Regional Head of Education update
We are now over half-way through the training year and it’s a good time to reflect on how far you’ve come since you became a GP registrar, and how you are coping. Think about how much you have learnt and changed since you started in your first week.
We all get bogged down thinking about what we could have done better but be generous and allow yourself the indulgence of dwelling on the things you have done well.
This month we celebrated CrazySocks4Docs. I hope you were able to participate by wearing your craziest socks to help raise awareness and reduce the stigma about the mental health and suicide of health practitioners. If we look after ourselves, we are better able to look after our communities and patients.
In 2015, my son was diagnosed with a life-threatening illness. At the time I recall my best friend, and fellow GP, telling me at that I needed to have a break from general practice. Her words were “General practice doesn’t need you and you don’t need general practice whilst you are struggling to cope”. These words were the trigger for me to seek help to build support and resilience. It also meant I returned to General Practice when things were a little easier rather than giving up all together!
Each of you may be experiencing different challenges including settling into general practice, preparing for exams, refining future practice, juggling family and work commitments, relocating and more. It is important to access help wherever you can. Please check out the wonderful new Wellbeing and Support resources on our website which has excellent links to resources from GPRA and colleges. RACGP also offers a free support program so take a look at their membership services.
Also, I can’t stress enough the importance of having your own GP. If you are unsure of a good GP in your area chat to your medical educator about doctors that see doctors, the AMA also has a list on their website.
Thank you for an enjoyable start to 2019.
Dr Anna Windsor | Regional Head of Education Western NSW
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.