North East Valley DGP eNews

No 1032: September 9, 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/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Aboriginal Health                                Closing the Gap - new templates

Chronic Disease Management            Getting Started - type 2 diabetes program  

Professional Development                 CPD events   

Immunisation                                       Healthy adults required for a vaccine clinical trial, Amended PIP/GPII registration form, Immunisation Reminder 

Information Management                  New or revised templates on website, Guide to useful Medical Internet Sites, Medical Director Tips

Items of interest                                  Fast track joint replacement surgery, Myalgic Encephalomyelitis and Chronic Fatigue Syndrome, Continuum of Care for Ophthalmic patients, Tai Chi for Arthritis, GP Network News 

Mental Health                                      Acceptance & Commitment Therapy (Act) Day Program, Mental Health Outpatient Treatment Programs      

News for Practice Staff                       Nurse Pap Test Provider Awards     

NPS                                                       New NPS Practice Visit Topic

Paediatrics                                           Need paediatric clinical advice? Paediatric Neurology CPD update from the Royal Children’s Hospital    

Women’s Health                                  Type 1 in the City: Women’s Business, Sexual Health Update                   

Positions vacant/wanted                            

Fun stuff                                                        

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Aboriginal Health

Closing the Gap

Three new templates for the Closing the Gap program have been added to the NEVDGP website – see under Information Management

 

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Chronic Disease Management

Getting Started - type 2 diabetes program

Diabetes Australia - Victoria offers people with newly diagnosed type 2 diabetes or those who have not had diabetes education in the past, the opportunity to participate in the Getting Started - type 2 diabetes program. Three 3 hour sessions are run over consecutive weeks by a diabetes educator and a dietitian and provide patients with the information they need to get started with managing their diabetes. A carer or family member is also welcome to attend. Programs are run regularly throughout the year and are held at Diabetes Australia - Vic Head Office, 570 Elizabeth Street, Melbourne. Cost is $30 for Diabetes Australia - Vic members, or $35 for non-members. No referral is required but bookings are essential. For enquiries or to register phone the Diabetes Infoline on 1300 136 588 or visit our website www.diabetesvic.org.au - Type 2 Diabetes Programs & Services. The next program is on Thursdays 7th, 14th and 21st October from 6 - 9pm. Encourage your patients to register and Get Started.

 

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Continuing Professional Development

What’s New in Travel Medicine

Wednesday 6th October, 7-9pm (dinner from 6.30) Presented by Associate Professor Tilman Ruff at John Scott Meeting House. See flyer for registration.

 

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.

Sept 14 - The Neurological Examination - Dr Mark Newton

For full term Tuesday lecture program click here.

 

Austin Health - Division of Medicine Grand Round

“Austin Student Elective Experiences” - presented by Some Adventurous Semester 12 Medical Students.

Wednesday 15th September, 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.

 

Feet First

Top 10 Things Foot and Ankle surgeons wish every GP knew – Evidence Based Pearls, Mr Andrew Beischer, Orthopaedic Surgeon (Foot & Ankle Specialist); Osteoarthritis of the Foot and Ankle: Mr Andrei Cornoiu, Orthopaedic Surgeon (Foot & Ankle Specialist); The Diabetic Foot: Dr Zemin Cao, Endocrinologist. Tuesday 14th September at 7pm - dinner, at Novotel Glen Waverley – 285 Springvale Road, Glen Waverley. Contact Anne Moutsos 0420 895 910 or email moutsosa@ramsayhealth.com.au. Application has been made for QA&CPD Category 2 (2 pph)

 

The power of general practice to address alcohol-related problems.

For GPs, Practice Nurses, GP Registrars or Pre-Vocational Doctors (PGPPP) 4 RACGP QA&CPD Category 2 points have been approved. Wednesday 22nd Sept, 7-9pm (6:30pm: Registration & dinner). Learn the latest evidenced-based early intervention and comprehensive treatment information to support your patient’s health and wellbeing in relation to alcohol. Speaker: Dr Paul Grinzi, Please fax back flier on 9347 7433 or phone the Melbourne GP Network on 9347 1188 or email events@mgpn.com.au.

 

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Immunisation

Healthy adults required for a vaccine clinical trial

Austin Hospital is inviting healthy adults to participate in a clinical trial investigating the comparison of production lots of a new Dengue Vaccine. Please download the flyer for more information. They are hoping to begin appointments for the 1st round of vaccinations from the first week of October. Any practice staff are welcome to participate. The study is also open to the general public. It would be greatly appreciated if any practices are able to display a flyer in their waiting rooms.

 

Amended PIP/GPII registration form
Please be advised that the Practice Incentives Program has amended its registration forms for new GP applications (Part G application). Please discard any copies you may be holding. GPs registering for PIP/GPII need only complete an "Individual GP Details form". This form is required where a GP joins a new clinic location i.e. one for every clinic they work from.

