October 2016 NEWSLETTER 1 NEWSLETTER October 2016

SCLMA President’s Message ...... Dr Roger Faint

Dear SCLMA GPs and specialist colleagues in Canberra jointly run by RDAA and ACRRM I have been president for one month now and this newsletter last weekend. Broad gives me the first opportunity to update you all regarding issues were discussed, current and recent issues. including the continuing Medicare rebate freeze, The most topical issue currently is the AMA/AMAQ myagedcare issues, My stance against the provision of an additional fifteen (yes Health Record, Health fifteen) medical school places to allow the establishment Care Home expectations, of a clinical school at the new Sunshine Coast University and the role of the PHN

Hospital, Birtinya. UQ medical school has transferred (we have one of the thirty-five student places to the Griffith medical school, best run in Australia, however, a total of fifty is needed to make the clinical through CEO Pattie school viable. Hudson). One issue that I think we can all appreciate the AMA/AMAQ’s stance, particularly piqued my however it is apparent the benefits to the Sunshine interest was the ability for GPs to soon apply for allied Coast’s long term recruitment of medical practitioners health service funding as a provider through myagedcare. far outweigh the concerns of a small increase in medical The clunkiness and inefficiency of the myagedcare website

student numbers. The AMA is very powerful, and in fact, is well understood and slowly being resolved. Interestingly they are the sole reason why the Federal government won’t about 20% of referrals are done by GP practices and the proceed with previously agreed provision of new medical health department is encouraging doctors/GPs to be more student places. involved. Also my understanding is that the skin item The Sunshine Coast is the second fastest growing numbers are changing from the first of November to reflect community in Australia and it is nonsense not to have defect size rather than lesion size.

a clinical school. There will likely be a coordinated Overall these are significant changes to the way medicine approach (local health service, clinical school, PHN and is being managed in Australia, so it is important to stay SCLMA etc.) to engage with AMAQ in the future to help well informed. them understand the needs of the Sunshine Coast Health Service rather than continuing for us to butt heads. I In Di Minuskin style, I will mention my trip to the National have asked Griffith University, through Professor Scott Museum of Australia in Canberra to visit “The history Kitchener, to provide comment on this issue. Your SCLMA of the world in 100 objects” exhibition exhibited by the will keep you informed as events unfold. British Museum. If in Canberra it is essential viewing. Also one of the most moving experiences I have had of Dr Di Minuskin, immediate past president, is leading the recent times was attending a ‘Last Post Ceremony’ at the charge regarding the downgrading of Caloundra Hospital Australian War memorial. services and how best to utilise a QH owned GP/Nurse practitioner led clinic in its place. Local member Mark Regards McArdle is on side and involved in the process. Dr Roger K Faint I attended the yearly Rural Medicine Australia Conference MBBS, FACRRM, FRACGP, DRCOG

The SCLMA thanks Sullivan Nicolaides Pathology for the distribution of the monthly newsletter of the Sunshine Coast Local Medical Association.

Sunshine Coast Local Medical Association Inc Telephone PO(07) Box 5443 549 6990 Cotton Email Tree [email protected] QLD 4558 www.sclma.com.au 2 NEWSLETTER October 2016

NOVEMBER CONTACTS: 2016 NLETTER CLASSIFIEDS President Dr Roger Faint Deadline CHILD PSYCHIATRIST - OPEN TO REFERRALS VRGP or ADVANCED REGISTRAR Ph: 5445 1046 SHORT WAITING LIST Interested in Practice ownership in Peregian Beach Date will be • Dr Brenda Heyworth now consults 5 days/week from Part time or full time GP who wishes to transition to full Vice President Dr Wayne Herdy Nucleus Medical Suites, Buderim. practice ownership MONDAY 14 • Please fax specialist doctor referral • Modern busy mixed billing practice & AMAQ Councillor Ph: 54791 5666 • (No Mental Health Plan needed) • Thirty-seven years established, fully accredited NOVEMBER Ph. 5444 5022 Fax. 5444 5033” • Medical Director software, Secretary: Dr Mark de Wet September 2016 • Family practice Ph: 5444 7344 The Editor would like • Friendly supportive staff the newsletter to reach all readers in the 3rd GP WANTED TO JOIN FRIENDLY TEAM - BUDERIM Contact GP owner 0407 137 070 Treasurer: Dr Peter Ruscoe week of each month. So ... ALL reporters • This is a full time position and advertisers - please help us achieve this • Full nursing support with a CDM nurse and a fully GP REQUIRED - O&G PRACTICE - BUDERIM Ph: 5446 1466 equipped treatment room Excellent opportunity for a GP to join our Integrated challenge! • Our practice is accredited and fully computerised using Women’s Health Practice located in Buderim on the Newsletter Editor: Dr Kirsten Hoyle Best Practice and is mixed billing. beautiful Sunshine Coast Queensland. Ph: 5452 6511 Our circulation via email, post and courier Please contact Nicola on (07) 5456 1600 We are looking for a full time or part time VR or Non VR (Sullivan Nicolaides Pathology) reaches Email: [email protected] GP to join our well established practice. Meetings Convenor: Dr Scott Masters more than 1,000 recipients! September 2016 • Private Billing, No weekends, No after hours • Remuneration negotiable Ph: 5491 1144 CONSULTING ROOM AVAILABLE FOR LEASE For further information please contact Dr Dana Moisuc or Contact Jo: 5479 3979 • Located in central Cotton Tree Danielle Evans,Practice Manager Ph: 07 5478 3533 Hospital Liaison: Dr Marcel Knesl Mobile: 0407 037 112 • Modern Specialist Room with a well-recognised name Email: [email protected] Ph: Ph: 5479 0444 Email: [email protected] and reputation July 2016 • Available Long-term or sessional basis Fax: 5479 3995 • Included in lease is electricity and cleaning. We are able POSITION VACANT - CALOUNDRA SKIN CLINIC Committee: Dr Di Minuskin We welcome new content - case studies, local news to offer full secretarial services if required Non-corporate practice established in 2003 Dr Mason Stevenson • Private location with ocean views and waiting area • Private billing, Remuneration by negotiation and photos. If you are a new member, send in a Dr John Evans Ph: 07 5479 2922 Email: [email protected] • Full time or part time short bio and a photo to introduce yourself. Dr Tau Boga September 2016 • Friendly supportive team including nursing support • Modern premises with three consultation rooms, Dr Fabio Brecciaroli GPs REQUIRED FOR BUSY BUDERIM PRACTICE treatment room and OT • Vacancies exist for GPs to join us in-hours, or after- • We are in an area of Work Force Shortage For general enquiries and all editorial or advertising hours, in our busy 24 hour, 7 day medical practice in Dr Alex Morgan 075492 6333(W) 075443 2610(H) after contributions and costs, please contact: Buderim. hours Email : [email protected] ARE YOU A MEMBER? • GPs urgently required to join our long-established staff, July 2016 Jo Bourke (Secretariat) who serve the Sunshine Coast community with quality Ph: 5479 3979 If you are not a member please complete the healthcare in a newly refurbished and spacious practice. SPECIAL OPPORTUNITY -MAROOCHYDORE Mob: 0407 037 112 application form available on the website: • We are fully accredited with RN nursing support and Special opportunity for a VR GP who is seeking to take Fax: 5479 3995 pathology on-site, great diagnostic tools including up an existing patient load of a departing colleague at our www.sclma.com.au. Molemax HD Pro. busy, well established non-corporate Family Practice. The Sunshine Coast Local Medical Association • Visit our website on www.scchealthcentre.com.au. We are a fully accredited, fully computerised, mixed billing welcomes contributions from members, especially • Situated centrally on Buderim, you can enjoy both practice with a friendly and happy professional team You will need two proposers to sign your application lifestyle and purpose in a caring environment. including nursing support and a fully equipped treatment ‘Letters to the Editor”. form. If this is a problem, come along to a monthly Email [email protected] room. Please contact the Practice Manager: clinical meeting to introduce yourself Ph; 0418 714 864. [email protected] or 0409 447 096 Please address all correspondence to: Enquiries: Jo Ph: 5479 3979 or 0407 037 112 September 2016 Continuing as per request. SCLMA PO Box 549 Cotton Tree 4558 Email: [email protected] Email: [email protected] VRGP MOOLOOLABA VR GP REQUIRED – PELICAN WATERS FAMILY Are you listed on the Member Directory on our Busy, not for profit clinic is seeking a VR GP to work with DOCTORS Fax: 5479 3995 website? Are your details correct? a supportive and relaxed team of GPs and nurses offering VR GP required for doctor owned Family Medical Centre Newsletter Editor: Dr Kirsten Hoyle family planning services in Pelican Waters, Caloundra. Directory form available on the website. • In Mooloolaba. Hourly rate, work at your own pace with Long established, accredited and fully computerised, Email: [email protected] no particular number of clients to be seen per hour. Fully General Practice with full time experienced Nurse and computerised using Best Practice software. Receptionist support. Visiting Allied Health Professionals • Work as many or as few hours as you like. Would suit a and pathology on site. Mixed billing and flexible working Disclaimer: The views expressed by the authors or articles semi-retired GP or a GP with young children who would hours available. For further information please contact in the newsletter of the Sunshine Coast Local Medical appreciate flexibility. Practice Manager: Karen Clarke on 07 5492 1044 or Association Inc. are not necessarily those of the Sunshine • No after hours or weekend work (unless you want to). e-mail [email protected]. (Afterhours on Coast Local Medical Association Inc. The Sunshine Coast The opportunity also exists to be involved in decision 0438 416 917) making and goal setting for the clinic. Continuing as per request. Local Medical Association Inc. accepts no responsibility Please contact Wendy Stephenson on 5444 8077 or Classifieds remain FREE for current SCLMA members, for errors, omissions or inaccuracies contained therein or 0416 938 040 or E: [email protected] for the consequences of any action taken by any person $110 for non-members. August 2016 Ph Jo: 5479 3979 or 0407 037 112 as a result of anything contained in this publication. Email: [email protected]

