VoteGP | RACGP | AMA

Did you know it is election season? It’s almost time to decide on the leadership teams that the RACGP and AMA will have moving forwards in these uncertain days.

 

First, the RACGP.

 

Three GPs have thrown their hats into the ring so far – I wish them all the best of luck, a fair hearing, and look forward to the RACGP elections as a beacon of probity and ethical behaviour rarely seen in our country’s elections.

Election info here

Voting info here

 

DR KAREN PRICE

 

DR CHRIS IRWIN

 

DR AYMAN SHENOUDA

 

Vote! The turn out for the RACGP elections is quite small (why?) and so your vote really does count. Take the time to be informed and again, vote!

 

Now, the AMA.

 

National Conference 1 August

 

At the recent Federal AMA Annual General Meeting the Association’s Constitution was amended to authorise the AMA National Conference to be held on-line. The AMA National Conference, at which election of a new Federal President and Vice President will be conducted, will be held by Zoom video conference from 10am AEST on Saturday 1 August 2020.

 

Nominations for President and Vice President are now open. Nominations can be made by way of email to secgen@ama.com.au. Nominations close at 5pm AEST on Friday 17 July.

 

The AMA has adopted a target of 40% women, 40% men, and 20% flexible for all AMA Councils, Committees and Boards, with a gender diversity target of women holding 50% of Federal AMA representative positions overall by 2021. AMA members are invited to help achieve these targets. These targets will particularly inform the finalisation of the expression of interest assessment for uncontested delegate positions.

 

Of course, if you want to vote for a great General Practice, supporting great GPs to serve their patients, with wonderful services and facilities…the choice is clear!

 

PartridgeGP

 

COVID clearance certificates and PartridgeGP

Did you know medical certificates expire? They have an end date! So when an employer or other entity asks for a clearance certificate, this is what we are going to write:

Dear Employer,

The whole point of a medical certificate is to certify someone unwell or unfit. This is why there is a beginning date AND an end date. At the end date, the patient is no longer certified unwell/unfit. I have enclosed the negative COVID results and you will note your employees certificate has reached its end date. I further enclose professional advice from our professional organisation in regard to this. It follows that the certificate of ‘clearance’ you are suggesting is unprofessional and those who would provide one are acting similarly.

I hope this information finds you well.

Regards

Doctor Nick
Specialist GP

Hope this helps! If you are still unwell or need any further information, say hi to your PartridgeGP and book in here for a phone or face to face consult!

Divided, the Empire must unite…

Romance of the Three Kingdoms is
one of China’s four Great Classical Novels. The title of this blog post is more fully:

The empire, long divided, must unite; long united, must divide. Thus it has ever been.

PartridgeGP is based on a triple promise that we will be great for our patients and our community, GPs and our staff, and for the owners and the practice. Further, we will provide a comprehensive, professional, empowering, and sustainable service at all times.

Our friendly neighbourhood pharmacist sent this to me (see below). He was a little worried about the threat to his full service pharmacy and also to great General Practice.

Hmmmm

Now different companies will have different service offerings at different levels of the market. Think Porsche and Hyundai. Both very acceptable to different groups. Maybe even acceptable to the same group at different times. I’m not sure they are competitors.

I put my thoughts down here:

Upon reflection…

So keep playing to your strengths, keep doing your best, and unite not divide.

If you want to join a team that’s here to guide and help our valued patients, give Dr Nick Tellis or Dr Nick Mouktaroudis a call at PartridgeGP on 8295 3200!

Fewer Opioids More Options PartridgeGP Movement Theory

Did you know that here have been some big changes with the pack sizes of immediate release opioids/narcotics under the PBS as of June 1?

 

Me neither!

 

What does this mean in English? It means that doctors will be unable to prescribe large packs of addictive medication without ringing the government and asking for permission (with good reason!). 

 

Why?

 

Some good information can be found here

 

But to summarise:

 

The drugs work in the short term – but they don’t keep working

We have better and safer options

These drugs kill people

 

These changes haven’t been well publicised…but here they are:

 

 

pbs changes1

pbs changes 2

pbs changes 3

 

And:

 

Patients who require long-term treatment of chronic pain with opioids will still be able to access larger pack sizes and prescribers will be able to prescribe repeats where they meet the new restrictions requirements.


