

Professional Development                 CPD events   

Immunisation                                       Reminder: Pnuemovax23 vaccine   

Information Management                  Medical Director Tips

Items of interest                                  Clinical Incident Review Panel (CIRP), Discharge Summary – New Format, GP Network News          

Men’s Health                                        Men’s Health Week

News for Practice Staff                       Medical Receptionists Seminar, Practice Managers' Network, Liver update: Advances in Hepatitis C & the role of Fibroscan     

Women’s Health                                  General Update on Pregnancy Care            

Positions vacant/wanted                            

Fun stuff                                                        

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Chronic Disease Management

Insulin Pumps and Beyond

An information session for people with type 1 diabetes presented by Diabetes Australia – Vic. Professor William Tamborlane, endocrinologist from Yale University, USA, will give an overview of insulin pump therapy as well as discuss recent advances in continuous glucose monitoring.

Tuesday, 14 June, 6.30pm for a 700pm start at Charles Latrobe Theatre, Royal Melbourne Hospital. Bookings essential – 1300 136 588. Free – DA-Vic members and one guest. $10 non-members. For more information please read the event flyer.

 

National Diabetes Week 10–16 July

Diabetes Australia – Vic will launch a new campaign at the start of National Diabetes Week. The purpose of this year’s campaign is twofold. It encourages the two million Australians at high risk of developing type 2 diabetes to assess their risk and also encourages the one million Australians who have diabetes to have regular eye checks. For more information and to order resource material contact Colin Carey on (03) 9667 1717 or email CCarey@diabetesvic.org.au.

 

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Continuing Professional Development

Austin Health - Division of Medicine Grand Round

“ED MET – An Emergency within an Emergency” Speaker: Dr Joanna Richardson, Emergency Department

Wednesday 8th June, 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.

 

Practical Diabetes Management

Saturday 18th June 9am - 4pm at Melbourne Convention and Exhibition Centre. A training day for GPs by the Australian Diabetes Society. Topics to be discussed include: New diagnostic criteria for diabetes? Initiating and adjusting insulin; Management of diabetic foot disease; New agents for diabetes; Diabetes and pregnancy. Register here. See flyer  and for more information visit the website or call 03 5983 2400.

 

Early Detection and Management of Chronic Kidney Disease

Presented by: Dr Peter Mount, Nephrologist, Austin Hospital

Wednesday 29th June, 6:30 pm-9pm (Dinner from 6:00 pm) at John Scott Meeting House, La Trobe University. Flyer

 

Liver update: Advances in Hepatitis C & the role of Fibroscan

An opportunity for GPs and Practice Nurses to learn the latest news on the treatment of Hepatitis C and a “hands-on” introduction to Fibroscan. Including: Advances in the treatment of chronic hepatitis C; Non-invasive assessment of liver fibrosis using Fibroscan; The role of Hepatology Clinical Nurse Consultants

Wednesday, 29th June, 6.00 – 9.30pm at St Vincent’s. See flyer for more information, registration and map.

 

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Immunisation

Reminder: Pnuemovax23 vaccine

This is a reminder that the second dose of Pnuemovax23 vaccine has been suspended. This is pending the outcome of a review of an increased injection site reactions following administration of the second dose.

A First dose of pnuenovax23 is still recommended for: All people age 65 or over; Aboriginal and Torres Strait Islander people age 50 and over; Tobacco smokers; People age 10 and over who are predisposed to invasive pneumococcal disease.

This alert is not applicable to the use of the 7-valent pneumococcal conjugate vaccine (Prevenar) given to children.

Please report all adverse events to any vaccine to SAEFVIC on 1300 882 924 or at www.saefvic.org.au.

This is an opportunity to update yourself about adult vaccines. For information on adult vaccinations in a fact sheet please go to the ncirs website Order resources online.

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Information Management

Medical Director Tip - Don’t leave Family and Social History fields blank

You should not leave the Family/Social histories sections blank when a patient has no known family/social history issues, as the next person who looks into the this section has no indication that the questions have been asked. A better way is to type in “No sig. Fx” or “NAD” but then importantly add the date of the patient interview/consultation. This makes it easier for everyone. In fact it is a good idea to date any entry in the Family and Social History fields.

 

This week’s IM problem - Adding date of death after a patient has been deceased

Question: When a patient is “deceased” without entering the date of death, how do we later add the date of death? Do we have to “undead” the patient then “re-dead “him so we can enter the date of death? We can open his record, and look at the patient details, but I can’t find anywhere to enter date of death there.

Answer: You can view your deceased patients by:

1.      No patient record open.

2.      Select Patient >List… and select Deceased patients from the drop down list (at top of screen).

3.      In the list of patients that appear you can see there is a “Deceased” column which displays the date of death (or blank if no date has been entered).

4.      If you double click on one of the patients the Patient Details window appears for you to edit, but there is nowhere to add date of death.

So you are correct – you need to use the Patient Reviver of HCN Maintenance to “restore” the patient (or “undead” them in your words). then decease them again (“redead” in your words), filling out the date of death. If anyone knows a better answer please let me know.

 

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Items of Interest

Clinical Incident Review Panel (CIRP)

A call for nomination from Department of Health for a GP representative, who is a current Visiting Medical Officer (VMO) of a regional/rural health service and interested in serving as the GPV representative on the Clinical Incident Review Panel (CIRP).