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 3

NOVEMBER Editor’s Column CONTACTS: A zealous thankyou to Di HIGHLIGHTS in this issue: 2016 NLETTER MinuskinCLASSIFIEDS for filling in as President Dr Roger Faint CHILD PSYCHIATRIST - OPEN TO REFERRALS PVRGP 5: or ADVANCEDKevin Hegarty REGISTRAR - Health Service Link Deadline Editor last month and a Interested in Practice ownership in Peregian Beach Ph: 5445 1046 SHORT WAITING LIST P 6-7: Dr Wayne Herdy - report on AMAQ perfervid,• Dr Brenda if Heyworth not belated, now consults 5 days/week from Part time or full time GP who wishes to transition to full Date will be Conference, India Vice President Dr Wayne Herdy thankyouNucleus for Medical the energy Suites, Buderim.and practice ownership MONDAY 14 • Please fax specialist doctor referral P• Modern9: busy Drmixed Sandra billing Peters practice - GPLO & AMAQ Councillor Ph: 54791 5666 devotion• (No Mental she Healthcommitted Plan needed) as • Thirty-seven years established, fully accredited NOVEMBER PresidentPh. 5444 5022 of Fax.the 5444LMA 5033” over P• Medical10: DirectorPattie software, Hudson - PHN Country to Coast Secretary: Dr Mark de Wet theSeptember last 3 2016years. P• Family13: practicePoole Group - Planning Aged Care Ph: 5444 7344 The Editor would like • Friendly supportiveNeeds staff the newsletter to reach all readers in the 3rd I’mGP WANTED sure our TO association JOIN FRIENDLY wishes TEAM her - BUDERIM well as she Contact GP owner 0407 137 070 Treasurer: Dr Peter Ruscoe week of each month. So ... ALL reporters enjoys• This some is a full deserved time position time off over the next year P 16: Dr Wayne Herdy - Variety Bash • Full nursing support with a CDM nurse and a fully GP REQUIRED - O&G PRACTICE - BUDERIM Ph: 5446 1466 and advertisers - please help us achieve this - currently in the USA for two great acts- the US P 17: Dr Heather Parker - Aviation Medical challenge! equipped treatment room Excellent opportunity for a GP to join our Integrated Presidential• Our practice Election is accredited and and Halloween. fully computerised I digress using to Women’s HealthExaminer Practice located in Buderim on the Newsletter Editor: Dr Kirsten Hoyle informBest thatPractice a USand iscompany mixed billing. that sells Halloween Pbeautiful 18-19: Sunshine Motoring Coast -Queensland. Commodore SV6 Ph: 5452 6511 Our circulation via email, post and courier Please contact Nicola on (07) 5456 1600 We are looking for a full time or part time VR or Non VR (Sullivan Nicolaides Pathology) reaches masks,Email: [email protected] tracks their sales across its 1,200 stores PGP 20: to join our wellTravel established - Estonia practice. September 2016 • Private Billing, No weekends, No after hours Meetings Convenor: Dr Scott Masters more than 1,000 recipients! and has for the last 20 years, accurately predicted P 25: Advertising Guidelines the outcome of the US Elections with their • Remuneration negotiable Ph: 5491 1144 CONSULTING ROOM AVAILABLE FOR LEASE For further information please contact Dr Dana Moisuc or Contact Jo: 5479 3979 “Presidential• Located in central Mask Cotton Index”. Tree The PMI currently Danielle Evans,Practice Manager Ph: 07 5478 3533 Hospital Liaison: Dr Marcel Knesl Mobile: 0407 037 112 predicts• Modern a SpecialistRepublican Room win. with Holda well-recognised on to your name hats/ Email: [email protected] SCLMA CLINICAL MEETINGS Ph: Ph: 5479 0444 Email: [email protected] and reputation July 2016 masks!• Available Long-term or sessional basis 6.30pm for 7pm (over by 9pm) Fax: 5479 3995 • Included in lease is electricity and cleaning. We are able POSITION VACANT - CALOUNDRA SKIN CLINIC Committee: Dr Di Minuskin An exuberant welcome to Roger Faint as our We welcome new content - case studies, local news to offer full secretarial services if required Non-corporate practice established in 2003 Dr Mason Stevenson new• Private President. location He with bringsocean views a wealth and waiting of divergentarea • Private billing, Remuneration by negotiation and photos. If you are a new member, send in a Dr John Evans experiencePh: 07 5479 2922as aEmail: doctor [email protected] and new blood to the THURSDAY• Full time or part time 24 NOVEMBER 2016 short bio and a photo to introduce yourself. Dr Tau Boga AssociationSeptember 2016 which augurs well to steer us forward • Friendly supportive team including nursing support FINAL• Modern premisesMEETING with three FOR consultation 2016 rooms, Dr Fabio Brecciaroli asGPs weREQUIRED deal withFOR BUSY a rapidly BUDERIM changing PRACTICE medical Speaker:treatment room Dr and Tim OT Nathan, Urologist landscape.• Vacancies exist for GPs to join us in-hours, or after- • We are in an area of Work Force Shortage For general enquiries and all editorial or advertising hours, in our busy 24 hour, 7 day medical practice in Topics:Dr Alex Morgan “Improving 075492 6333(W) outcomes 075443 2610(H) in after contributions and costs, please contact: SandraBuderim. Peters asks GPs for their feedback on hours Email : [email protected] cancer”. • GPs urgently required to join our long-established staff, July 2016 Jo Bourke (Secretariat) ARE YOU A MEMBER? HealthPathways while the PHN documents latest “Urodynamics - more precise who serve the Sunshine Coast community with quality diagnosis of urinary symptoms” Ph: 5479 3979 If you are not a member please complete the thoughtshealthcare on in suicidea newly refurbished prevention, and spacious raised practice. during SPECIAL OPPORTUNITY -MAROOCHYDORE Mob: 0407 037 112 application form available on the website: Mental• We are Health fully accredited Week in withearly RN October. nursing support and Speaker:Special opportunity Assoc for aProf VR GPDavid who Morganis seeking QBMBA to take Fax: 5479 3995 pathology on-site, great diagnostic tools including up an existing patient(short load talk) of a departing colleague at our KevinMolemax Hegarty HD Pro. provides highlights from the busy, well established non-corporate Family Practice. www.sclma.com.au. Sponsors: Ipsen and Neotract The Sunshine Coast Local Medical Association Research• Visit our Day website held on by www.scchealthcentre.com.au. SCHHS on 18 October and We are a fully accredited, fully computerised, mixed billing welcomes contributions from members, especially • Situated centrally on Buderim, you can enjoy both Venue:practice with a friendly Maroochydore and happy professional Surf Club team You will need two proposers to sign your application Waynelifestyle Herdy and purposeinforms in us a caringof the environment. proceedings of the including nursing support and a fully equipped treatment ‘Letters to the Editor”. form. If this is a problem, come along to a monthly AMAQ’s Conference in India. He also keeps us Email [email protected] ENQUIRIES:room. Please contact Jo Bourke the Practice Manager: clinical meeting to introduce yourself abreastPh; 0418 on714 the 864. issue of doctor revalidation, rightly [email protected] or 0409 447 096 Please address all correspondence to: September 2016 Ph:Continuing 5479 3979 as per request. (M) 0407 037 112 Enquiries: Jo Ph: 5479 3979 or 0407 037 112 pointing out the lack of evidence that such a process Email: [email protected] SCLMA PO Box 549 Cotton Tree 4558 Email: [email protected] would reduce adverse outcomes for patients yet Email: [email protected] VRGP MOOLOOLABA VR GP REQUIRED – PELICAN WATERS FAMILY Are you listed on the Member Directory on our wouldBusy, not no for doubt profit comeclinic is atseeking a great a VRfinancial GP to work and with time ClinicalDOCTORS meetings are for current SCLMA members. Fax: 5479 3995 website? Are your details correct? costa supportive to implement. and relaxed team of GPs and nurses offering NewVR GP members required arefor doctor welcome owned to Familyjoin on Medical the night. Centre Newsletter Editor: Dr Kirsten Hoyle family planning services in Pelican Waters, Caloundra. Directory form available on the website. Wayne• In Mooloolaba. Herdy has Hourly returned rate, jubilantwork at your from own his pace Variety with MembershipLong established, Applications accredited are and available fully computerised, at each Email: [email protected] no particular number of clients to be seen per hour. Fully General Practice with full time experienced Nurse and meeting, in the newsletter and the SCLMA website. Bashcomputerised in his old using Mercedes, Best Practice resolving software. to do it all Receptionist support. Visiting Allied Health Professionals again• Work in as 2017. many Heor as thanks few hours all as who you like. contributed Would suit toa Website:and pathology www.sclma.com.au on site. Mixed billing and flexible working Disclaimer: The views expressed by the authors or articles the worthysemi-retired cause, GP or achieving a GP with youngjust over children his whogoal. would hours available. For further information please contact in the newsletter of the Sunshine Coast Local Medical appreciate flexibility. Practice Manager: Karen Clarke on 07 5492 1044 or Association Inc. are not necessarily those of the Sunshine All• the No afterbest hours or weekend work (unless you want to). e-mailWE [email protected]. ARE TAKING BOOKINGS (Afterhours FOR on Coast Local Medical Association Inc. The Sunshine Coast The opportunity also exists to be involved in decision 0438MONTHLY 416 917) CLINICAL MEETINGS FOR making and goal setting for the clinic. Continuing as per request. Local Medical Association Inc. accepts no responsibility Kirsten Hoyle Please contact Wendy Stephenson on 5444 8077 or 2017. Please contact Jo Bourke (as for errors, omissions or inaccuracies contained therein or Classifieds remain FREE for current SCLMA members, [email protected] 938 040 or E: [email protected] for the consequences of any action taken by any person above)$110 or Meetings for non-members. Convenor, August 2016 Ph Jo: 5479 3979 or 0407 037 112 as a result of anything contained in this publication. Email:Dr [email protected] Masters.