For chronic pain, increased quantities and/or repeats may be authorised by Services Australia where the patient meets the restriction requirements. Increased quantities to extend treatment up to one month may be requested via telephone/electronic authority request, and up to 3 months’ supply (up to 1-month quantity and up to 2 repeats) may be requested via an electronic/written authority request.


To be eligible for treatment with high strength opioids such as morphine, patients will need to be unresponsive or intolerant, or have achieved inadequate relief of their acute pain, following maximum tolerated doses of other lower strength opioid treatments.


These new arrangements apply to all PBS listings for opioid medications and therefore there will also be amendments to the tramadol and paracetamol/codeine restriction requirements.


All new and amended restrictions will be updated on the PBS website (pbs.gov.au) from
1 June 2020.

 

What does this change mean for prescribers?


The new opioid listings for reduced pack sizes will provide a simplified way for prescribers to  prescribe smaller quantities of immediate release opioids for acute, short-term treatment.


Prescribers must ensure that patients meet the relevant restriction criteria when prescribing opioids under Restricted Benefit and Authority Required (STREAMLINED) PBS listings. The ‘streamlined authority code’ is located on the relevant PBS listing on the PBS website. To prescribe an Authority Required (Telephone/Electronic) item, the prescriber is required to request authority approval from Services Australia through the Online PBS Authorities System or by calling 1800 888 333.


To ensure appropriate use of opioid medicines for the management of pain, patients must be referred to a pain specialist or alternative prescriber for clinical review if opioid use exceeds or is expected to exceed 12 months. The date of the review and name of the medical practitioner consulted must be provided for every authority application.

 
low angle photography of a road
Moving Forward

 

So from June 1:

 

  • If these addictive narcotic medications are required, your GP may prescribe smaller packs for your use
  • Please please please speak to your GP about any issues you are having – we have lots of options including counselling, physical therapy, diversional therapy, physiotherapy, non-drug therapy, other medications, and referrals to non-GP specialists for complex problems
  • We still care, we still want to help, we want to be safer and better for you
  • If you are on medications for 12 months or more, you will need to have a formal consult with another GP or specialist in addition to your usual GP to keep getting medication on a PBS (subsidised) prescription. 

 

We are here to help you

bitmoji-201810211116001788437233130934466.png

PartridgeGP

Bookings

If you would like to work with us, call Dr Nick on 8295 3200 or click here

movement theory

Movement Theory

Bookings

Risk and COVID19

Did you know that they just released data from 17 million anonymised patients in the UK and analysed risk factors for #covid19 ?

Full Paper here

We are only a phone call (with video if needed!) away if you need more information.

SA has guidelines – the roadmap back!

And in the future

Did you also know that we can Test You for COVID 19 / Coronavirus if

Unexplained fever / chills
Unexplained cough/sore throat/short of breath
High risk settings:

Aged care and other residential care facilities
Healthcare settings
Military – group residential and other closed settings, such as Navy ships or living in accommodation
Boarding schools and other group residential settings
Educational settings where students are present
Childcare centres
Correctional facilities
Detention centres
Workplaces where social distancing can’t be readily practised
Remote industrial sites with accommodation (e.g. mine sites)
Aboriginal and Torres Strait Islander rural and remote communities, in consultation with CDCB
Settings where COVID-19 outbreaks are occurring, in consultation with CDCB

Testing at
Australian Clinical Labs 670 Anzac Highway Glenelg IN YOUR CAR

82952877

You still need a doctor’s referral so
Partridge GP here for phone consults at http://bit.ly/2XmM0n5 or by calling 82953200 or
HIT THE BIG BLUE BUTTON! at http://www.partridgegp.com.au

We’re here to serve you during this difficult time as we always have
To make a phone appointment click here http://bit.ly/2XmM0n5 or call us on 82953200

PartridgeGP | Telehealth | COVID19 | Physical Examination

We all want to provide great general practice care. Most of this comes from time, curiosity, and interest in our patients. When we turn our attention and medical skills to their problems and issues we do better work.

