North East Valley DGP eNews

No 1435: October 8, 2014
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                                                SHAPING THE FUTURE OF GENERAL PRACTICE SUPPORT           

Chronic Disease Management            APNA CDM Workshop

Professional Development                 CPD events   

Immunisation                                       Clinical Vaccinology Update

Information Management                  Medical Director, Best Practice & General Computer Tips

Items of interest                                  “D-Day for Cancer: at what cost?” Material Aid Program, GP Network News

Paediatrics                                           Australian Doctor Paediatrics Seminar, Child Dental Benefits now claimable through Medicare

Women’s Health                                  Breast screening enquiries set to rise following TV advert

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

IMPORTANT EVENT: IMPORTANT EVENT: IMPORTANT EVENT: IMPORTANT EVENT: IMPORTANT EVENT: IMPORTANT EVENT:

 

SHAPING THE FUTURE OF GENERAL PRACTICE SUPPORT – Dr NORMAN SWAN (facilitator)

On Tuesday October 21st The North and West Melbourne Primary Care Network (NWPCN) is hosting a very important event at the Darebin Arts Centre (Link to invitation). We would urge all general practitioners, practice managers and practice nurses who are able to attend, to join us at this event. The Division has held several meetings with the NWPCN and unlike earlier experiences with Medicare Locals, our opinions and advice have been sought.

 

Now is the opportunity for you to hear about developments in the establishment of the new Primary Health Networks and to help shape the future of Primary Care Support in Melbourne’s North. Facilitated by Dr Norman Swan your views and opinions will be keenly sought about the cessation of Medicare Locals and the establishment of Primary Health Networks.

 

You are assured of a warm welcome and Divisional staff will be in attendance. Come along with a list of suggestions, needs and expectations.

 

WE LOOK FORWARD TO SEEING YOU THERE

 

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Chronic Disease Management

APNA CDM Workshop

Primary health care nurses are ideally placed to assist their community with the management of chronic diseases. APNA’s Chronic Disease Management Workshops have been designed and facilitated by nurses including content delivered by leading Australian chronic disease management organisations.

Friday & Saturday 17 and 18 October at The Pullman, Albert Park, Melbourne. See here for more information and registration.

 

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Continuing Professional Development

Professional Development Event October 21, 2014

(Supported by the North East Valley Division of General Practice)

Primary Care Forum: shaping the future for your local Primary Health Network, Facilitated by Dr Norman Swan

We encourage and appreciate the opinion of our primary health care practitioners and invite you to join in on discussion about the cessation of Medicare Locals and the establishment of Primary Health Networks.

Tuesday 21st October 7-9pm (6:30 – Refreshments and Registration) at Darebin Arts Centre, Cnr Bell St and St Georges Road, Preston. Flyer

Contact: Moira Clarke, North and West Melbourne Primary Care Network on Tel: 8731 6506 or email: ea@swmml.org.au.

 

Managing mild to moderate body psoriasis

ThinkGP invites you to take part in a new piece of sponsored video education on the management of mild to moderate body psoriasis. Click here to watch the interview.

 

Australian Doctor's Rural Seminar

Saturday 8th & Sunday 9th November at Sofitel, Gold Coast.

This two-day seminar is packed with an array of educational opportunities including Australian experts providing updates on key general practice areas such as Dermatology, Diabetes, Mental Health and many more! For more information and registration click here.

 

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Immunisation

Clinical Vaccinology Update (CVU)
Wednesday November 12, 12-5pm and 5.30-9.00pm
 at Monash University Caulfield Campus. Jim Buttery and the Monash Immunisation team have put together an excellent program of local and interstate speakers, addressing current vaccine topics and special interest areas. The program details and booking form is now open via our Melbourne Vaccine Education Centre (MVEC) website. This CVU is running both an afternoon and evening program, with options to book for one or both of the sessions. We hope the evening session will make it easier for busy immunisation providers and general practitioners to attend. The last talk is being presented by Michael Moore, the CEO of the Public Health Association of Australia. We hope this will facilitate a lively discussion on immunisation in primary care, a where to now? Following the demise of Medicare Locals. It has been confirmed the evening session will be facilitated by NEVDGP Chair, Dr Peter Eizenberg. It is recommended to book now before places are filled.