Telephone (07) 5443 6990 Email [email protected] 4 NEWSLETTER October 2016

Health Service Link - October 2016

Research Day the growth of research has been accompanied Attendance was high at the Sunshine Coast Hospital by a professional and Health Service (SCHHS) annual research day, level of governance. held 18 October. Our robust framework The Research Day provides a great opportunity has already received for staff to showcase their medical research as the acknowledgement. 2016 Wishlist (the Health Service’s Foundation) Research Day encourages Research Grants recipients were announced. This the culture of innovation in total represented almost $425,000 for researchers and research, which is in four categories which ensured opportunities for critical given the opening of the $1.87 billion tertiary novice, through to experienced researchers. The teaching Sunshine Coast University Hospital next support of Wishlist has really enabled the Health year. Service to advance its research agenda and has also seen Wishlist move from a focus of supporting the Florey Institute - acquisition of additional equipment for patient care, Memorandum of Understanding signed through to now with an equal focus on supporting At the Research Day, the very positive announcement research and education. was made that the Florey Institute of Neuroscience The day provided an excellent show-case of the and Mental Health, University of the Sunshine research undertaken by our staff. Rather than major Coast and the SCHHS have now officially formed presentations, the day featured the presentation of a partnership to firstly advance neuroscience abstracts by 15 presenters. This approach was well and mental health clinical trials, prior to the received by all in attendance. commencement of investigator led research. We were also fortunate to have two leading health The partnership will result in expanding research researchers present: Professor Jonathon Karnon, capacity, capability and building networks and Health Economics, School of Public Health, University partnerships with a recognised leader in research of Adelaide, on ‘Screening for variation in clinical and education. practice: how far can the data take us?’ and Dr David As research of the brain and its diseases continues Hansen, CEO Australian e-Health Research Centre, to gain momentum, the partnership will provide a on ‘Integrating Digital Technologies into Medicine: mutually beneficial opportunity for all three parties Improving patient outcomes and driving efficiency’. to leverage local, state and national experience and Powered by The Research Day is evidence of the growth of talent to ensure optimum benefit is derived for the research within the SCHHS and our determination community from research, particularly neurological to ensure its rapid development. None of this would and mental health-related research. have occurred without the visible and passionate APP NOW AVAILABLE Regards leadership of Associate Professor Nicholas Gray, • View your patient reports and images Kev Hegarty Chair Research Committee, SCHHS. Nick has ...... wherever, whenever. [email protected] fulfilled this role for six years and has ensured that • Available for Smartphone or Tablet users. • Seach XRI Reports and download app from either the Apple App Store or Google Play Store.

Set Up Instructions To setup your username and password or if you need help please contact Medinexus on 1300 79 69 59 and press option 2.

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 5

Health Service Link - October 2016

Research Day the growth of research has been accompanied Attendance was high at the Sunshine Coast Hospital by a professional and Health Service (SCHHS) annual research day, level of governance. held 18 October. Our robust framework The Research Day provides a great opportunity has already received for staff to showcase their medical research as the acknowledgement. 2016 Wishlist (the Health Service’s Foundation) Research Day encourages Research Grants recipients were announced. This the culture of innovation in total represented almost $425,000 for researchers and research, which is in four categories which ensured opportunities for critical given the opening of the $1.87 billion tertiary novice, through to experienced researchers. The teaching Sunshine Coast University Hospital next support of Wishlist has really enabled the Health year. Service to advance its research agenda and has also seen Wishlist move from a focus of supporting the Florey Institute - acquisition of additional equipment for patient care, Memorandum of Understanding signed through to now with an equal focus on supporting At the Research Day, the very positive announcement research and education. was made that the Florey Institute of Neuroscience The day provided an excellent show-case of the and Mental Health, University of the Sunshine research undertaken by our staff. Rather than major Coast and the SCHHS have now officially formed presentations, the day featured the presentation of a partnership to firstly advance neuroscience abstracts by 15 presenters. This approach was well and mental health clinical trials, prior to the received by all in attendance. commencement of investigator led research. We were also fortunate to have two leading health The partnership will result in expanding research researchers present: Professor Jonathon Karnon, capacity, capability and building networks and Health Economics, School of Public Health, University partnerships with a recognised leader in research of Adelaide, on ‘Screening for variation in clinical and education. practice: how far can the data take us?’ and Dr David As research of the brain and its diseases continues Hansen, CEO Australian e-Health Research Centre, to gain momentum, the partnership will provide a on ‘Integrating Digital Technologies into Medicine: mutually beneficial opportunity for all three parties Improving patient outcomes and driving efficiency’. to leverage local, state and national experience and Powered by The Research Day is evidence of the growth of talent to ensure optimum benefit is derived for the research within the SCHHS and our determination community from research, particularly neurological to ensure its rapid development. None of this would and mental health-related research. have occurred without the visible and passionate APP NOW AVAILABLE Regards leadership of Associate Professor Nicholas Gray, • View your patient reports and images Kev Hegarty Chair Research Committee, SCHHS. Nick has ...... wherever, whenever. [email protected] fulfilled this role for six years and has ensured that • Available for Smartphone or Tablet users. • Seach XRI Reports and download app from either the Apple App Store or Google Play Store.

Set Up Instructions To setup your username and password or if you need help please contact Medinexus on 1300 79 69 59 and press option 2.