This form is not related to the 46E. If the new GP has already signed a Section 46E Agreement from another clinic, they will not need to submit a new 46E at the new site. If the new GP has never submitted a 46E Agreement, they will need to submit one otherwise the GPII020A report will be withheld from the practice.

46E Agreements can be downloaded here.  

 

Immunisation Reminder

Children 6 months of age to less than 10 years of age require 2 doses of Panvax H1N1 vaccine. Time has run out for these children to receive a second dose of Panvax H1N1, 4 weeks after the first dose and before the stock expires. A child who has previously had one Panvax H1N1 dose, 4 or more weeks previously can still complete their second dose in September.Final  stocks of Panvax H1N1 vaccine in multi-dose vials are due to expire at the end of September.

No further stock of Panvax H1N1 will be available to order from 1st October 2010 for any person. Either Vaxigrip or Influvac seasonal influenza vaccines should now be used in children 6 months of age to less than 5 years of age who require 2 doses of influenza vaccine this year. Administer the age appropriate dose/s.

Please discuss with the parent the benefit of influenza vaccine, with the risk of febrile convulsion, in children under five years of age prior to vaccination.

CMO/ATAGI advice 30 July 2010: ‘All seasonal influenza vaccines for those aged 5 years and over are safe and effective and can continue to be recommended especially to high risk populations such as those with underlying medical conditions, Indigenous populations, those aged 65 years and over and pregnant women.

 

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Information Management

New or revised templates on website

Closing the Gap (new)

Three new templates for the Closing the Gap program have been added to the NEVDGP website:

  • ATSI PIP Incentive Patient Registration Form
  • ATSI PIP Incentive Patient Consent Form
  • ATSI PIP Incentive Patient Withdrawal of Consent Form

The delay has been caused by the protracted negotiations with Medicare Australia to gain approval. These templates reflect a higher “visual standard” and more closely reflect the Medicare paper-based forms to other MD templates that may have been advertised.

 

Referral to LMP facilitator (revised)

This has had patient goals added, one of the prerequisites for practice nurses who take advantage of the DA-V Life program for nurses to conduct First Visits with eligible “at risk” patients.

 

Austin Orthopaedic OP Booking Information Form (revised)

This has been updated but may still need to be tweaked with Page Setup to fit on one page.

 

Guide to useful Medical Internet Sites

A great new resource developed by Manly Warringah Division listing useful Medical internet Sites. This list of Medical Internet sites has been compiled to assist medical practitioners in their day to day duties. Each site is categorised as Patient or Clinical (or both) focused to assist in determining who the information is useful for. Some of the content in this document is related to the Manly Warringah Division area and as such may only be useful to those in this area. Click here to download the pdf version.

 

Medical Director Tip - Deleting recall reasons protocols

It has been years that you have had to use a convoluted method of deleting recall reason protocols in MD3.

  1. Open a patient record
  2. From the Clinical menu select Recall
  3. Click on the Add button
  4. Select a recall protocol from the drop down list. Hold mouse button down and then press Delete key on keyboard

I am sorry to report that there has been no development in this area. Surely a Remove protocol button, or at least Right click/Delete would improve this situation.

 

This weeks IM problem - Saving a recall list

Question: I can print a recall list in MD3, but how do I save the list.

Answer: There is no option to save a recall list in MD3. In MD2, however, you can. This has been as issue since MD3 was released!

 

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Items of Interest

Fast track joint replacement surgery - ESAS (Elective Surgery Access Service) at St Vincent’s Health

Does your patient have hip or knee arthritis? Do they have constant and severe pain? Have they exhausted all conservative measures? Are they a suitable candidate for joint replacement surgery? If your patient fits the criteria, please contact the ESAS clinic at St Vincent’s for prompt, specialised surgical intervention. ESAS Tel: 9288 2905 Fax: 9288 3709

 

Myalgic Encephalomyelitis and Chronic Fatigue Syndrome

Thursday 16th September, 7-9pm - Dr Byron Hyde to speak to GPs and medical practitioners at General Practice Victoria, Level 4, 458 Swanston Street, Carlton. Flyer

Saturday 18th September, 12.30-3.30pm - Dr Byron Hyde to speak to policy advisors, academics, allied health professionals and community members at Melbourne Town Hall, Swanston Street, Melbourne. Bookings are essential. Registration form

Wednesday 15th September, 7-9pm Dr Kenny de Meirleir to speak to GPs, medical practitioners and allied health providers at Craig Community Health Centre, 7 Samarinda Avenue, Ashburton. Cost: $25. Bookings are essential. Registration form. For more information on speakers visit the website.

