Welcoming Dr Abby Mudford to Partridge Street General Practice

dr abby mudford blue at Partridge Street General Practice

 

 

Partridge Street General Practice is proud to welcome Dr Abby Mudford to our team! She’s a graduate of the University of Auckland and commenced her specialist General Practice training in February 2018 after three years of post-graduate hospital work at Flinders Medical Centre. Dr Abby has special interests in surgery, skin medicine, and gastrointestinal diseases.

 

 

 

 

 

 

 

 

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

This means that the GPs at Partridge Street General Practice 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 Partridge Street General Practice 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 Partridge Street General Practice with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Dr Abby Mudford is a valuable member of our growing Clinical Team and she’s keen to hit the ground running here at Partridge Street General Practice!

 

 

 

 

 

 

 

Professional. Comprehensive. Empowering.

 

 

 

DR NICK TELLIS

 

Your Specialist In Life

DR NICK MOUKTAROUDIS

 

dr nick mouktaroudis at Partridge Street General Practice

DR GARETH BOUCHER

 

dr gareth boucher

 

DR PENNY MASSY-WESTROPP

 

 

Dr Penny Massy-Westropp

DR MONIKA MOY

 

 

Dr Monika Moy

 

DR ABBY MUDFORD

 

dr abby mudford at Partridge Street General Practice3

DR CHRISSY PSEVDOS

 

dr chrissy psevdos at Partridge Street General Practice

Welcoming Dr Chrissy Psevdos to Partridge Street General Practice

dr chrissy psevdos at Partridge Street General Practice

Partridge Street General Practice welcomes Dr Chrissy Psevdos who has kindly agreed to locum with us while Dr Nick Tellis is on Paternity Leave. She is a quality GP with a Fellowship of the RACGP and many years of experience. She has a passion for people and can assist you with all of your health needs.

Her first day with us is Tuesday 24th July and you can book an appointment with her right here.

 

All of our doctors here at Partridge Street General Practice are fully qualified ‘Fellows’ 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 Partridge Street General Practice with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

She is keen to hit the ground running with the rest of our Great Team here at Partridge Street General Practice! We look forward to having Dr Chrissy Psevdos as part of our growing Clinical Team and sharing her experience with us and our valued patients.

 

 

 

 

 

 

 

Professional. Comprehensive. Empowering.

 

 

 

DR NICK TELLIS

 

Your Specialist In Life

DR NICK MOUKTAROUDIS

 

dr nick mouktaroudis at Partridge Street General Practice

DR GARETH BOUCHER

 

dr gareth boucher

 

DR PENNY MASSY-WESTROPP

 

 

Dr Penny Massy-Westropp

DR MONIKA MOY

 

 

Dr Monika Moy

DR CHRISSY PSEVDOS

 

dr chrissy psevdos at Partridge Street General Practice

GPs want clinical handovers, not discharge summaries

Partridge Street General Practice is all about professional, comprehensive, and empowering General Practice care by our GPs. When we refer our valued patients for treatment elsewhere we promote the same high standards, values, and communication  that we provide. A letter, referral, or phone call is just part of the standard Partridge Street General Practice service – it’s good clinical handover. Dr Nick Tellis recently collaborated with some excellent GPs in writing an article for the Medical Journal of Australia’s online Insight Blog on ways to improve communication during these times and stressing the importance of better clinical handover. It’s another one of the ways Partridge Street General Practice provides Better Healthcare for our valued patients. Read on.

 

This is the third article in a monthly series from members of the GPs Down Under (GPDU) Facebook group, a not-for-profit GP community-led group that is based on GP-led learning, peer support and GP advocacy and was originally published at the Medical Journal of Australia (MJA) Insight Blog here

 

“PASSING the baton” describes what health care professionals try to achieve as care of patients is transferred between providers in our complex health care systems. The topic of safe and effective clinical handover comes up repeatedly in discussions on GPDU.

 

It is apparent that the impacts from delayed or poor clinical handover on patient care across the country are significant, under-reported, and have a profoundly negative effect on the care patients receive.

 

Dropping the baton

 

First-hand accounts of treatment delays, duplication of testing, medication errors, and unplanned readmissions are frequently discussed by GPs. Recent clinical case discussions have included a patient in palliative care being transferred to a hospice on a Friday afternoon with no clinical handover, and a 3-month delay in the completion of a discharge summary for a truck driver who was admitted with a myocardial function.