Telephone (07) 5443 6990 Email [email protected] 6 NEWSLETTER October 2016

Locums to remote places. An An places. remote to Locums • interesting mode of practice. of mode interesting COUNCILLOR AMAQ • Locums toREPORT remote places. An COUNCILLOR AMAQ AMAQ COUNCILLOR REPORT AMAQ COUNCILLOR interesting mode of practice. Loving the unloveable. I I unloveable. the Loving • REPORT/cont: got to discuss strategies to to strategies discuss to got REPORT/cont: • Loving the unloveable. I Herdy Wayne Dr Dr Wayne Herdy if accept, to GPs encourage got to discuss strategies to not welcome, marginalized marginalized welcome, not encourage GPs to accept, if What is the problem? The problem is probably that the the that probably is problem The problem? the is What private as styled centres respite geriatric few a are There not welcome,AMAQ RECENT marginalizedTHE FROM NUMBERS INTERESTING INTERESTING NUMBERS FROM THE RECENTpatients. AMAQunpopular and There are a few geriatric respite centres styled as private What is the problem? The problem is probably that the profession, the Colleges, are not sufficiently self-regulating. If If self-regulating. sufficiently not are Colleges, the profession, personnel by staffed expensive, very and resorts aged-care and unpopular patients. INDIA. IN CONFERENCE aged-care resorts and very expensive, staffed by personnel profession, the Colleges, are not sufficiently self-regulating. If CONFERENCE IN INDIA. in unusual is Aus OFB. • us. on foisted be will regulation self-regulate, to fail we and care, aged in specifically not but care health in trained trained in health care but not specifically in aged care, and we fail to self-regulate, regulation will be foisted on us. • OFB. population Austhe istimes unusual60 = B in1.2 is India of population The The population of India is 1.2 B = screening 60 times national the a populationhaving the in elsewhere known standards care aged the near not not nearaccount the ageddoctors of care1% standardsthat known is knownIt elsewhereevidence? the is in the Where is having apopulation nationalThe screeningarea). land the half about (in Australia of of Australia (in about half the landdata area).world but The populationprogramme, is Where is the evidence? It is known that 1% of doctorsworld. account Western Western of world. re-credentialling for case a is There complaints. of 25% for programme,population the butequals world increase data annual the pa, 1.8% at growing growing at 1.8% pa, the annual increasescreening equals2-year on the populationbased is for 25% of complaints. There is a case for re-credentialling of a problem sub-population. But even though re-accreditation re-accreditation though even But sub-population. problem a and physical in lags offset to used being is Telemedicine by is basedChina’s onthan 2-yearlarger screeningbe will population India’s Australia. of of Australia. India’s population will beprogramme larger thannational China’sour while by Telemedicine is being used to offset lags in physical and a problem sub-population. But even though re-accreditation has been increasingly adopted in other countries, there is no no is there countries, other in adopted increasingly been has face-to-face than accessible more is It infrastructure. human while our national programme 2040. by 2B 2028, 2028, 2Bessence by 2040.The 60%. about is Compliance plan. 5-year is human infrastructure. It is more accessible than face-to-face has been increasingly adopted in other countries, there is no hard evidence that it makes a difference to adverse outcomes outcomes adverse to difference a makes it that evidence hard on Bollywood watch locals towns, shanty in Even healthcare. is 5-year plan. Compliance is about 60%. The essence is “screening” i.e. it is intended for asymptomatic low- asymptomatic for intended is it i.e. “screening” is healthcare. Even in shanty towns, locals watch Bollywood on hard evidence that it makes a difference to adverse outcomes offered 1976 from programme planning family a oddity: An An oddity: a family planning programme from 1976 offered patients for safety increased supposed The complaints. or at smart particularly not is India phones. smart cheap) (very is “screening” i.e. it is intended for asymptomatic low- risk population. High-risk or symptomatic patients are are patients symptomatic or High-risk population. risk (very cheap) smart phones. India is not particularly smart at or complaints. The supposed increased safety for patients vasectomy. for presenting men for radio transistor free a a free transistor radio for men presenting for vasectomy. unproven. yet as remains and marketing for talent real a has but innovation, technical risk population. High-risk or symptomatic patients are investigated, not “screened”. not investigated, technical innovation, but has a real talent for marketing and remains as yet unproven. (without radio free the for vasectomy for presented Beggars Beggars presented for vasectomy for the free radio (without applications. new to technology existing of application investigated, not “screened”. application and ofmidwife, existinga by technologychaired is to newQueensland applications.of Board Medical The the on radio the sold up), giving were they what understanding understanding Medical UQ whatof they wereanniversary th giving80 up), soldmedicine. theof radioyears on80 the • The Medical Board of Queensland is chaired by a midwife, and has a minority of members who are doctors. Six senior doctors doctors senior Six doctors. are who members of minority a has world of 40% for account now makers drug generic Indian • not 80 yearscould ofthey medicine.why 80thunderstand anniversarynot could ofand UQ Medicalmarket, black black in market,graduates and22 couldwere not (there understand recently why theyconducted couldschool not Indian generic drug makers now account for 40% of world has a minority of members who are doctors. Six senior doctors have resigned from the Board in past year out of frustration. frustration. of out year past in Board the from resigned have manufacture drug for capacity large a have They generics. schoolaway, given conducted were recentlyradios 19M (thereOver weretime. 22 second graduates a for in present the first cohort photo 1940). Remarkable how many presenthow for a secondRemarkable time. Over1940). 19Mphoto radios werecohort given first away,the generics. They have a large capacity for drug manufacture have resigned from the Board in past year out of frustration. Applicants to fill the vacancies, and those recommended by by recommended those and vacancies, the fill to Applicants China’s double USA, to exporter largest the are (they the firstdistributor retail cohort the and photo off fell 1940).sales retail Remarkablethe that many howso many so many thatgraduating the retail subsequent sales in fell off persisted and the retailconnections distributorfamily (they are the largest exporter to USA, double China’s Applicants to fill the vacancies, and those recommended by AMAQ, were not accepted. There is a serious question about about question serious a is There accepted. not were AMAQ, exports). pharmaceutical family connections persisted in subsequentbusiness. of out graduatingwent company company went out of business. years. pharmaceutical exports). AMAQ, were not accepted. There is a serious question about the integrity and validity of the Medical Board of Queensland. of Board Medical the of validity and integrity the years. the integritypatients andMost validity ofindustry. the Medicalgrowth Boardmajor a is of Queensland.tourism Medical in is (Australia years 66 is India in expectancy life Average Average life expectancy in Indiareport. is 66separate yearsSee (Australia is in Recertification. Medical tourism is a major growth industry. Most patients In UK, the experience was that many older doctors retired retired doctors older many that was experience the UK, In be to appear standards The Asia. in elsewhere from come Recertification. infant high is See separatecontribution report.single biggest The 80s). low the the C low 80s). Singapore. Thein biggest graduates single contributionmedical for isconduct highof infantcode New come frommassive a elsewhere inintroduced, Asia.was The standardsrevalidation appearwhen to be prematurely In UK, the competitive experience are prices wasbut that manystandards olderWestern doctorswith retired comparable the times 30 is it that told were we think I and rate, mortality mortality to rate, periodically and I thinkreviewed we were tolddocuments thatliving it be is to 30 timesneed theC’s of comparable with Westernprofession. the standardsfrom butexperience pricesand are competitiveknowledge of loss prematurely guarantees whenabout revalidationme ask Don’t was Asia. introduced,in aelsewhere massiveprices with New code of conduct for medical graduates in Singapore.rate. C Australian Australian are rate.especially media Social world. changing a accommodate with prices elsewhere in Asia. Don’t ask me about guarantees loss get of knowledgewon’t outcome and bad experience a that is fromguess themy profession.but liability, legal or of C’s need to be living documents reviewed periodically to or legallodge liability,to how but my readers guess is thatinforming aby bad outcomeopens won’twebsite get AHPRA accommodate population the a changingof 80% world.density, Social mediapopulation especiallynational the are Despite Despite theregulated nationalhas populationSingapore and density, 80%behaviour of of the populationpatterns changing AHPRA website opens by informingliability. Indian readersunder how toresponse lodgegood a a goodpart responsethe on bias underabout Indian liability.question a raises which complaint, a changing for village patterns nearest of behaviourthe to 20km andthan Singaporemore travel has regulatedmost rural, are are rural,AHPRA mostthat travel[Note moremedia. than 20kmsocial on to the nearestrelationships village for professional a complaint, which raises a question about bias on the part of AHPRA. The mass of numbers of complaints is a fund- a is complaints of numbers of mass The AHPRA. of fastest-growing the 1960s, the of shortages food the After professional understand relationshipswe as doctor ona social media.necessarily (not [Note that healthcare AHPRA primary primary social healthcareon (notguideline a necessarilyhave a doctorAustralia of as weBoard understandMedical and After the food shortages of the 1960s, the fastest-growing of AHPRA. The mass of numbers of complaints is a fund- raiser for the agency. Managing complaints is a major major a is complaints Managing agency. the for raiser diseases. obesity-related and obesity is profile disease and Medicalcare. Boardprimary of Australiareach to have100km over a guidelinetravel to onhave social50M it). it). 50M havepublishing tonot travelon over emphasis 100km tospecial a reachis primaryThere care.practice. media disease profile is obesity and obesity-related diseases. raiser for the agency. Managing complaints is a major time-consumer for administrators. Only a tiny proportion of of proportion tiny a Only administrators. for time-consumer rapidly rising suicide trauma), traffic road (esp high is Trauma media practice. There is a special emphasis on not publishing testimonials.] Trauma is high (esp road traffic trauma), suicide rising rapidly time-consumer for administrators. Only a tiny proportion of (Australia’s pa 5,350 AUD is income) personal (gross GPI GPI (gross personal income) is AUD 5,350 pa (Australia’s action. disciplinary in result complaints areas. rural in especially testimonials.] especially in rural areas. complaints result in disciplinary action. $60K). about is GPI Psychiatric services – prevention and treatment. If services GPIservices is If about $60K).treatment. and prevention – services Psychiatric Visit the AHPRA website and make a comment. a make and website AHPRA the Visit health – opportunities commercial clear sees Austrade Psychiatric services3.3). = (Aus – prevention1000 per anddoctors treatment.0.7 only are If servicesThere are managed by social workers, funding ends up being spent Therespent arebeing up only 0.7ends doctorsfunding per 1000workers, (Aussocial =by 3.3). managed are Austrade sees clear commercial opportunities – health Visit the AHPRA website and make a comment. intelligence, training (especially post-graduate and nursing), nursing), and post-graduate (especially training intelligence, are managed(UN by population social workers,1000 per fundingnurses ends1.2 upare being spentThere on soft services such as social care. Patients with best health Therehealth best arewith 1.2 nursesPatients care. per social 1000 as populationsuch services (UNsoft on intelligence,Re- cost. trainingabout (especiallydiscussion post-graduateno was there and nursing),meeting, the At At is the meeting,(Aus R&D there cheaper was nooffers discussionand biotech aboutin cost.high lists Re- India on soft services such as social care.2.5). Patientsminimum with best healthrecommends recommends minimumlife. in 2.5).choices have who those are outcomes India (a) listscosts hightwo in biotechinvolve will and offers cheaperre-examination, or R&D (Aus is accreditation, accreditation, orcommercializing re-examination,on poorly willperforms involvebut two innovation costs on (a) strong outcomes are there are but those whominutes, have2-5 is choices in life.consultation GP typical A A typical GP consultation is 2-5 minutes, but there are strong onincome, innovationearning of but performsinstead study poorly doctors on as commercializing cost opportunity Medical assistance in dying – a Canadian experience. experience. Canadian a – dying in assistance Medical opportunity affordable cost as doctorsdelivering on study insteadstrong is of India earning income, developments, hours GPs’ simultaneously. consultations 2-3 sometimes sometimes 2-3 consultations simultaneously. GPs’ hours developments, come won’t Indiawhich is strong re-examination, on of deliveringcost actual affordablethe (b) and Medical assistance in dying – a Canadian experience. Assisted suicide legislation has been enacted, with criteria that that criteria with enacted, been has legislation suicide Assisted and (b)poorly the actualsector cost nascent of re-examination,a is health whichsenior won’t come development), midnight. to extend often work of of work often extend to midnight. development),guess your seniorexam, final health College isa of a nascentcost the half sector (maybe poorly cheap Assisted suicide legislation has been enacted, with criteria that are not as clearly defined as we would like (e.g. a “competent” “competent” a (e.g. like would we as defined clearly as not are cheap (maybe half the cost of a College finalstandards. exam,Western yourby guessserviced serviced by Westernexamination an to standards.travel of costs plus mine, as good as is are notglobal as the clearly definedachieve to as weschools would likemedical (e.g.new a550 “competent”needs India India10- needs 550connection, new medicalfinancial no schoolsopinion, to achievesecond theNeeds global patient). is as good as mine, plus costs of travel to an examination centre if you are regional). are you if centre post- Australian for opportunities training specialist offers India patient). that Needsdenied secondspeakers opinion,our of All no financialdoctors. of connection,number 10- average average in number uncomfortable of doctors.feel All of Practitioners our speakersperiod. denied cooling-off that day India offers specialist training opportunities for Australian post- centre if you are regional). graduates. The example explored at the conference was knee knee was conference the at explored example The graduates. day cooling-offsignificant a period.was Practitionersgraduates medical feel Indian uncomfortableof drain brain in the the of brain[Gasp drain of Indianinfusion! the medicalup set to graduatesallowed are was a significantNurses role. this graduates. the by Theborne examplebe to exploredcost a is atthis thethat conferenceargue will was kneepublic The The 150 publicleast willat argueperform thatto thisneeds is a cost to beundergraduate borneAn by the arthroscopy. this told role. were Nurses we are allowedHowever, to setnumbers. upthe the had infusion! none but [Gasp of problem, problem, rushing but train none a is hadthis the numbers.caution: The However,audience.] wethe werefrom told horror arthroscopy. professional An our undergraduate earning to needs to pre-requisite perform a is it if at least 150 profession, profession, trainees if it is a pre-requisiteorthopaedic Most to earningexpertise. ourminimal professionalclaim to scopes horror from significant the a audience.] are overseas The caution: working this is workers a train rushing healthcare that that be healthcareto need we workers doctors, working overseasAustralian towards are a tracks significant the down scopes tointended claimis minimalcost the that expertise. argue will Most orthopaedicprofession The trainees incomes. incomes. have not Thedo we profession because will arguescopes, of that thenumber costthat is intendedperform not do down more the tracksprobably towardsis this Australianalthough doctors,exchange, we needforeign of to be source source of foreign rules. exchange, the dictate althoughnot do this islawyers probablythat so more proactive do not performpresumably thatpay, numbershould of scopes,public the becauseso public we dothe not haveprotect to sufficient patients in an environment to be operated on by a toa protectby on the publicoperated be soto the public environment should an in pay, presumablypatients sufficient proactive sodeveloping that other lawyersto doexports notfrom dictatemore theand rules. doctors than nurses nurses than doctors and more from exports to other developing sufficient few a in patientsfactor to in an rebate environment government to be operatedincreased onslightly bya aas Change in health insurance in Australia. For the first time in in time first the For Australia. in insurance health in Change as a slightlynumber that increasedperform governmentand India in rebatework could to factortrainee inA a few trainee. emigrating doctors from than rather economies third-world or or third-world economies rather than from doctors emigrating trainee. which A traineeguessing couldfor workprizes No in Indiayear. andevery performleave thatstudy numberof weeks Change in health insurance in Australia. For the first time in years, we have seen a fall in numbers of insured patients from from patients insured of numbers in fall a seen have we years, weeks spend of studycan leavetrainees every year.specialist No prizesProcedural for guessingweek. a in whichscopes of lands. wealthier to to wealthier lands. of scopestune. inthe a week.call will Proceduralpiper the specialistpays who he trainees– win canwill spend argument years, we have seen a fall in numbers of insured patients from 47.6% to 47.2%. Patients are losing faith in the private health health private the in faith losing are Patients 47.2%. to 47.6% argument of willnumbers win large – he who complete pays to theIndia piperin willtime callshort the tune.relatively a a relatively short time in India to complete large numbers of 47.6% family- to 47.2%.private Patientscreating by are losingincomes faiththeir in the expand private healthdoctors Many Many doctorsmultiple with expand theirpolicies incomes“junk” by creatingIncreasing privatemarket. family-insurance SOAPBOX to struggle would trainee same the when time a at procedures procedures at a time when the same trainee would struggle to SOAPBOX insurance geriatric market.not clinics, Increasingsurgery day “junk” = policieshomes” with“nursing multiple operated and unclear exclusions, difficult fine print. Devaluation in operatedDevaluation “nursing homes”print. fine = day surgery difficult clinics, exclusions, not geriatric unclear and September, in India in conference AMAQ the of day last the On home. at training of years 5 in logbooks their complete complete their logbooks in 5 years of training at home. and a is unclear exclusions,husband the difficultTypically beds. fine 20 print.typically Devaluationcare, aged in aged care,directing typicallybusiness, 20 beds.chasing Typicallyhospitals theprivate husbandbecause is a policies public a on minutes 5 have to opportunity the had participants On the last day of the AMAQ conference in India in September, REVALIDATION policies because private hospitals chasingobstetrician. an business,is wife the directing surgeon, surgeon, high with the wife is anspecialists, obstetrician.selected with alliances forming referrals, REVALIDATION & Q minutes 5 with topic, preferred their discuss to soapbox participants had the opportunity to have 5 minutes on a public referrals, forming alliances with selected specialists, with high out of pocket costs. Changing from fee-for-service to fee-for- to fee-for-service from Changing costs. pocket of out follow. to A soapbox on toGroup discuss Advisory their preferred“Expert topic,Australia of with 5 Board minutes Medical Q & Ref OECD all of (least GDP of 1% only is budget health Public Public want health budgetPatients is onlyinsurers. by 1% ofaudits GDP (leastincreasing of and all OECD outcome, Ref Medical Board of Australia “Expert Advisory Group on A to follow. 2016. August report” Interim revalidation. out of pocket costs. Changing16%). fromprobably fee-for-serviceUS 9%, = Aus to fee-for- economies, economies, (now gap Aus =known 9%, or US probably85%) (now 16%).gap no with fees, bundled revalidation. achieved be Interimwill report”outcomes Augustbest that 2016. was theme underlying An outcome, and increasing audits by insurers. Patients want if we have medical leadership, doctors heading the policy policy the heading doctors leadership, medical have we if An underlying“revalidation” themeterm wasthe thatchose best outcomesBoard the that will be achievedinteresting in is It bundled OECD; fees,all of with no(lowest pa gap pp (now$75 is 85%) or knownexpenditure gaphealth (now Average Average“pre- healthe.g. expenditureinterventional, is $75more pp pa (lowestbecoming of allInsurers OECD; 6.5%). It is in interesting that the Board chose the term “revalidation” bodies and executive bodies that govern the profession. the govern that bodies executive and bodies if we have medical leadership, doctors heading“re-certification”. the than policy rather 6.5%). funding, Insurerspublic is becoming33% moreOECD), of interventional,highest almost = e.g.$6K “pre-= Aus approval”, or requiring justification for extra hospital days or Ausor = $6Kdays = almosthospital highestextra for of OECD),justification 33% is publicrequiring or funding, approval”, rather than “re-certification”. bodies and executive bodies that govern the profession. approval”, insurance. or requiringhealth basic justification have 30% for About extra hospitalpocket. of out days is or87% 87% iscare). out of pocket.managed AboutUS-style 30% have(remember basic health medications insurance. expensive & Federal by authorized Now marijuana. Medical • first a that says always Board) the of (Chair Flynn Joanna Dr Dr Joanna Flynn (Chair of the Board) always says that a first expensive rates. medicationsspending pocket (rememberout-of US-stylehighest world’s managedthe of one care).is This This is one“errors” as of the world’s highestcomplications to refer out-of to pocketstarting spendingare rates. Administrators regulation of levels high with but – governments State • her Medicalbut marijuana.doctors, support to Now is authorizedboard medical by the Federal of & purpose purpose of the medical board is to support doctors, but her Administrators meet to trying are startingyear each to referline to complicationspoverty below fall as “errors”families 40M 40M that familiesargue fall belowdoctors but poverty direction, line eachclear a yearhas trying to terminology meet the – years 2 has Canada criteria. specified limited under Statepatients. governmentsprotect to – butpurpose, with second highthe levelsabout of regulationalways are talks talks are always about the second purpose, to protect patients. – the terminology has a clear direction, but doctors arguecosts. that health this should not shape funding. The insurers’ profit in the year healthyear costs.the in profit insurers’ The funding. shape not should this get to promises and GPs for nightmare” “a experience, under limited specified criteria. Canada has 2 years Comments from the audience: the from Comments this should not shape funding. The insurers’ profit in the year March 2015 to March 2016 was $1.476B. Minister Ley has has Ley Minister $1.476B. was 2016 March to 2015 March profession. the in divisive and Controversial worse. experience, “a nightmare” for GPs and promises to get sector health The pa. 16% is growth sector healthcare The Comments from the audience: March 2015 to March 2016 was $1.476B. Minister Ley has The healthcare sectorinsurance. growthhealth isprivate 16% reform pa. to The healthcommittee a sector formed worse. scientific Controversial no with and divisive intervention in the profession. bureaucratic “Another private the in are beds new of 70% people. 5M employs employs 5M people. 70% of new beds are in the private cheque “Another a is bureaucraticcertificate medical interventionEvery with nocertificates. scientificMedical • formed a committee to reform private health insurance. • Medical certificates.patients?” to Every benefit medical certificateapparent no and is a basis cheque sector. sector. Herdy Wayne basiscertificate andthe no signs apparent who benefitdoctor A to patients?”account. somebody’s on “The only possible benefit is as a dementia screening on somebody’sscreening dementia account. a as is A doctorbenefit who signspossible theonly certificate“The Wayne Herdy “The only possibleresponsibility. benefitaccept and is care as adue dementiaexercise screeningto has no virtually care, aged programmed no virtually is There There is virtually no programmed aged care, virtually no has to exercise due care and accept responsibility. tool.” tool.” none). maybe (or them know we as homes nursing nursing homes as we know them (or maybe none).