Physical examination has been around since antiquity and is a useful adjunct to taking a great history. Much like over investigating, physical examination is not always needed.

General practice is so much more than compliance and paperwork.

So much can be pared away to reveal the essence of what we do.

In the time of #COVID19, perhaps we can chip away to reveal our statues of David rather than be inflexible blocks of government marble.

More ideas here!

Another set of thoughts, better expressed…

It’s time for emergency physicians to put away our stethoscopes

By Jeremy Samuel Faust

Since 1986, federal law has mandated that any patient requesting emergency medical care must be evaluated by a physician to assess for any threatening conditions. The law, often referred to as the “anti-dumping law,” requires that physicians perform a medical screening evaluation, including a physical examination.

Over time, the interpretation of this mandate has slowly expanded, not by law so much as by custom. This is why emergency rooms have become our nation’s safety net for care. Despite increasing popularity of urgent-care clinics and telehealth, many patients who could have safely been cared for elsewhere still end up in emergency rooms.

While many of us embrace that mission with pride, it is dangerous and wasteful in the coronavirus pandemic. We need to course-correct to keep everyone safe. Exposing patients to emergency rooms is now far riskier than it was before. In turn, health-care workers must assume that all patients are infected. This forces us to blow through personal protective equipment that we desperately need so that we do not become infected ourselves.

Over the past few decades, we have learned that many, if not most, of our physical examination maneuvers provide little reliable information. In most cases, the information we need can be obtained simply by interviewing patients. But old habits die hard, and patients seem to love our stethoscopes. In our current situation, that simply won’t do.

We need the federal government to allow us to perform medical screening exams via video or through glass doors, even for patients entering emergency rooms. The removal of the requirement that we evaluate every patient by hand will save resources and keep everyone safer.

In recent meetings and phone calls with stakeholders, the Centers for Medicare and Medicaid Services has signaled that it is seriously considering making this change. But it has not materialized, and time is of the essence. The moment to act is now.

Jeremy Samuel Faust is an emergency physician at Brigham and Women’s Hospital in the Division of Health Policy and Public Health, and an instructor at Harvard Medical School.

Welcoming Dr Zoe Teh to PartridgeGP

PartridgeGP is proud to welcome Dr Zoe Teh to our team!

 

dr zoe teh

 

Dr Zoe completed her undergraduate medical training at the University of Adelaide, and spent her intern and resident years between the Royal Adelaide Hospital and Queen Elizabeth Hospital. She undertook her General Practice training in a number of clinics across southern Adelaide, and is particularly interested in sexual health, women’s health (including Implanon insertion and removal), and preventative medicine. She is also fluent in Mandarin!

 

 

We welcome Dr Zoe to Our Team here at PartridgeGP to be Your GP!

 

 

She is available to help you with all of your General Practice needs from April 2020 and you can book your appointment with her conveniently online right here – or call our friendly reception team on 0882953200.

 

screenshot_20200330-194411_wm816164613062801551.png

 

 

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

 

 

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

IMG_20190321_202633

 

DR PENNY MASSY-WESTROPP

dr penny massy westropp - your gp

DR MONIKA MOY

dr monika moy- your gp

Dr Zoe Teh

dr zoe teh

 

Telemedicine | RACGP | PartridgeGP

The RACGP SA&NT in conjunction with SA Health and a local panel of presenters, will be presenting a webinar update on Telemedicine, discussing tips and tricks related to undertaking telehealth in your practice.

 

WATCH HERE

 

 

Topics to be covered:

·         Discussing the role of telehealth and the consent process

·         New MBS item numbers

·         Registrars working remotely

·         Undertaking paperwork when working remotely

·         E-prescribing Legislation

·         Combining telehealth with face to face consults

·         Rolling Q&A

Date:  Thursday, 16 April 2020

Time: 6.30-7.30 pm

Cost: FREE

Register in advance for this webinar:

https://racgp.zoom.us/webinar/register/WN_eGyo0yuBR-iLE0Pvh6YehA

Registrations close 5pm Thursday 16 April 2020.

