Regional Head of Education update
It’s been a big year in Murrumbidgee and ACT. I took over from Dr Max Graffen as the Regional Head of Education at the beginning of August and have enjoyed immensely working with registrars, medical educators (MEs) and other GP Synergy Staff who have all been extremely helpful and supportive. Our region extends to include Griffith, Hay, Wagga Wagga and Canberra. This means our registrars can experience a huge range of practice settings and doubtless benefit from the diversity of locations on offer. They provide services at many local hospitals as well as building their skills in traditional general practices.
At our recent Aboriginal and Torres Strait Islander Health day in Canberra we had 37 people in the room. We all introduced ourselves including where we were born. We had 20 different international countries of birth, as well as people from several Aboriginal and Torres Strait Islander nations represented. The wealth of cultural knowledge and experience amongst our registrar cohort is wonderful, and I believe we all benefit from this particularly when we interact at our face-to-face workshops.
We welcomed Liline Hewitt back from her maternity leave and have enjoyed meeting little Ani. Liline has stepped right back into her role as events co-ordinator, making sure we all know where and when we need to be places, and helping to build our local education networks with her professional approach.
I also feel fortunate that Dr Komal Jaiswal has been appointed to the position of Deputy Regional Head of Education. I would like to congratulate her on her appointment.
Registrars in our region work very hard, supported by fabulous supervisors and MEs. We have continued to enjoy excellent participation at our workshops, farm day and procedural training. A highlight is always our small group workshops where groups of about six registrars and an ME facilitator review cases with a focus on clinical reasoning. We believe this assists our registrars both with networking/peer support as well as learning a structured approach to general practice consultation.
Congratulations to all our new fellows on your achievements and we hope you stay in touch.
Dr Helen Toyne | Regional Head of Education Murrumbidgee and ACT
2020.1 Medicare provider number deadline changed
Deadline for 2020.1 Medicare paperwork now 6 December:
The deadline to submit an application for Medicare provider numbers for the 2020.1 term is Friday 6 December not Friday 13 December as previously advised. Please ensure you have submitted the signed AGPT paperwork for a placement to GP Synergy by 6 December 2019, and any Medicare initial provider number applications and other Medicare paperwork to Medicare by 6 December 2019 to avoid MPN processing delays.
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.
2020.1 term dates:
3 February 2020 – 2 August 2020
Launch of the Learning Activities Packages!
The Learning Activities Packages (LAPs) are a set of learning activities you can complete to:
- help prepare you for your first GP term
- progress through GP training in your subsequent GP terms.
The learning activities are accessible through GPRime’s Quick Links and Subscriptions tab. Some learning activities are compulsory, such as the Pre-GP Term Assessment and the Procedural Skills Log, others are not but are highly recommended (e.g. PBS and Medicare online modules).
All RACGP and ACRRM registrars should review the LAPs as they will assist in addressing and identifying your learning needs as well as developing competency in clinical practice.
Where do registrars go for in-consultation information, advice and assistance?
Evidence for practice – findings from the GP Synergy Research and Evaluation Unit
Answering clinical questions arising from patient care improves care and increases patient safety. It is also a rich source of learning for registrars. Some questions need to be answered immediately – within the consultation that prompts the clinical question. Registrars seek in-consultation information and assistance in 21% of consultations, for 15% of all problems/diagnoses managed, and from multiple sources. The most common sources of information/assistance are the supervisor (or their delegate) in 45% of instances, and electronic sources (42%). Specialists (5.8%), other health professionals (3.9%) and hardcopy sources (9.7%) are much less common (note that more than one source can be used for a single question and more than one question can be generated per consultation).
Information is sought in 9.9% of instances for diagnosis, in 61.3% for management, and in 28.8% for both diagnosis and management. The most common systems for which information is sought are skin (16.0%), musculoskeletal (10.8%) and respiratory (10.7%).
The proportion of problems/diagnoses for which Term 1 registrars seek information or assistance is 21%; in Term 2 13%; in Term 3 11%; and in Term 4 8.6%.
Human information sources (rather than, mainly electronic, non-human sources) seem to be preferentially sought for more complex problems, even by these registrars who have trained in the ‘internet era’.
Magin P, Morgan S, Wearne S, Tapley A, Henderson K, Oldmeadow C, Ball J, Scott J, Spike N, McArthur L, van Driel M. General practitioners’ in-consultation information-seeking: associations with human, paper and electronic sources. 2015. Family Practice 32 (5): 525-532. doi:10.1093/fampra/cmv047.
For further information contact Professor Parker Magin, Director, NSW & ACT Research and Evaluation Unit: firstname.lastname@example.org
2020.1 key training dates
Stay on top of the key training dates for the 2020.1 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.