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 7

Locums to remote places. An An places. remote to Locums • interesting mode of practice. of mode interesting COUNCILLOR AMAQ • Locums toREPORT remote places. An COUNCILLOR AMAQ AMAQ COUNCILLOR REPORT AMAQ COUNCILLOR interesting mode of practice. Loving the unloveable. I I unloveable. the Loving • REPORT/cont: got to discuss strategies to to strategies discuss to got REPORT/cont: • Loving the unloveable. I Herdy Wayne Dr Dr Wayne Herdy if accept, to GPs encourage got to discuss strategies to not welcome, marginalized marginalized welcome, not encourage GPs to accept, if What is the problem? The problem is probably that the the that probably is problem The problem? the is What private as styled centres respite geriatric few a are There not welcome,AMAQ RECENT marginalizedTHE FROM NUMBERS INTERESTING INTERESTING NUMBERS FROM THE RECENTpatients. AMAQunpopular and There are a few geriatric respite centres styled as private What is the problem? The problem is probably that the profession, the Colleges, are not sufficiently self-regulating. If If self-regulating. sufficiently not are Colleges, the profession, personnel by staffed expensive, very and resorts aged-care and unpopular patients. INDIA. IN CONFERENCE aged-care resorts and very expensive, staffed by personnel profession, the Colleges, are not sufficiently self-regulating. If CONFERENCE IN INDIA. in unusual is Aus OFB. • us. on foisted be will regulation self-regulate, to fail we and care, aged in specifically not but care health in trained trained in health care but not specifically in aged care, and we fail to self-regulate, regulation will be foisted on us. • OFB. population Austhe istimes unusual60 = B in1.2 is India of population The The population of India is 1.2 B = screening 60 times national the a populationhaving the in elsewhere known standards care aged the near not not nearaccount the ageddoctors of care1% standardsthat known is knownIt elsewhereevidence? the is in the Where is having apopulation nationalThe screeningarea). land the half about (in Australia of of Australia (in about half the landdata area).world but The populationprogramme, is Where is the evidence? It is known that 1% of doctorsworld. account Western Western of world. re-credentialling for case a is There complaints. of 25% for programme,population the butequals world increase data annual the pa, 1.8% at growing growing at 1.8% pa, the annual increasescreening equals2-year on the populationbased is for 25% of complaints. There is a case for re-credentialling of a problem sub-population. But even though re-accreditation re-accreditation though even But sub-population. problem a and physical in lags offset to used being is Telemedicine by is basedChina’s onthan 2-yearlarger screeningbe will population India’s Australia. of of Australia. India’s population will beprogramme larger thannational China’sour while by Telemedicine is being used to offset lags in physical and a problem sub-population. But even though re-accreditation has been increasingly adopted in other countries, there is no no is there countries, other in adopted increasingly been has face-to-face than accessible more is It infrastructure. human while our national programme 2040. by 2B 2028, 2028, 2Bessence by 2040.The 60%. about is Compliance plan. 5-year is human infrastructure. It is more accessible than face-to-face has been increasingly adopted in other countries, there is no hard evidence that it makes a difference to adverse outcomes outcomes adverse to difference a makes it that evidence hard on Bollywood watch locals towns, shanty in Even healthcare. is 5-year plan. Compliance is about 60%. The essence is “screening” i.e. it is intended for asymptomatic low- asymptomatic for intended is it i.e. “screening” is healthcare. Even in shanty towns, locals watch Bollywood on hard evidence that it makes a difference to adverse outcomes offered 1976 from programme planning family a oddity: An An oddity: a family planning programme from 1976 offered patients for safety increased supposed The complaints. or at smart particularly not is India phones. smart cheap) (very is “screening” i.e. it is intended for asymptomatic low- risk population. High-risk or symptomatic patients are are patients symptomatic or High-risk population. risk (very cheap) smart phones. India is not particularly smart at or complaints. The supposed increased safety for patients vasectomy. for presenting men for radio transistor free a a free transistor radio for men presenting for vasectomy. unproven. yet as remains and marketing for talent real a has but innovation, technical risk population. High-risk or symptomatic patients are investigated, not “screened”. not investigated, technical innovation, but has a real talent for marketing and remains as yet unproven. (without radio free the for vasectomy for presented Beggars Beggars presented for vasectomy for the free radio (without applications. new to technology existing of application investigated, not “screened”. application and ofmidwife, existinga by technologychaired is to newQueensland applications.of Board Medical The the on radio the sold up), giving were they what understanding understanding Medical UQ whatof they wereanniversary th giving80 up), soldmedicine. theof radioyears on80 the • The Medical Board of Queensland is chaired by a midwife, and has a minority of members who are doctors. Six senior doctors doctors senior Six doctors. are who members of minority a has world of 40% for account now makers drug generic Indian • not 80 yearscould ofthey medicine.why 80thunderstand anniversarynot could ofand UQ Medicalmarket, black black in market,graduates and22 couldwere not (there understand recently why theyconducted couldschool not Indian generic drug makers now account for 40% of world has a minority of members who are doctors. Six senior doctors have resigned from the Board in past year out of frustration. frustration. of out year past in Board the from resigned have manufacture drug for capacity large a have They generics. schoolaway, given conducted were recentlyradios 19M (thereOver weretime. 22 second graduates a for in present the first cohort photo 1940). Remarkable how many presenthow for a secondRemarkable time. Over1940). 19Mphoto radios werecohort given first away,the generics. They have a large capacity for drug manufacture have resigned from the Board in past year out of frustration. Applicants to fill the vacancies, and those recommended by by recommended those and vacancies, the fill to Applicants China’s double USA, to exporter largest the are (they the firstdistributor retail cohort the and photo off fell 1940).sales retail Remarkablethe that many howso many so many thatgraduating the retail subsequent sales in fell off persisted and the retailconnections distributorfamily (they are the largest exporter to USA, double China’s Applicants to fill the vacancies, and those recommended by AMAQ, were not accepted. There is a serious question about about question serious a is There accepted. not were AMAQ, exports). pharmaceutical family connections persisted in subsequentbusiness. of out graduatingwent company company went out of business. years. pharmaceutical exports). AMAQ, were not accepted. There is a serious question about the integrity and validity of the Medical Board of Queensland. of Board Medical the of validity and integrity the years. the integritypatients andMost validity ofindustry. the Medicalgrowth Boardmajor a is of Queensland.tourism Medical in is (Australia years 66 is India in expectancy life Average Average life expectancy in Indiareport. is 66separate yearsSee (Australia is in Recertification. Medical tourism is a major growth industry. Most patients In UK, the experience was that many older doctors retired retired doctors older many that was experience the UK, In be to appear standards The Asia. in elsewhere from come Recertification. infant high is See separatecontribution report.single biggest The 80s). low the the C low 80s). Singapore. Thein biggest graduates single contributionmedical for isconduct highof infantcode New come frommassive a elsewhere inintroduced, Asia.was The standardsrevalidation appearwhen to be prematurely In UK, the competitive experience are prices wasbut that manystandards olderWestern doctorswith retired comparable the times 30 is it that told were we think I and rate, mortality mortality to rate, periodically and I thinkreviewed we were tolddocuments thatliving it be is to 30 timesneed theC’s of comparable with Westernprofession. the standardsfrom butexperience pricesand are competitiveknowledge of loss prematurely guarantees whenabout revalidationme ask Don’t was Asia. introduced,in aelsewhere massiveprices with New code of conduct for medical graduates in Singapore.rate. C Australian Australian are rate.especially media Social world. changing a accommodate with prices elsewhere in Asia. Don’t ask me about guarantees loss get of knowledgewon’t outcome and bad experience a that is fromguess themy profession.but liability, legal or of C’s need to be living documents reviewed periodically to or legallodge liability,to how but my readers guess is thatinforming aby bad outcomeopens won’twebsite get AHPRA accommodate population the a changingof 80% world.density, Social mediapopulation especiallynational the are Despite Despite theregulated nationalhas populationSingapore and density, 80%behaviour of of the populationpatterns changing AHPRA website opens by informingliability. Indian readersunder how toresponse lodgegood a a goodpart responsethe on bias underabout Indian liability.question a raises which complaint, a changing for village patterns nearest of behaviourthe to 20km andthan Singaporemore travel has regulatedmost rural, are are rural,AHPRA mostthat travel[Note moremedia. than 20kmsocial on to the nearestrelationships village for professional a complaint, which raises a question about bias on the part of AHPRA. The mass of numbers of complaints is a fund- a is complaints of numbers of mass The AHPRA. of fastest-growing the 1960s, the of shortages food the After professional understand relationshipswe as doctor ona social media.necessarily (not [Note that healthcare AHPRA primary primary social healthcareon (notguideline a necessarilyhave a doctorAustralia of as weBoard understandMedical and After the food shortages of the 1960s, the fastest-growing of AHPRA. The mass of numbers of complaints is a fund- raiser for the agency. Managing complaints is a major major a is complaints Managing agency. the for raiser diseases. obesity-related and obesity is profile disease and Medicalcare. Boardprimary of Australiareach to have100km over a guidelinetravel to onhave social50M it). it). 50M havepublishing tonot travelon over emphasis 100km tospecial a reachis primaryThere care.practice. media disease profile is obesity and obesity-related diseases. raiser for the agency. Managing complaints is a major time-consumer for administrators. Only a tiny proportion of of proportion tiny a Only administrators. for time-consumer rapidly rising suicide trauma), traffic road (esp high is Trauma media practice. There is a special emphasis on not publishing testimonials.] Trauma is high (esp road traffic trauma), suicide rising rapidly time-consumer for administrators. Only a tiny proportion of (Australia’s pa 5,350 AUD is income) personal (gross GPI GPI (gross personal income) is AUD 5,350 pa (Australia’s action. disciplinary in result complaints areas. rural in especially testimonials.] especially in rural areas. complaints result in disciplinary action. $60K). about is GPI Psychiatric services – prevention and treatment. If services GPIservices is If about $60K).treatment. and prevention – services Psychiatric Visit the AHPRA website and make a comment. a make and website AHPRA the Visit health – opportunities commercial clear sees Austrade Psychiatric services3.3). = (Aus – prevention1000 per anddoctors treatment.0.7 only are If servicesThere are managed by social workers, funding ends up being spent Therespent arebeing up only 0.7ends doctorsfunding per 1000workers, (Aussocial =by 3.3). managed are Austrade sees clear commercial opportunities – health Visit the AHPRA website and make a comment. intelligence, training (especially post-graduate and nursing), nursing), and post-graduate (especially training intelligence, are managed(UN by population social workers,1000 per fundingnurses ends1.2 upare being spentThere on soft services such as social care. Patients with best health Therehealth best arewith 1.2 nursesPatients care. per social 1000 as populationsuch services (UNsoft on intelligence,Re- cost. trainingabout (especiallydiscussion post-graduateno was there and nursing),meeting, the At At is the meeting,(Aus R&D there cheaper was nooffers discussionand biotech aboutin cost.high lists Re- India on soft services such as social care.2.5). Patientsminimum with best healthrecommends recommends minimumlife. in 2.5).choices have who those are outcomes India (a) listscosts