Regional Head of Education update
I would like to introduce myself as the new Regional Head of Education for Murrumbidgee & ACT and provide a huge vote of thanks to Dr Sue Wald who has retired after three years of tireless service in the role. This term has also seen the resignation of Drs Jamie Mcencroe and John Padgett, two highly experienced medical educators. I thank them for their dedicated service also. Unfortunately this has left a ‘gap’ in the western half of our training region and we are currently trying to recruit a replacement.
I have been a general practitioner based in Wagga Wagga for the past 30 years, and like most rurally based doctors have worn different ‘hats’. Former Chair of Murrumbidgee PHN, clinical lead for Healthpathways, Director of UNSW Training Hub amongst others. I look forward to the challenges of my new role.
Importantly Dr Helen Toyne, our very experienced medical educator based in Canberra, has accepted the position of Deputy Regional Head. With her detailed knowledge of the Canberra scene she will contribute greatly, especially when dealing with our many local stakeholders.
Together we look forward to assisting our RACGP and ACRRM registrars smoothly negotiate their general practice training and attainment of Fellowship in what is undoubtedly a challenging but very rewarding environment.
From a big picture perspective, the introduction of the new training practice quality framework will see increased focus on holistic care, practice quality management and a culture committed to learning and professionalism. Two recent important developments in GPRime have been the new Supervisor Toolkit and an improved Practice Log format which now includes VMO hours.
Here in our region we ran a very successful Foundations and Frameworks three day workshop in Canberra for GPT1 and 2s. I hope everyone enrolled enjoys the Fusion workshop coming up in Sydney next month. Our small group workshops have received very positive feedback and provide an extra local networking opportunity for our registrars. Congratulations to all our registrars who passed their exams this term, a fitting reward for all your effort.
Our GP supervisors are the backbone of our training program and is was great to see the enthusiasm of those who attended our local workshops for them here in Wagga Wagga and in Canberra. I look forward to catching up again at the Supervisor’s development day in Sydney in June.
Preparations are underway for the next Foundations and Frameworks in Canberra in early August as well as the many other educational activities we run for the registrars in second term and I sincerely thank my dedicated and skilled team of medical educators for making this all possible.
Dr Max Graffen – Regional Head of Education Murrumbidgee & ACT
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.