 

The safety concerns related to poor clinical handover are not new: it’s a problem the health care industry and doctors as a profession have been grappling with for decades. Poor clinical handovers are wasteful of limited resources. How can we improve patient outcomes and “drop the baton” less often?

 

Rules of the game

 

The National Safety and Quality Health Service Standards (NSQHS) and the Australian Commission on Safety and Quality in Health Care (ACSQHC) define clinical handover as; “the transfer of professional responsibility and accountability for some or all aspects of care for a patient, or group of patients, to another person or professional group”. Appropriate clinical handover is a requirement of the NSQHS. The ACSQHC notes the importance of “transition of care” that “ends only when the patient is received into the next clinical setting”. The Australian Council on Healthcare Standards EQuIP National Standard 12, in particular, specifies the planned provision of transfer information, including results of investigations.

 

Breakdown in the transfer of clinical information has been identified as one of the most important contributing factors in serious adverse events, and is a major preventable cause of patient harm.

 

Why is clinical handover from hospitals to GPs done so inconsistently for patients transitioning from our major private and public institutions? The benefits of passing the baton smoothly are clear. It’s time to coach the team to get it right.

 

Timing is everything

 

Health services continue to debate the appropriate timeframe for communicating with the GP who is continuing the patient’s care. Timeliness of clinical handover is a topic that comes up frequently. Hospital targets for transfer of care communications vary widely. A recent discussion on GPDU identified several targets within one small geographical area, ranging from “at the point of discharge”, “48 hours after discharge” and “5 days after discharge”.

 

GPDU dragon head-3

 

The reality is that few patients leave hospital with an effective clinical handover. Some will be received within the hospital’s current targets; however, many clinical handovers are not received for weeks, months or, as one post highlighted, years after the patient care is transferred. Some never occur.

 

Many GPs are asking whether these targets are consistent, appropriate, acceptable or safe. A robust discussion took place after GPs were approached to complete a survey that included a question asking what conditions should warrant a discharge summary on discharge, and what the acceptable timeframe for receiving a discharge summary should be.

 

The overwhelming consensus was that the gold standard should be clinical handover on discharge for all patients. Many were frustrated that this question even needed to be asked. Some GPDU members wondered whether this was a trick question aimed at moving the goalposts further away from quality patient care.

 

Services promoting clinical handover to GPs on discharge were highlighted. The Sunshine Coast Hospital and Health Service was identified as a provider that was actively trying to effect positive change. They received plaudits from the wider GP community simply by having a discharge summary management policy specifying complete discharge summaries available at the time of patient discharge.

 

It is well known in GP circles that starting late ensures that you will run late all day. Timely discharge summaries aren’t late. Timing is everything when you want to be a frontrunner.

 

Don’t fumble the handover

 

The consensus among GPs is that well timed, efficient, effective and safe clinical handover, at or before the point of transition of care is essential. Alternative strategies risk adverse outcomes. Clinical handover must be a standardised process between clinicians.

 

Returning to the athletics track, we can see a clear difference between a handover, a throw, and a drop. Highly trained athletes accept nothing less than a smooth handover – nor should highly trained clinicians. Delegating the handover to non-clinicians, including nurses and medical students, is not good enough. Supervision and ongoing coaching of clinicians is vital.

 

The baton is passed between people not machines

 

Imagine the difference electronic systems could make to this smooth handover. Sadly, this smooth electronic handover exists only in the imagination.

 

In the real world, GPs are grappling with being thrown links to hospital electronic records through systems such as “The Viewer”. Investigations are likely to be uploaded (after a delay) to MyHealthRecord. These are raw data, unfiltered and disorganised, and more of a throw than a handover. Being thrown raw data and being expected to catch them in this way is akin to a hospital doctor being given the login to the GP clinic’s patient management system and being expected to extrapolate a referral.

 

Personal bests are set; medals are won

 

The late Sir Roger Bannister ran the 4-minute mile and reset the expectations for all that followed him. GPs and their discussions can highlight outstanding clinical handovers and applaud initiatives and hospitals that are doing it right. Feedback and constructive criticism can be passed back to hospitals that are raising the bar. Medal-winning performances show the possible and provide a model for future improvement. GPs are uniquely placed to spot the talent and report the score widely and rapidly.

 

Eyes on the prize: what’s the next goal?

 

If we can normalise the clinical handover to young GPs who are the future of general practice, it will encourage them to demand it of their hospitals.

 

Hospitals are incredible places, but the aim is for patients to return home to their communities and trusted GPs. They come home. Their GPs are waiting, willing and able. We can do better, and we will. We extend an open hand to our amazing hospitals. Pass us the baton – we won’t drop it.