If you have any queries about the work of the Clinical Incident Review Panel, contact Laurene Graham at Dept of Health on 03 9096 7870.

Questions about submitting nominations to GPV can be addressed to Robyn Shaw on (03) 9341 5216.

 

Discharge Summary – New Format

On June 15th Austin Health will commence using a new electronic Patient Record System – the CERNER system.  As a consequence, the discharge summary that you receive from this date will have a different format.   However the Emergency Department and Day Surgery Discharge Summaries will remain unchanged. 

With the introduction of the CERNER system, Austin Health will be relying on the Human Services Directory (HSD) to access GP details.  To ensure that communication is addressed correctly, I would encourage all GPs to check that their details on the HSD are up-to-date.  Should you have any questions regarding this change, please contact the GP Liaison Officer, Dr. Wendy Fisher, wendy.fisher@austin.org.au.

 

GP Network News

This week’s edition includes: Opposition growing to cuts to GP Mental Health Treatment Plans; UGPA calls for reinvestment in cut mental health items; National Conference Awards; AMA Roll of Fellows; RACGP Research Grants - Deadline extension; Hertz - Rent for 3 pay for 2!

 

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Men’s Health

Men’s Health Week

‘Time to talk tackle’ is the theme for International Men’s Health Week – June 13-19. Andrology Australia, the Australian Centre for Excellence in Male Reproductive Health has free resources available. To find out more go to www.andrologyaustralia.org or call 1300 303 878.

 

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News for Practice Staff

Medical Receptionists Seminar - Triage at the front desk

Tuesday 21st June 6:30 pm-9pm (Dinner from 6pm) John Scott Meeting House, La Trobe University. Presented by: Panel of NEV staff, PMs, PNs and GPs.  

[Application Form]

 

Practice Managers' Network

Wednesday 22nd June 6:30 pm-9:00 pm (Dinner from 6pm) at John Scott Meeting House, La Trobe University. [Map]

  • Occuational Health and Safety
  • IM Update - Personally Controlled Electronic Health Record
  • Bowel Cancer Screening project Target Group: Practice Managers

[Application Form]

 

Liver update: Advances in Hepatitis C & the role of Fibroscan

An opportunity for Practice Nurses to learn the latest news on the treatment of Hepatitis C and a “hands-on” introduction to Fibroscan. See under CPD.

 

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Women’s Health

General Update on Pregnancy Care

The Royal Women’s Hospital with The Melbourne Division of General Practice is holding a CPD session for GPs, shared maternity care affiliates and other health professionals covering a range of common queries and concerns from GPs in their care of pregnant women. Speaker: Dr Ines Rio, Head GP Liaison Unit and clinician at RWH.

Tuesday 7th June 7.30 pm - 9.15 pm (Light refreshments 30 minutes prior) at Seminar Room 7D, 7th Floor, The Royal Women's Hospital: Cnr Grattan St and Flemington Rds, Parkville. RSVP: By 3 days prior to session to Ines Rio: Ph: 8345 2064 email: ines.rio@rwh.org.au.  

Parking is available at the car park under the hospital: accessible from Flemington Rd. Cost is $12 for 2 hours. RACGP CPD points: Applied for (4 category 2 points). These points will also contribute to 2014-2016 reaccreditation as a shared maternity care affiliate GP at RWH.

 

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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

Diamond Creek – PT/FT GP wanted for accredited, computerised practice. Private billing (high fees), practice nurse support, visiting specialists. Physio, psychologist & psychiatrist on site. Supportive, friendly and happy workplace. Contact practice manager Lina Rogers on 9348 1911 or 0407 119 780.

 

Hurstbridge – F/T or P/T VR GP required for computerised, fully accredited medical centre located in a lovely leafy semi-rural environment.  A fabulous, friendly work environment with nursing support and ancillary health.  Outer Metro Relocation Incentives could apply.  Contact Heather Fisher (Practice Manager) 9718 2611, 0407 355 035 or hfisher@hurstbridgemedical.net.au

 

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.

 

Practice Staff

Greensborough - We require an experienced, highly motivated medical receptionist for our busy clinic.  Permanent part time including weekends.  Email resume to info@sunrisemedicalcentre.com.au

 

Ivanhoe - Practice nurse required for busy friendly 5 Doctor Clinic. Tuesday, Wednesday and some relieving shifts. Duties include General Practice nurse duties. The ability to do care planning would be an advantage.  Contact Meri on Ph 9497 1188

 

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Humour

A Frog's Life

Once upon a time in a land far away, a beautiful, independent, self-assured princess happened upon a frog as she sat contemplating ecological issues on the shores of an unpolluted pond in a verdant meadow near her castle.

The frog hopped into the princess' lap and said: ' Elegant Lady, I was once a handsome prince, until an evil witch cast a spell upon me. One kiss from you, however, and I will turn back into the dapper, young prince that I am and then, my sweet, we can marry and set up housekeeping in your castle with my mother, where you can prepare my meals, clean my clothes, bear my children, and forever feel grateful and happy doing so.'

That night, as the princess dined sumptuously on lightly sautied frog legs seasoned in a white wine and onion cream sauce, she chuckled and thought to herself:

I don't think so.

 

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And remember

 

            …Never miss a good chance to shut up.