hightwo in biotechinvolve will and offers cheaperre-examination, or R&D (Aus is accreditation, accreditation, orcommercializing re-examination,on poorly willperforms involvebut two innovation costs on (a) strong outcomes are there are but those whominutes, have2-5 is choices in life.consultation GP typical A A typical GP consultation is 2-5 minutes, but there are strong onincome, innovationearning of but performsinstead study poorly doctors on as commercializing cost opportunity Medical assistance in dying – a Canadian experience. experience. Canadian a – dying in assistance Medical opportunity affordable cost as doctorsdelivering on study insteadstrong is of India earning income, developments, hours GPs’ simultaneously. consultations 2-3 sometimes sometimes 2-3 consultations simultaneously. GPs’ hours developments, come won’t Indiawhich is strong re-examination, on of deliveringcost actual affordablethe (b) and Medical assistance in dying – a Canadian experience. Assisted suicide legislation has been enacted, with criteria that that criteria with enacted, been has legislation suicide Assisted and (b)poorly the actualsector cost nascent of re-examination,a is health whichsenior won’t come development), midnight. to extend often work of of work often extend to midnight. development),guess your seniorexam, final health College isa of a nascentcost the half sector (maybe poorly cheap Assisted suicide legislation has been enacted, with criteria that are not as clearly defined as we would like (e.g. a “competent” “competent” a (e.g. like would we as defined clearly as not are cheap (maybe half the cost of a College finalstandards. exam,Western yourby guessserviced serviced by Westernexamination an to standards.travel of costs plus mine, as good as is are notglobal as the clearly definedachieve to as weschools would likemedical (e.g.new a550 “competent”needs India India10- needs 550connection, new medicalfinancial no schoolsopinion, to achievesecond theNeeds global patient). is as good as mine, plus costs of travel to an examination centre if you are regional). are you if centre post- Australian for opportunities training specialist offers India patient). that Needsdenied secondspeakers opinion,our of All no financialdoctors. of connection,number 10- average average in number uncomfortable of doctors.feel All of Practitioners our speakersperiod. denied cooling-off that day India offers specialist training opportunities for Australian post- centre if you are regional). graduates. The example explored at the conference was knee knee was conference the at explored example The graduates. day cooling-offsignificant a period.was Practitionersgraduates medical feel Indian uncomfortableof drain brain in the the of brain[Gasp drain of Indianinfusion! the medicalup set to graduatesallowed are was a significantNurses role. this graduates. the by Theborne examplebe to exploredcost a is atthis thethat conferenceargue will was kneepublic The The 150 publicleast willat argueperform thatto thisneeds is a cost to beundergraduate borneAn by the arthroscopy. this told role. were Nurses we are allowedHowever, to setnumbers. upthe the had infusion! none but [Gasp of problem, problem, rushing but train none a is hadthis the numbers.caution: The However,audience.] wethe werefrom told horror arthroscopy. professional An our undergraduate earning to needs to pre-requisite perform a is it if at least 150 profession, profession, trainees if it is a pre-requisiteorthopaedic Most to earningexpertise. ourminimal professionalclaim to scopes horror from significant the a audience.] are overseas The caution: working this is workers a train rushing healthcare that that be healthcareto need we workers doctors, working overseasAustralian towards are a tracks significant the down scopes tointended claimis minimalcost the that expertise. argue will Most orthopaedicprofession The trainees incomes. incomes. have not Thedo we profession because will arguescopes, of that thenumber costthat is intendedperform not do down more the tracksprobably towardsis this Australianalthough doctors,exchange, we needforeign of to be source source of foreign rules. exchange, the dictate althoughnot do this islawyers probablythat so more proactive do not performpresumably thatpay, numbershould of scopes,public the becauseso public we dothe not haveprotect to sufficient patients in an environment to be operated on by a toa protectby on the publicoperated be soto the public environment should an in pay, presumablypatients sufficient proactive sodeveloping that other lawyersto doexports notfrom dictatemore theand rules. doctors than nurses nurses than doctors and more from exports to other developing sufficient few a in patientsfactor to in an rebate environment government to be operatedincreased onslightly bya aas Change in health insurance in Australia. For the first time in in time first the For Australia. in insurance health in Change as a slightlynumber that increasedperform governmentand India in rebatework could to factortrainee inA a few trainee. emigrating doctors from than rather economies third-world or or third-world economies rather than from doctors emigrating trainee. which A traineeguessing couldfor workprizes No in Indiayear. andevery performleave thatstudy numberof weeks Change in health insurance in Australia. For the first time in years, we have seen a fall in numbers of insured patients from from patients insured of numbers in fall a seen have we years, weeks spend of studycan leavetrainees every year.specialist No prizesProcedural for guessingweek. a in whichscopes of lands. wealthier to to wealthier lands. of scopestune. inthe a week.call will Proceduralpiper the specialistpays who he trainees– win canwill spend argument years, we have seen a fall in numbers of insured patients from 47.6% to 47.2%. Patients are losing faith in the private health health private the in faith losing are Patients 47.2%. to 47.6% argument of willnumbers win large – he who complete pays to theIndia piperin willtime callshort the tune.relatively a a relatively short time in India to complete large numbers of 47.6% family- to 47.2%.private Patientscreating by are losingincomes faiththeir in the expand private healthdoctors Many Many doctorsmultiple with expand theirpolicies incomes“junk” by creatingIncreasing privatemarket. family-insurance SOAPBOX to struggle would trainee same the when time a at procedures procedures at a time when the same trainee would struggle to SOAPBOX insurance geriatric market.not clinics, Increasingsurgery day “junk” = policieshomes” with“nursing multiple operated and unclear exclusions, difficult fine print. Devaluation in operatedDevaluation “nursing homes”print. fine = day surgery difficult clinics, exclusions, not geriatric unclear and September, in India in conference AMAQ the of day last the On home. at training of years 5 in logbooks their complete complete their logbooks in 5 years of training at home. and a is unclear exclusions,husband the difficultTypically beds. fine 20 print.typically Devaluationcare, aged in aged care,directing typicallybusiness, 20 beds.chasing Typicallyhospitals theprivate husbandbecause is a policies public a on minutes 5 have to opportunity the had participants On the last day of the AMAQ conference in India in September, REVALIDATION policies because private hospitals chasingobstetrician. an business,is wife the directing surgeon, surgeon, high with the wife is anspecialists, obstetrician.selected with alliances forming referrals, REVALIDATION & Q minutes 5 with topic, preferred their discuss to soapbox participants had the opportunity to have 5 minutes on a public referrals, forming alliances with selected specialists, with high out of pocket costs. Changing from fee-for-service to fee-for- to fee-for-service from Changing costs. pocket of out follow. to A soapbox on toGroup discuss Advisory their preferred“Expert topic,Australia of with 5 Board minutes Medical Q & Ref OECD all of (least GDP of 1% only is budget health Public Public want health budgetPatients is onlyinsurers. by 1% ofaudits GDP (leastincreasing of and all OECD outcome, Ref Medical Board of Australia “Expert Advisory Group on A to follow. 2016. August report” Interim revalidation. out of pocket costs. Changing16%). fromprobably fee-for-serviceUS 9%, = Aus to fee-for- economies, economies, (now gap Aus =known 9%, or US probably85%) (now 16%).gap no with fees, bundled revalidation. achieved be Interimwill report”outcomes Augustbest that 2016. was theme underlying An outcome, and increasing audits by insurers. Patients want if we have medical leadership, doctors heading the policy policy the heading doctors leadership, medical have we if An underlying“revalidation” themeterm wasthe thatchose best outcomesBoard the that will be achievedinteresting in is It bundled OECD; fees,all of with no(lowest pa gap pp (now$75 is 85%) or knownexpenditure gaphealth (now Average Average“pre- healthe.g. expenditureinterventional, is $75more pp pa (lowestbecoming of allInsurers OECD; 6.5%). It is in interesting that the Board chose the term “revalidation” bodies and executive bodies that govern the profession. the govern that bodies executive and bodies if we have medical leadership, doctors heading“re-certification”. the than policy rather 6.5%). funding, Insurerspublic is becoming33% moreOECD), of interventional,highest almost = e.g.$6K “pre-= Aus approval”, or requiring justification for extra hospital days or Ausor = $6Kdays = almosthospital highestextra for of OECD),justification 33% is publicrequiring or funding, approval”, rather than “re-certification”. bodies and executive bodies that govern the profession. approval”, insurance. or requiringhealth basic justification have 30% for About extra hospitalpocket. of out days is or87% 87% iscare). out of pocket.managed AboutUS-style 30% have(remember basic health medications insurance. expensive & Federal by authorized Now marijuana. Medical • first a that says always Board) the of (Chair Flynn Joanna Dr Dr Joanna Flynn (Chair of the Board) always says that a first expensive rates. medicationsspending pocket (rememberout-of US-stylehighest world’s managedthe of one care).is This This is one“errors” as of the world’s highestcomplications to refer out-of to pocketstarting spendingare rates. Administrators regulation of levels high with but – governments State • her Medicalbut marijuana.doctors, support to Now is authorizedboard medical by the Federal of & purpose purpose of the medical board is to support doctors, but her Administrators meet to trying are startingyear each to referline to complicationspoverty below fall as “errors”families 40M 40M that familiesargue fall belowdoctors but poverty direction, line eachclear a yearhas trying to terminology meet the – years 2 has Canada criteria. specified limited under Statepatients. governmentsprotect to – butpurpose, with second highthe levelsabout of regulationalways are talks talks are always about the second purpose, to protect patients. – the terminology has a clear direction, but doctors arguecosts. that health this should not shape funding. The insurers’ profit in the year healthyear costs.the in profit insurers’ The funding. shape not should this get to promises and GPs for nightmare” “a experience, under limited specified criteria. Canada has 2 years Comments from the audience: the from Comments this should not shape funding. The insurers’ profit in the year March 2015 to March 2016 was $1.476B. Minister Ley has has Ley Minister $1.476B. was 2016 March to 2015 March profession. the in divisive and Controversial worse. experience, “a nightmare” for GPs and promises to get sector health The pa. 16% is growth sector healthcare The Comments from the audience: March 2015 to March 2016 was $1.476B. Minister Ley has The healthcare sectorinsurance. growthhealth isprivate 16% reform pa. to The healthcommittee a sector formed worse. scientific Controversial no with and divisive intervention in the profession. bureaucratic “Another private the in are beds new of 70% people. 5M employs employs 5M people. 70% of new beds are in the private cheque “Another a is bureaucraticcertificate medical interventionEvery with nocertificates. scientificMedical • formed a committee to reform private health insurance. • Medical certificates.patients?” to Every benefit medical certificateapparent no and is a basis cheque sector. sector. Herdy Wayne basiscertificate andthe no signs apparent who benefitdoctor A to patients?”account. somebody’s on “The only possible benefit is as a dementia screening on somebody’sscreening dementia account. a as is A doctorbenefit who signspossible theonly certificate“The Wayne Herdy “The only possibleresponsibility. benefitaccept and is care as adue dementiaexercise screeningto has no virtually care, aged programmed no virtually is There There is virtually no programmed aged care, virtually no has to exercise due care and accept responsibility. tool.” tool.” none). maybe (or them know we as homes nursing nursing homes as we know them (or maybe none).

