Registrar Liaison Officer update
Winter is here! Don’t say you weren’t warned though.
Despite temperatures dropping, things are heating up in July. One group of anxious registrars are sweating on OSCE results to be released on the 10 July. Others are trying to remain sane as AKT/KFP fever builds ahead of assessments on 19 and 20 July. ACRRM colleagues don’t get to hibernate either - StAMPS (Emergency Medicine) is being held on 6 and 7 July. Best of luck to everyone affected. For newer registrars unsure how to start exam preparation, I would recommend looking through the recently expanded RACGP exam support resources page for a wealth of useful free material, and speaking to those who have recently trodden the path in front of you.
Meanwhile, work goes on and with just a few weeks of term remaining now is a good time to tidy up practice logs and make sure other portfolio requirements have been attended to. Please put some considered thought into your end of term feedback, it is our best chance at creating improvement for those who follow us.
The new term will start from 5 August. Base rates of pay will increase at this time so, as always, check your payslips and make sure you are getting remunerated correctly. Hopefully you felt empowered to discuss contractual terms before signing your new employment agreement. The latest benchmarking report revealed many registrars are negotiating payment percentages above the NTCER minimum.
Finally, I would encourage everyone to take a few minutes to familiarise yourself with the GPRA website. It is a great place to access support, advice and resources when in need or to give back if you have something to contribute.
Dr Dan Rudd │ RLO Western NSW
Medicare provider number reminder
The deadline for Medicare provider number paperwork to be submitted has now past.
Ensure that once you have received your Medicare provider number, you check your letter to confirm you have been issued with a provider number with full billing rights before you commence billing patients.
Registrars with refer and request rights will only be able to refer patients and request investigations, until a provider number with full billing rights is received.
Meet a Registrar Liaison Officer
You've heard from Dr Daniel Rudd in his Registrar Liaison Officer (RLO) update, above. We asked him about training in Western NSW and what it means being an RLO.
If you're training in Hunter, New England and Central Coast, and are interested in becoming an RLO we currently have a vacancy in that subregion.
New Distribution Priority Area classification
The Department of Health announced on 1 July 2019 the new Distribution Priority Area (DPA) classification to replace the previous District of Workforce Shortage (DWS).
GP Synergy registrars and training practices are advised AGPT and GP Synergy Training Location Obligations are currently remaining unchanged.
Clinical pearl: “Law XIII. The delivery of medical care is to do as much nothing as possible.” Samuel Shem, The House of God.
As junior doctors in the hospital system, we have all played the “lasix game”. Not enough lasix and the patient has CCF versus too much lasix and the patient gets ARF. The control of CCF with drug treatment alone is unsatisfactory and readmission rates with CCF three to six months after discharge is as high as 30%.
Weight monitoring is the cornerstone of self-management and reduces rates and mortality in CCF patients1. Timely detection of weight gain and appropriate fluid restriction +/- diuretic dose adjustment prevents disease progression.
Part of our role as doctors is to educate and motivate. ReCEnT data tells us that GP registrars, on average, see heart failure in approximately 1/400 presentations (or about once a month). We know that knowledge and attitude are motivating factors for behaviour change. Therefore, our job is to educate our CCF patients on the benefits of regular weighing and motivate them to stay out of hospital by changing their behaviour. Self-management interventions can be initiated in hospital or in a general practice.
The National Heart Foundation has a great Chronic Heart Failure Action Plan which is a great starting place for initiating self-management. Doing nothing and getting the patient to regularly weigh and adjust fluid intake is a Samuel Shem must!
- Ditewig JB, Blok H, Havers J, van Veenendaal H. Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalizations rate and quality of life in patients with chronic heart failure: a systematic review. Patient Educ Couns 2010; 78; 297-315.
Changes to your GPRime Trainee Portfolio coming soon!
We’re making changes to GPRime Trainee Portfolios that will improve usability, appearance and accessing training details.
What to expect?
- charts that provide a clear indication of progression through requirements
- new tile-based layout in an easy to view format for registrar contact details
- better grouping of information of placements
- improved search and filter option for requirements to better search for specific types and status of requirements.
The changes will be available from mid-July, we’ll bring you more detail in the August training update.
2019.2 key training dates
Stay on top of the key training dates for the 2019.2 term.
RACGP fellowship assessments
Key information for exam enrolment and exam dates can be found on the RACGP website.
ACRRM fellowship assessments
Key information for assessment support program dates can be found on the ACRRM website.