Presenters:

Dr Emily Kirkpatrick – Deputy Chair, RACGP SA&NT & SA Health COVID-19 GP Liaison Team

Dr Daniel Byrne – SA Health COVID-19 GP Liaison Team

Dr Alvin Chua – RACGP SA&NT Council member

Dr Nicholas Tellis – GP, Owner PartridgeGP

Welcoming Dr Nikhil Tamminedi to PartridgeGP

 

 

 

Dr Nikhil Tamminedi commenced his specialist General Practice training with PartridgeGP in February 2020. He completed his undergraduate medical training at the University of Western Sydney. Prior to commencing General Practice training, Dr Tamminedi worked two Post Graduate years in metropolitan hospitals in New South Wales with a focus on surgical disciplines and emergency medicine. His particular interest include skin, minor surgery, and respiratory medicine. In his free time, he enjoys rock climbing, hiking, and travelling..

Dr Nikhil has quickly settled in and has hit the ground running with the rest of our Great Team here at PartridgeGP!

 

 

 

 

 

 

 

 

 

PartridgeGP is an accredited General Practice and is further accredited by our Regional General Practice Training Provider GPEx.

 

 

 

This means that the GPs at PartridgeGP are teaching the Doctors and Medical Students who will be the future of medicine in Australia. It’s a big responsibility and a privilege we take very seriously.

 

 

 

img_1954
Teaching Practice of the Year

 

 

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

 

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Dr Nikhil Tamminedi is a valuable member of our growing Clinical Team!

 

 

 

 

IMG_20190404_191100

 

 

 

 

 

Dr Zoe Teh

 

Dr Gareth Boucher

 

Dr Nici Williams

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Phillip Maddocks

 

Dr Nikhil Tamminedi

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis

 

Welcoming Dr Phillip Maddocks to PartridgeGP

 

 

 

Dr Phillip Maddocks commenced his specialist General Practice training with PartridgeGP in February 2020. Raised in Adelaide, he studied and practiced in NSW, and then returned to Adelaide earlier this year. Becoming an accomplished GP has always been his career goal and he is eager to commence community-based work. I’m passionate about paediatrics, emergency medicine, sports medicine, and teaching. Prior to my career in medicine I held numerous leadership positions across both business and sport, attaining many skills which are transferable to working in medical teams.

Dr Phil has quickly settled in and has hit the ground running with the rest of our Great Team here at PartridgeGP!

 

screenshot_20200330-194411_wm816164613062801551.png

 

 

 

 

 

 

 

 

PartridgeGP is an accredited General Practice and is further accredited by our Regional General Practice Training Provider GPEx.

 

 

 

This means that the GPs at PartridgeGP are teaching the Doctors and Medical Students who will be the future of medicine in Australia. It’s a big responsibility and a privilege we take very seriously.

 

 

 

img_1954
Teaching Practice of the Year

 

 

All of our doctors here at PartridgeGP are fully qualified ‘Fellows’ (or are studying towards this) holding a specialist qualification with either the Royal Australian College of General Practitioners (FRACGP) or the Australian College of Rural and Remote Medicine (FACRRM) or both (3-4 years of full time study and 3 exams on top of an undergraduate university medical degree and supervised trainee ‘intern’ year in a hospital). This is our minimum specialist standard and we may have other qualifications and skills.

 

 

 

Our Fellows provide supervision and advice to our Registrars and you may find that they are called in to consult with the Registrar on your case. ‘Registrars’ are qualified doctors who have completed their hospital training and are now embarking on their General Practice training. Some may already have other qualifications in medical or other fields.

 

We also supervise and teach Medical Students from Flinders University. They are still studying to become doctors. All of us – Fellows, Registrars, and Medical Students – make up the Clinical Team here at PartridgeGP with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Dr Phillip Maddocks is a valuable member of our growing Clinical Team!

 

 

 

 

IMG_20190404_191100

 

 

 

 

 

Dr Zoe Teh

 

Dr Gareth Boucher

 

Dr Nici Williams

 

Dr Penny Massy-Westropp

 

Dr Monika Moy

 

Dr Phillip Maddocks

 

Dr Nikhil Tamminedi

 

Dr Nick Mouktaroudis

 

Dr Nick Tellis