 

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Information Management

Medical Director Tip - Adding structure to Progress Notes – the SOAP protocol

The Progress Notes of Medical Director are structured according to the SOAP protocol. The order in which the Progress Notes are compiled is according to the SOAP protocol, not the order that you enter the notes.

 

There are 2 sets of keyboard shortcuts to put in headings that support a structured approach to the progress notes:

1.      SOAP protocol (Subjective, Objective, Assessment, Plan)
Typing s: places the Subjective heading into the notes (include the colon)
Typing o: places the Objective heading into the notes (include the colon)
Typing a: places the Assessment heading into the notes (include the colon)
Typing p: places the Plan heading into the notes (include the colon)

 

2.      History, Examination, Reason for contact, Plan
Typing hx (no colon) places the History heading into the notes
Typing oe (no colon) places the Examination heading into the notes
Typing dx (no colon) places the Reason for contact heading into the notes
Typing mx (no colon) places the Plan heading into the notes
Remember: Don’t free type the reason for contact, rather use the Reason button and enter a coded item.

 

This week’s MD problem - Adding multiple reasons for contact

Question: I often have patients who present for a variety of reasons. Is there a quick way of adding several reasons for contact in the Progress Notes?

Answer: Not really. You need to click on the “Reason” button, select the reason from the drop down coded list, and then repeat this process for each reason. Each reason you enter is recoded as Reason for Contact in previous Progress Notes.

 

Best Practice Tip - Adding structure to Progress Notes – the SOAP protocol

Overview

The Today’s notes of Best Practice are structured according to the SOAP protocol:

·         Subjective – this includes information you have learned from the patient. Shortcut = S: (i.e. S followed by a colon)

·         Objective - this section includes observations and measurements that you have made during the physical examination. This includes:

o   the vital signs.

o   a general description of the patient. Shortcut = O:

·         Assessment – this is effectively the diagnosis. Shortcut = A:

·         Plan – which diagnostic testing and how you will treat each problem, such as with medications, therapy, lifestyle change. Shortcut = P:

 

Best Practice problem - Adding multiple reasons for contact

Question: I often have patients who present for a variety of reasons. Is there a quick way of adding several reasons for contact in Today’s notes?

Answer: This is achieved by using the “Another” button when recording “Reason for visit”

1.      Create the first Reason for visit and then click on the Another button.

2.      Add the second and subsequent reasons.

 

Note: The final prescribing screen also has the Another button.

 

 

 

 

 

 

 

 

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Items of Interest

“D-Day for Cancer: at what cost?”

Invitation to the Smallwood Oration - Annual public lecture honoring the immense contributions made to Australian Medicine and Austin Health by Professor Richard Smallwood AO. Lecture to be given by Professor Richard Kefford AM, Director Westmead Institute for Cancer Research.

Tuesday October 28th 5.30pm at Austin Health, John Lindell Lecture Theatre, Studley Road, Heidelberg.

 

Material Aid Program

Does your clinic have expired but perfectly useful medical materials? There is a way for you to make a difference and support communities in need. The Material Aid Program is a student run initiative that collects donations of medical equipment and materials from GP clinics and hospitals and sends it to under-resourced communities. If you would like a list of equipment most needed and think you may be able to help contact Kay at material.aid@muhi.org.au or on 0452 448 188

 

GP Network News

This week’s edition can be found here.

 

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Paediatrics

Australian Doctor Paediatrics Seminar

Saturday 11 October 8am: registrations; 8:30am - 3.25pm: Paediatrics seminar; 3.25pm - 5.00pm: CPR (optional)at Law Building, University of Melbourne.

See here for more information and registration.

