Regional Head of Education update
With us almost at the half-way mark for 2019, I hope that you are settled and flourishing, and plans for next term are clearly underway and progressing smoothly. Mid-year is traditionally a quieter time in terms of GP registrar numbers as many of you complete your training and transition out of the program into independent general practice. It is particularly pleasing to see some of you remain in the region after training, with many progressing to becoming our future supervisors and medical educators.
While the practice placement program is different to that of NCGPT, it is not a new model, with many of us in other RTOs already following this process for many years. Being able to choose the practice you hope is the right fit for you has the advantage of you being able to be actively involved in selection. As we all become more familiar with the process I do hope it is becoming easier and more streamlined. Please remember that you are always free to contact me or Jo Sayer, your Education Coordinator, should you have any queries or requests.
Registrar workshops have been held again this term, including Black Dog training to allow you to claim higher MBS rebates for mental health item numbers. Exam workshops continue to be held and we still enjoy high pass rates on the North Coast. We will be running another GPT 3 workshop in August of this year, to give an opportunity for more senior GP registrars to remain in touch.
Thank you for attending your mandatory face-to-face training. If you think that there could be improvements in the education program format e.g. longer, less frequent workshops please do let us know, as we try to plan them to have least impact on practices and yourselves.
In-practice teaching by your supervisors continues to be the backbone of our training and so thank you for engaging so enthusiastically and also feeding back to us regarding your experience. Another 100% completion of competency assessments in the region is fantastic – they are a mandatory part of training as per the colleges and I hope that the reminder system that has been implemented this term is proving useful. Of course, there are times when assessments cannot be done within the recommended time frame due to various circumstance e.g. annual leave – if this is the case please let us know so that we can adjust time frames etc.
We have recruited several new CTV visitors this term, especially in our more southern areas where the need is greatest, and our CTVs are all being completed in a timely fashion. Again, if you feel that the process can be improved please do let me know.
The North Coast medical education and administration team continues to be stable, as does our supervisor team. We do strive to make your training experience as fulfilling and efficient as possible but of course there are always improvements to be made – as mentioned evaluation of our educational events is invaluable for us and we encourage you to do so after each workshop. Feedback from GP registrars in the past has resulted in change, whether it be the length of the competency assessments, or the provision of coffee at workshops resulting in delays in sessions commencing on time – may seem trivial but it was a simple fix resulting in sessions running on time and people getting home to loved ones!
Thanks for another six months.
Clinical Associate Professor Rashmi Sharma OAM | Regional Head of Education North Coast
Medicare provider number reminder
Deadline for 2019.2 Medicare paperwork:
The deadline to submit an application for Medicare provider numbers for the 2019.2 term is Friday 21 June. All Medicare initial provider number applications and other Medicare paperwork need to be sent directly to Medicare (not GP Synergy).
Medicare provider number check:
Once you have received your Medicare provider number, you must 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.
2019.2 term dates:
5 Aug 2019 – 2 Feb 2020
What's it like being a rural generalist?
Procedural GP registrar Dr Uri Harrington, and his supervisor Dr David Harwood, had very different journeys to becoming rural GPs.
Both now enjoy living and working in the Western NSW town of Parkes - Uri as a GP Anaesthetist and David as a GP Anaesthetist and Obstetrician.
Clinical pearl: All that wheezes is not asthma!
According to ReCEnT, of the many consultations GP registrars see in practice a significant portion of these are children aged 10 years or younger. Of these consultations approximately 3.4% involve a new presentation of wheeze, asthma or bronchitis/bronchiolitis-like illness.
Asthma is identified as a National Health Priority illness, however in these consultations it is also important to consider other less common but significant diagnoses such as an inhaled foreign body or a cardiac issue.
Suspect inhalation of a foreign body if the wheeze is asymmetrical or unilateral. Or if there has been a history of an episode of choking while feeding or playing.
Suspect a cardiac issue if the patient has associated symptoms and signs associated with heart failure, such as failure to thrive, or difficulty or diaphoresis with feeding, or hepatosplenomegaly (in infants and younger children), or swelling in their legs and/or abdomen or weight gain from fluid retention.
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.