 

clinical handover

 

Dr Katrina McLean is a Gold Coast-based GP, Assistant Professor in the School of Medicine and Health Sciences at Bond University, and a GPDU administrator.

 

Dr Michael Rice is past-president of the Rural Doctors Association of Queensland, an educator of students and registrars, a long term resident and rural GP in Beaudesert. He’s a keen user of social media.

 

Dr Nick Tellis is passionate about great general practice. He’s a proud GP, beachside Adelaide practice owner, and a happy new father. He blogs at www.partridgegp.com when not administrating on GPDU.

Contact Dr Nick Tellis at drnt@partridgegp.com.au or 0882953200 if You are a Great GP and want a Better Place to practice great medicine!

 

join the team

 

Partridge Street General Practice is Proud to be a Teaching Practice

Quality accredited by AGPAL

 

Partridge Street General Practice is an accredited General Practice and is further accredited by our Regional General Practice Training Provider GPEx and our local Medical School at Flinders University.

 

 


 

 

This means that the GPs at Partridge Street General Practice 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.

 

 

Teaching Practice of the Year

 

 

All of our doctors here at Partridge Street General Practice are fully qualified ‘Fellows’ 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 Partridge Street General Practice with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

Professional. Comprehensive. Empowering.

 

See just how we do it here.

 

Good luck to all the fantastic GP trainees out there!

 

 

Contact Dr Nick Tellis at drnt@partridgegp.com.au or 0882953200 if You are a Great GP and want a Better Place to practice great medicine!

 

Sore Throats at Partridge Street General Practice

Spring is here but it has been a big flu season at Partridge Street General Practice!

 

 

 

What should you do when you have a cough, cold, or sore throat?

 

Flu-Shot-logo
This may have helped before getting ill…

 

 

Here’s some information:

 

 

Do I have the flu?

 

 

 

Should I be on antibiotics?

 

 

 

My ear is sore?

 

 

 

Should I be immunised?

 

 

 

How do I stay healthier?

 

 

Any other ways to stay healthier?

 

 

Got anything else?

 

 

 

And, of course, What should I do instead?

 

 

There’s a new paper, at the link, saying this:

 

 

 

steroids in sore throat at Partridge Street General Practice

 

 

 

Need more information? Leave a comment or see us in person.

 

 

 

We’re Here to Help!

 

 

 

img_8445-2

 

 

You can see any of our Great GPs right here:

 

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

 

 

Dr Monika Moy

 

 

Dr Katherine Astill

 

 

Dr Nick Mouktaroudis

 

 

Dr Nick Tellis

 

 

Welcoming Dr Penny Massy-Westropp to Partridge Street General Practice

 

Dr Penny undertook her medical training at the University of Adelaide prior to travelling to the UK to complete a Diploma in Anaesthetics. She then worked in WA & SA while completing Fellowship in General Practice. Bringing 21 years of GP experience to Partridge Street General Practice, she also has an ongoing commitment to Indigenous health with regular visits to remote NT communities.

 

 

 

She loves the local Glenelg area and is keen to hit the ground running with the rest of our Great Team here at Partridge Street!

 

 

 

 

 

 

 

 

 

We look forward to having Dr Penny Massy-Westropp as part of our growing Clinical Team and sharing her experience with us and our valued patients.

 

 

 

 

 

 

 

Professional. Comprehensive. Empowering.

 

 

 

 

See just how we do it here.

 

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

 

 

Dr Monika Moy

 

 

Dr Katherine Astill

 

 

Dr Nick Mouktaroudis

 

 

Dr Nick Tellis

 

Welcoming Dr Monika Moy to Partridge Street General Practice

 

Dr Monika Moy graduated from the University of Adelaide in 1991 and after training in various Adelaide hospitals and general practices, completed her general practice qualification in 1996.

 

 

Dr Monika has particular interests in preventive health, women’s health and contraception and is trained to insert and remove the Implanon contraceptive device.

 

 

She is accredited for Obstetric Shared Care which involves providing part of a patient’s pregnancy care in conjunction with public hospitals and particularly enjoys this aspect of her practice.

 

 

Dr Monika is enthusiastic about explaining her patients’ conditions to them so that they have a better understanding of their health.

 

 

 

Special interests:

 

Women’s Health including contraception and menopause

 

Chronic disease management

 

Cardiovascular (heart disease) risk factor reduction

 

 

 

 

Dr Monika Moy

 

 

 

 

 

We are very excited to have Dr Monika Moy share her experience and skills with our valued patients as part of our growing Clinical Team!

