Happy Mindset Monday

Mondays are no different to Fridays except in your perception.How many of you think TGI Monday? How would Mondays be different if you did?

Remember the thoughts from previous posts:

be mindful as to the type of content you consume – the news you watch, the things you read

be mindful as to the people you associate with – you are the average of the five people you spend most time with

be mindful in regard to diet and exercise, get that anchoring going

Make a great start to Monday, the week, the month, and your year! (are you humming the Friends theme yet?) You can make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

You know the drill!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

(TL;DR – Get a regular GP or General Practice and use them!)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

idea sex

First up – there is no sex in this blog post! Now that only two of you are left, let’s crack on. Lifelong learning is a great thing. For doctors as a group and for GPs in particular, a lack of curiosity is terrible. Listen and learn – the patient will tell you their story, and often the diagnosis. The average doctor interrupts the patient in less than a minute. Don’t aspire to be average.

Patients appreciate it when their GP takes the time to listen to them. They like it. Patients don’t sue doctors they like AND taking that time improves your diagnostic skills. If you listen, you learn, and the more you learn, the more you earn. We see that while good medicine is not the entirety of good business, it’s certainly a component (but an essential one for us at PartridgeGP). Why not anchor listening and learning together?

What is anchoring? James Clear, in his excellent book Atomic Habits, calls it habit stacking but credits the concept to BJ Fogg. It is linking a new habit to an old one, with the old habit acting as an anchor that keeps the new habit in place. If we combine listening and learning in the modern age, we get the podcast (For those that don’t know,a podcast is a digital audio file made available on the internet for downloading to a computer or mobile device, typically available as a series, new instalments of which can be received by subscribers automatically). These are a fantastic way of learning while you do something else. Whether it’s the washing, the shopping, driving to work, or even getting to sleep, your chosen podcast app can deliver some learning gold to you. I like listening to most things at 1.5 times speed – because who wants to learn slowly! I use Google Podcasts or Castbox (these do 95%+ of what I want a podcast app to do).

Now, you are being exposed to ideas every day. These ideas can get together in your head, and have idea sex. Of course, idea sex can lead to idea babies. Innovation, creativity, even wisdom can be born from this approach. For those that are a bit disappointed by the rather tame appearance of sex in this post, I give you an alternative wording. Consuming better content, as per the theory of maximum taste, will improve your cognitive foundation and you’ll start connecting ideas across books and disciplines. You will develop deep fluency. I like the idea sex and idea babies, if you want more of the alternative wording, hit up the Farnam Street Blog (highly recommended).

I’ve started doubly anchoring my podcast listening by replacing music during my running. I have found that rather than high energy dance music, an informative podcast improves my time and cadence during a run! I look forward to reporting on further success with this in a future post. Perhaps I will develop a small amount of wit and wisdom as I run.

Good luck with lifelong learning and making those mental connections that lead to wit and wisdom. You can do this in your personal and professional interactions as well as in your learning – and that can start with your GP! You can make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

You can continue the process further!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

(TL;DR – Get a regular GP or General Practice and use them!)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

Breached as, bro

Once upon a time, as all the oldest stories start, data was kept in peoples brains. This data wasn’t clearly visible and could only be accessed via direct download from the source. The person had to tell you what was in their brain. This is how the oldest stories were passed on, with an oral tradition. There were secrets. Some things were private. There was value in this. Secrets have always been valuable – and many methods have been tried to extract this value, from persuasion, coercion, interrogation, and worse. Lots of secrets equals big value equals a big incentive to try some of these methods. That said, it’s a lot harder to use these methods to find a lot of little secrets in a lot of places, when you don’t really know where to look.

What if someone took a lot of secrets, including your secrets? What if that someone took those secrets and put them all in the same place? Is this sounding familiar? What we have in this situation is motive (lots of valuable secrets – data), opportunity (you know where it is – a big database), and then all you need is the means…

We all know that more mistakes can be attributed to stupidity than malice and I suspect poor systems have led to the situation below. Big health databases are big targets, and data breaches, where your data, your secrets, become public, are becoming more and more common. One big database belongs to Ambulance Tasmania.

The private details of every Tasmanian who has called an ambulance since November last year have been published online by a third party in a list still updating each time paramedics are dispatched.

Key points:

  • Ambulance Tasmania uses a paging system in initial communications between the dispatch team and paramedics on the ground
  • Pager messages dating back to November have been uploaded to a website, which is still live and continually updating
  • The health union has described the data dump as “horrific”

The breach of Ambulance Tasmania’s paging system has been described as “horrific” by the Health and Community Services Union, which has suggested the data dump could leave the Government open to litigation.