 

Continuum of Care for Ophthalmic patients from the Royal Victorian Eye and Ear Hospital

The information for GPs on the Continuum of Care for Ophthalmic patients from the Royal Victorian Eye and Ear Hospital is now available on our GP resources page of the hospital website, under GP Liaison Newsletters. Direct link.

 

Tai Chi for Arthritis – workshop for health professionals

On successful completion of this twoday intensive workshop, you will be provided with the necessary skills and knowledge to conduct safe and effective modified tai chi classes. Tai Chi for Arthritis improves flexibility, muscle strength and integrates the mind and body. Scientific studies have shown this program significantly relieves pain and improves physical function. Friday 15 & Friday 22 October 9am-5pm venue TBC Ivanhoe area in Melbourne. Cost: $380 per person. Includes Tai Chi for Arthritis DVD, handbook and course notes. Registration deadline is 1 October 2010. Enquiries to Rani Hughes on 0409 164 396 or ranihughes@gmail.com.

 

GP Network News

This week’s edition includes: Australia can learn from NGOs about improving Indigenous health; Standards for general practices; Ethical guidelines for conducting independent medical assessments; Guidelines on disclosing medical records to third parties; Decision support kit for doctors; Remote Vocational Training Scheme; Support Family Doctors petition

 

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Mental Health

Acceptance & Commitment Therapy (Act) Day Program

Northpark Private Hospital in Bundoora is currently accepting referrals for the ACT Day Program commencing on Saturday 2nd of October. This is a structured 8-week program that teaches participants to develop acceptance of unwanted experiences and learn cognitive diffusion techniques. Participants are assisted in identifying and aligning their life with their values resulting in a move towards a meaningful life and maintaining wellbeing. For more information or to refer a patient contact the hospital on 9467 6022 and ask for Intake or Therapy.

 

Mental Health Outpatient Treatment Programs @ Victoria Court, Mitcham Private Hospital

1. Stress Management Program - Commencing Wednesday 29th September 6.30pm – 9.30pm (Weekly over 6 weeks). Suited to patients experiencing difficulty coping with day to day life when busy or put under pressure. The program assists with developing active strategies for problem solving & stress management.

2. Mood and Anxiety Disorders Program - Commencing Thursday 14th October 9am to 3pm (Weekly over 8 weeks). Suited to patients experiencing an acute episode of depression or anxiety/stress; Able and willing to discuss their current difficulties; Help them learn active strategies for symptom management, problem solving & improvement in mood.

Bookings are essential and private health insurance recommended. Referrals can be made by general practitioners and psychiatrists by completing an Outpatient Referral form at www.mitchamprivate.com.au and forwarding it to the Intake Coordinator at Victoria Court on Fax: 9210-3225 or simply call on 9210 3155 to enquire about special self funded rates, health fund rebates and work cover funding.

 

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News for Practice Staff

Nurse Pap Test Provider Awards

PapScreen Victoria is excited to announce the inaugural Nurse Pap test provider awards! There are currently 433 credentialled nurse Pap test providers in Victoria and we would like you to help us recognise and celebrate the exceptional quality of service and dedication nurses provide to the cervical screening program.

Awards will be given in six categories, three of which are open for nomination: Commitment to underscreened group; Excellence in preceptorship; Outstanding graduate. Download a nomination form at www.papscreen.org.au. Nominations close 5pm, Thursday 30 September.

For further information please contact Jane Street on 03 9635 5663 or Jane.Street@cancervic.org.au

 

APNA Salary and Conditions Survey - now open

Help us improve your work conditions by completing APNA's national survey of the salary and conditions of nurses working in general practice and go into the draw to win a free registration for the 2011 National Conference in Sydney. The survey will be open from Wednesday 1 September to midnight Thursday 30 September 2010 and only takes 15 minutes. The results will be reported in APNA's magazine the Primary Times, through the APNA website, at conferences and made available to all APNA members.

It is important that as many nurses as possible undertake this survey. Please forward the link of the survey to other colleagues who are not APNA members or direct them to www.apna.asn.au where there is a link on the home page. You can access the survey here.

 

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National Prescribing Service

New NPS Practice Visit Topic

The division recently launched a new NPS program focussing on Management Options to Maximise Sleep. GPs and Nurses have the option of taking part in one to one practice visits (approx 30 mins) or a case study meeting with colleagues (approx 60 mins). 

This program provides a valuable opportunity to discuss up-to-date, independent, practical, evidence-based information on current therapeutic issues. The topic considers the identification and causes of insomnia, the value of behavioural and cognitive therapies for insomnia as well as use of hypnotic medications. The program also looks at discontinuation plans for patients who have been using hypnotics them for long periods and also addresses how to minimise the potential harms of hypnotic medicines. Additional benefits include provision of RACGP points, nurses points, well QPI PIP points and evidence of continuing professional development for accreditation purposes. 