 

 

 

 

 

 

 

Professional. Comprehensive. Empowering.

 

 

See just how we do it here.

 

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

 

 

Dr Monika Moy

 

 

Dr Katherine Astill

 

 

Dr Nick Mouktaroudis

 

 

Dr Nick Tellis

Welcoming Dr Katherine Astill to Partridge Street General Practice

Dr Katherine Astill Partridge Street General Practice new female registrar

 

 

Dr Katherine Astill commenced her specialist General Practice training with Partridge Street General Practice in August 2017. She graduated with a Bachelor of Physiotherapy from the University of South Australia in 2009 and furthered her education with a Bachelor of Medicine and Surgery from Deakin University in 2013. After holding positions with the Muscular Dystrophy Association and the Women’s and Children’s Hospital, she has decided to specialise in General Practice, with a special interest in Women’s and Children’s Health completing her Diploma of Child Health in 2016.
Dr Katherine has a passion for holistic care and preventative health.

 

 

 

She loves the local Glenelg area and is keen to hit the ground running with the rest of our Great Team here at Partridge Street!

 

 

 

 

 

 

 

 

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

 

 

 

This means that the GPs at Partridge Street General Practice 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 Partridge Street General Practice 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 Partridge Street General Practice with our excellent Practice Nurses. We all uphold the highest standards of privacy, confidentiality, professionalism, and clinical practice.

 

 

 

Dr Katherine Astill is a valuable member of our growing Clinical Team!

 

 

 

 

Dr Katherine Astill 1.png

 

 

 

Professional. Comprehensive. Empowering.

 

 

 

 

Dr Gareth Boucher

 

 

Dr Penny Massy-Westropp

 

 

Dr Monika Moy

 

 

Dr Katherine Astill

 

 

Dr Nick Mouktaroudis

 

 

Dr Nick Tellis

 

5 Things About Low Carb

On the 25th of June this year, I started a little experiment. I was a Guinea Pig. I felt my chubby cheeks and willingness to run around made me a good choice of test subject. 

Great teaching award, but work to be done!

I got some advice
I did some exercise.
I measured some things
I ran a little bit. 

Along the way I made some connections, raised a little money for charity, drank lots of coffee, worked hard, and had fun. 

Coffee and Website


What have I learned?


1. Exercise for mental health and to do things (walk up a hill, explore a new place, move furniture). Your basal metabolic rate goes down as you age and you tend to eat the same amount (or more) and your exercise is generally less vigorous. 

Exercise – sometimes it hurts!

2. Weight loss comes from your diet. Don’t kid yourselves. See 1. above. I’ve run faster before but with far more training. My time in this years City to Bay was based on weight loss not kilometres of training.

before
after

3. Sugar is addictive and unequivocally bad for you. Sugar crashes hurt. I have nothing good to say about sugar. 

Water – still best for you

4. Routine works. During the time I was watching my diet and trying to train, life tried to get in the way. If you don’t make time to train it won’t happen. No excuses. 

5. Nothing ventured, nothing gained. 
I had a ball working all of these things out, but my main passion in life is Partridge Street General Practice. If you’re thinking of seeing us as a patient or aspire to working here and being part of an awesome team, say hi right here!

Run Forrest, Run!

‘Ear all about it – #justaGP

Remember, we’re still OPEN as normal, even with the tramworks! Bookings right HERE!

You may have heard recently that GPs are blowing out the budget bottom line. I know it’s hard to hear me over the noise of another politician’s helicopter ride but bear with me. GPs train for over 10 years to get where they are, and where they are is here for You. So, to avoid us all draining the nation’s funds before the next round of politicians drinking games, here’s some free information!

ouch

It’s a horrible thing when your little person is inconsolable with a sore ear. I’ve seen so many parents turn up after dark with an unhappy child in tow, at their wits end. Do they need antibiotics? It turns out the answer is generally no. Have some pain relievers on hand – Paracetamol or Ibuprofen – and you’ll get through the night. Look at the statistics below with only 5% of earaches (Acute Otitis Media – AOM) improving with antibiotics. 

Five Per Cent

Here’s a handy little chart!

Source : the excellent Royal Childrens Hospital

So stock up, save some money, and relax. If you’re still worried, Your GP is here at Partridge Street General Practice and Your After Hours GP is here

Take care, see us if you need us!

Partridge Street General Practice – Here to Help