The biggest health database in this country is MyHealthRecord. The website states that ‘My Health Record lets you control your health information securely, in one place. This means your important health information is available when and where it’s needed, including in an emergency’. There are some issues with this – many hospitals and health service providers neither use nor access MyHealthRecord and, as I’ve said above, big databases have a big target on them. Hackers and criminals see this target. So do governments and non-criminals.

2018 saw the Federal Government quietly release its long-awaited framework for secondary use of information contained within the my health record. It was controversial. The release of the framework to guide the secondary use of My Health Record (MyHR) system data came just months before the participation rules for the Australian national health record change from opt-in to opt-out. Consent for secondary use is implied if consumers don’t opt out of the MyHR. In other words, people need to take action if they don’t want their health data to be used for purposes other than direct clinical care.

What does this all mean? For patients and individuals it means being mindful about your data. Only give what you need to give, for good reason, and consider time limits and limiting further usage of your data for unconnected reasons.

For doctors, consider clinically appropriate data entry – never forget who you serve and why, and work in and with good practices and practitioners who will take the same care and attention with patients data as you do.

For practices, good policies and solid hardware and software solutions are the key!

For a little bit of further reading:

John Stronner is a guru in this area – a Certified Data Protection Officer, and CEO of Loftus Technology Group. I had the pleasure and privilege of speaking after him on a recent podcast from This Pathological Life! Another podcast I found super useful was the story of the white hat hacker turned protector, Bastien Treptel of the CTRL Group.

Be mindful with your data and your health – we can help with both (with your medical data at least!). Just one little example of how your data can help you is here, where I explain how your GP can upload your immunisation details to MyHealthRecord, allowing you to prove your vaccination status – super important in 2021! You can make your appointment with us conveniently online right here – or call our friendly reception team on 82953200.

Where to now?

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

For everyone, we believe that having a usual GP or General Practice is central to each person’s care and recommend that people with any health issues that come to the attention of other health professionals should be advised to attend their usual GP or General Practice rather than a specialised service (ie a place not providing the holistic care a specialist GP would).   If  they say that they don’t have a usual GP or general practice, they should be helped to find one and to actually attend it. Call PartridgeGP on 82953200 or make an appointment online here.

(Hat tip: Dr Oliver Frank)

(TL;DR – Get a regular GP or General Practice and use them!)

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you’re employed, get a side hustle and get into business. If you’ve already got a business, get a network. Want to get started? Find your tribe here!

Photo by Miguel u00c1. Padriu00f1u00e1n on Pexels.com

If you are a great GP or a great Allied Health Professional, and you want to serve your clients or patients to the best of your ability, without worrying about all the non clinical things that get in your way, lets talk. Call Mrs Hayley Roberts on 8295 3200 and have a coffee and chat with us as to how PartridgeGP can help you to help others.

Body Shaming

We all know that COVID19 is around. Luckily in SA we have stuck to

Social Distancing
Hand Washing
Cough Etiquette

And so we have the following stats!

July 8 – well done so far SA

But those extra pounds and kilos have snuck in where even COVID19 hasn’t reached. PartridgeGP is here to help and therefore we posted this on our Facebook page:

Facebook – 13 July

The text was as follows:

Has a little isoweight crept on, even before the #secondwave ?
@partridgegp has you covered! 👍🏼

> diet and exercise help
> physiotherapy to keep you moving
> medication advice

Movement Theory

Rod Ventura providing awesome #physiotherapy and all of our GPs below

Call 8295 3200 or http://bit.ly/2XmM0n5

Dr Monika Moy
Dr Penny Massy-Westropp
Dr Nikhil Tamminedi
Dr Zoe Teh
Dr Nick Mouktaroudis
Dr Phil Maddocks
Dr Gareth Boucher
Dr Nick Tellis

HIT THE BIG BLUE BUTTON!

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 8295 3200

So we tried to boost this post, but Facebook said no. It was body shaming!!! Well, we shall post here and see what you think. Leave your messages in the comments!

To be or not to be?

PartridgeGP and Dr Nick Tellis are Here to Help – here are three ways we can do this:

1. You’re a patient and you want a Great GP! Make a booking online for Dr Nick or one of the caring GPs at PartridgeGP by clicking right here!

2. You’re a great GP or Allied Health Professional and you want a practice that will provide you with the awesome services, facilities, and team so you can serve patients to the best of your ability. Say hi Dr Nick Tellis (Facebook) or LinkedIn or call Mrs Hayley Roberts on 08 8295 3200

3. You’re a small business owner looking to network and grow your amazing business. Touch base with Dr Nick Tellis (Facebook) or LinkedIn and we will share a socially distanced coffee (or three)!

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!

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

 

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