 

Child Dental Benefits now claimable through Medicare

Dental benefits for millions of children have been boosted with the launch of the Commonwealth Child Dental Benefits Schedule this year. Benefits cover a range of dental services such as examinations, x-rays, cleaning, fillings and extractions, for children aged 2-17 if they receive Family Tax Benefit A or other relevant Australian Government payments. Total benefits are capped at $1000 over two years and are available at all Victorian public dental clinics and participating private dental practices. For more information click here.

 

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Women’s Health

Breast screening enquiries set to rise following TV advert

BreastScreen Victoria has launched a media campaign to run until 23 October across television, radio and online which specifically targets women over 50.  The number of enquiries about screening may increase in this period so it is good to keep up to date with current policy and procedures  and know your local BreastScreen clinic.

For more information about BreastScreen Victoria go to the Frequently Asked Questions for health professionals. You can order information resources here to have in your practice.

 

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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 - Female GP with Mandarin/Cantonese speaking skills wanted to work part-time in a DWS position. Tel: 0433 155 451.

 

Greensborough Road Surgery is currently seeking a Full-Time GP, approx 8 sessions pw. A position is available for an enthusiastic GP to join our team in a modern, well-equipped 10-doctor practice, offering high-quality care in an experienced and supportive environment. Private billing, computerised, 2.5 full-time nurses, (clinical CVC, and CDM.)  Contact Ann McCormack (03) 9435 0711 or email grs@grs.net.au or see www.grs.net.au.

 

Ivanhoe Medical Clinic – an opportunity exists for VR GP to join this modern, computerized medical clinic. Large supportive group (12 GPs), FT nurses, CDMs, no A/Hs, friendly, flexible, mixed billing. Good remuneration. Contact:- Dr.Stephen Smith – 9499 1245.

 

South Morang Medical Centre seeking VR GP – would suit male wanting part-time afternoon sessions and some Sat am.  Contact Wendy Reichstein (9436 4222) or email southmorang@smmc.com.au.

 

West Heidelberg - GP wanted to join a solo GP practice, part time or full time. Please call 0435 815 187 or email lathaherath@hotmail.com.

 

Practice Staff

Coburg – Casual receptionists required to join our Customer Service Team. As the first point of contact to patients and visitors, you will play a vital role in the Practice with your key responsibilities being meeting and greeting patients, answering the phone calls and making appointments, processing payments, managing patient records and general administration duties. Email your resume to jskmedicalgroup@gmail.com.

 

Craigieburn - Experienced Practice Nurse required for busy medical centre.  Two days per week, additional hours may be available.  Fully computerised practice. Award rates. Contact Leanne craigieburncentralmedical@gmail.com.

 

Heidelberg - Practice Nurse required by Mount Street Medical Centre. Previous experience in General Practice or RDNS is desirable. Two days per week – Wednesday and Friday, 8:30am to 5:00pm with a view to increase to three days per week. See here for more detail or contact Janina De Silva, Manager on (03) 9459 1100 or email mtstmedical@bigpond.com for a position description (Monday and Friday).

Thornbury - Div 1 Practice Nurse required on a part time basis, Thursday & Friday 9am – 4pm for our busy, accredited & computerised family clinic. Friendly working environment and excellent remuneration. Please email resume to the practice manager on receptiondundasmc@bigpond.com or fax 03 9484 1082.

 

West Heidelberg - Div 1 GP nurse wanted to join a solo GP practice. Initialy 22 hours per week. Please call 0435 815 187 or email lathaherath@hotmail.com.

 

Positions wanted

Locum/Assistant available NOW, any session, anywhere, anytime even with short notice; Competent experienced VR GP, minimum fee $220 per hour plus travel allowance plus GST; Phone 0412 188 332

 

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Humour

Two Eskimos sitting in a kayak were chilly. They lit a fire in the craft, it sank, proving once and for all that you can't have your kayak and heat it too.

 

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And remember

 

            In hotel rooms you’re probably not the only person who sits on the furniture naked.