If you or your practice regularly participates in NPS practice visits program, the division will contact you before the end of December 2010 to organise a visit.  If you are not a regular participant in this program please complete one of the attached forms and return to the division. GPs or nurses.

 

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Paediatrics

Need paediatric clinical advice?

Call 9345 7060 the RCH GP Quick Access line. All general clinical enquiries should go to the Emergency Department.  If you need to speak with a speciality unit, please tell Switch which specialty you need, the urgency of your query (eg next 2 hours, today, within 24 hours) and a number you can be easily contacted on for that time frame. If very urgent, switch can attempt to connect you directly. RCH Primary Care Liaison www.rch.org.au/kidsconnect.

Paediatric Neurology CPD update from the Royal Children’s Hospital

Register now for the final Practical Paediatrics Program for 2010, ‘Fits, faints, tics and more’. An outstanding line-up of speakers, and learning areas including headaches in childhood and adolescence, migraine, fits, faints and febrile convulsions, tics, head injury, screening for muscular dystrophies, childhood stroke, when to suspect a brain tumour, big heads, neuro-developmental issues and more!

Saturday October 2nd 9-12.30 with a delicious brunch at Royal Children’s Hospital (easy Saturday parking). For more information click here. Register online.

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Women’s Health

Type 1 in the City: Women’s Business (For women only)

Diabetes Australia – Vic presents Profession Jeremy Oats discussing women’s diabetes health issues, including menopause and sexual health. All your questions answered. Wednesday 15 September - Registration opens at 7.00pm. At Charles Latrobe Theatre, Royal Melbourne Hospital Function and Convention Centre, Grattan Street, Carlton. Cost: $5 for DA–Vic members plus one guest, $15 for non-members. Bookings essential 1300 136 588

Sexual Health Update

Family Planning Victoria (FPV) newsletter of current issues surrounding sexual and reproductive health, as well as providing updates on FPV news and events. 

FPV’s Sexual Health Update is distributed three times per year. To Subscribe Click here.

For previous editions of Sexual Health Update and other FPV newsletters visit our website at www.fpv.org.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

Fairfield - F/t or P/t VR GP required for 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 Merigan on 03 9481 4861 or 0417 596 180.

Fairfield - GP wanted 3 sessions per week to cover maternity leave mid November for 7-8 months. Good remuneration. Contact Dr. Paul O’Halloran or Dr. Debbie Moors on 9481 7322.

Ivanhoe – GP required to work for 1 – 2 Saturday afternoons per month 12md – 4pm in our friendly well established Medical Practice in the centre of Ivanhoe.  Generous rates (underwritten). Please contact: Dr Peter Eizenberg (Principal) or Mary Howe (Practice Manager) - ‘Doctors of Ivanhoe’ on 9497 1644.

Ivanhoe - VR GP FT or PT required to work in this GP operated accredited medical centre. A friendly and supportive team environment in this computerised medical centre with Psychologists, Physiotherapist, Podiatrist, Dietician, Nursing staff and Radiology on site, no After Hour’s, family friendly, flexible hours . Please contact John or Ken on 03 9497 1188.

Kensington - GP, Full and Part-Time sessions available at Doutta Galla Community Health Service. Attractive salary,
hours/days are flexible, no weekends and attractive remuneration package. Practice hours are Mon-Fri 8.30am-6pm. Support from: allied health, nursing staff and mental health nurses. Research and special interests encouraged. Fully electronic, Collaboratives practice, participate in preventative care utilising the PEN CAT Data Extraction Tool and Doctors Control Panel. Please contact Dr David Fong (03) 8378 1600 or email david.fong@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  

Preston -   Ft/Pt VR GP wanted for a friendly long established family practice, accredited, fully computerised, registered nurse and on-site allied health. Contact:  Dr Quoc Tiet on 03 94703455 or Email: trmg.@iinet.net.au

Practice Staff

Fairfield - part time practice nurse and receptionist required. Contact Sharyn on 03 9486 6833.

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Humour

A few of the best & worst jokes from the Edinburgh Fringe Festival

Best jokes

1. “I’ve just been on a once-in-a-lifetime holiday. I’ll tell you what, never again.”

2. “As a kid I was made to walk the plank. We couldn’t afford a dog.”

3. “Dave drowned. So at the funeral we got him a wreath in the shape of a lifebelt. Well, it’s what he would have wanted.”

Worst jokes

1. “Why did the chicken commit suicide? To get to the other side.”

2. “I like to play chess with bald men in the park although it’s hard to find 32 of them.”

3. “How many Spaniards does it take to change a lightbulb? Just Juan.”

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And remember

            Experience is something you don't get until just after you need it.