Telephone (07) 5443 6990 Email [email protected] 8 NEWSLETTER October 2016

™ SCHHS GPLO – OCTOBER 2016 UPDATE Move without pain Dr Sandra Peters

We use new patented evidence-based Orthotic Technology! Greetings from the GP liaison team at Nambour Hospital. We hope this finds you all well as we Guaranteed Outcomes gear up to the end of another year. • Evidence-based research in Biomechanics and Kinetic Orthotic therapy. • Leading therapeutic technology including: Clinical Prioritisation Criteria (CPC) and HealthPathways: 1. Shock Wave therapy Machines, excellent for treating chronic plantar fasciitis and Achilles tendonitis. Work is progressing on the localisation of HealthPathways and the CPC criteria are being 2. New Photodynamic Fungal Nail Therapy Unit, highly effective and embedded in the request pages. Feedback from a sample of GPs has been positive so it is full significantly safer than existing laser for this treatment. steam ahead for us. At this stage we look likely to be seeing Sunshine Coast HealthPathways going live on 1st November! 75 localised pathways are in draft and we hope to see them all live on • Passionate and experienced Team committed to delivering the best st possible treatment for our patients on the Sunshine Coast and in Brisbane. 1 November. Newly localised pathways will be added as they are signed off. Each pathway has a feedback button which I would encourage you to use – particularly if there is a resource or contact Locations details you would like to see added. Maroochydore, Noosa, Nambour, Caloundra, Morayfield and Indooroopilly GPs interested in reviewing first drafts of localised pathways could please forward their best email with satellite practices at Mapleton and Kenilworth. contact details to Clinton at the PHN for inclusion in the consultation distribution list All EPC patients Bulk Billed ([email protected])

Nurse Navigator Program: Phone: 1300 130 410 The new cohort of Nurse Navigators have commenced in Maleny/Hinterland and Gympie with the www.daneverson.com.au service set to expand to Caloundra in 2017. Feedback from patients accessing the program has been very positive as you can see below:

63 year old gentleman from Maleny • Helps keep all those involved in my care in the loop • Explains things as needed and keeps me on my toes in terms of me keeping up appointments that I might otherwise forget or postpone.

74 year old gentleman from Tin Can Bay • Gave me hope for a better outcome of my ailments. Reduced my depression and stress, made me feel that someone was listening to me at last. • By improving and reducing my stress, my relationship with others is also improved.

Queensland Health Viewer:

The project team at the Clinical Excellence Division, Brisbane are working on how we as external clinicians will access The Viewer. The GPLOs continue to advocate for a solution which is integrated with GP clinical software to allow for ease of access. More information as soon as I receive any!

SPOT ON update:

The interim 6 month evaluation is almost complete and of > 500 patients participating in the pilot approximately one half were seen by their regular GP and the remainder at the tier 2 practices. Surveys will be distributed to GPs via survey monkey as part of this evaluation and the research team appreciate the time taken to complete as it is important to try and capture the impact of the SPOT ON programme on general practice. The programme has been extended for a further 12 months to allow for a comprehensive evaluation of clinical outcomes, patient and clinician experience and in addition an economic evaluation of the model.

Until next month, Cheers, Sandra

[email protected] Mobile 0427 625 607

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 9

™ SCHHS GPLO – OCTOBER 2016 UPDATE Move without pain Dr Sandra Peters

We use new patented evidence-based Orthotic Technology! Greetings from the GP liaison team at Nambour Hospital. We hope this finds you all well as we Guaranteed Outcomes gear up to the end of another year. • Evidence-based research in Biomechanics and Kinetic Orthotic therapy. • Leading therapeutic technology including: Clinical Prioritisation Criteria (CPC) and HealthPathways: 1. Shock Wave therapy Machines, excellent for treating chronic plantar fasciitis and Achilles tendonitis. Work is progressing on the localisation of HealthPathways and the CPC criteria are being 2. New Photodynamic Fungal Nail Therapy Unit, highly effective and embedded in the request pages. Feedback from a sample of GPs has been positive so it is full significantly safer than existing laser for this treatment. steam ahead for us. At this stage we look likely to be seeing Sunshine Coast HealthPathways going live on 1st November! 75 localised pathways are in draft and we hope to see them all live on • Passionate and experienced Team committed to delivering the best st possible treatment for our patients on the Sunshine Coast and in Brisbane. 1 November. Newly localised pathways will be added as they are signed off. Each pathway has a feedback button which I would encourage you to use – particularly if there is a resource or contact Locations details you would like to see added. Maroochydore, Noosa, Nambour, Caloundra, Morayfield and Indooroopilly GPs interested in reviewing first drafts of localised pathways could please forward their best email with satellite practices at Mapleton and Kenilworth. contact details to Clinton at the PHN for inclusion in the consultation distribution list All EPC patients Bulk Billed ([email protected])

Nurse Navigator Program: Phone: 1300 130 410 The new cohort of Nurse Navigators have commenced in Maleny/Hinterland and Gympie with the www.daneverson.com.au service set to expand to Caloundra in 2017. Feedback from patients accessing the program has been very positive as you can see below:

63 year old gentleman from Maleny • Helps keep all those involved in my care in the loop • Explains things as needed and keeps me on my toes in terms of me keeping up appointments that I might otherwise forget or postpone.

74 year old gentleman from Tin Can Bay • Gave me hope for a better outcome of my ailments. Reduced my depression and stress, made me feel that someone was listening to me at last. • By improving and reducing my stress, my relationship with others is also improved.

Queensland Health Viewer:

The project team at the Clinical Excellence Division, Brisbane are working on how we as external clinicians will access The Viewer. The GPLOs continue to advocate for a solution which is integrated with GP clinical software to allow for ease of access. More information as soon as I receive any!

SPOT ON update:

The interim 6 month evaluation is almost complete and of > 500 patients participating in the pilot approximately one half were seen by their regular GP and the remainder at the tier 2 practices. Surveys will be distributed to GPs via survey monkey as part of this evaluation and the research team appreciate the time taken to complete as it is important to try and capture the impact of the SPOT ON programme on general practice. The programme has been extended for a further 12 months to allow for a comprehensive evaluation of clinical outcomes, patient and clinician experience and in addition an economic evaluation of the model.

Until next month, Cheers, Sandra

[email protected] Mobile 0427 625 607

Telephone (07) 5443 6990 Email [email protected] 10 NEWSLETTER October 2016

For appointments contact Sunshine Coast Orthopaedic Clinic Dr Steven Lawrie Suite 17, Kawana Private Hospital 5 Innovation Parkway, Birtinya QLD 4575 The Acute Knee Clinic p: 07 5493 3994 f: 07 5493 3897 e: [email protected] The first few days can make all the difference or an appropriate non-operative treatment www.sunshineortho.com.au PHN placing the focus on positive in recovery from a sporting injury. programme. Dr Steve Lawrie at the Sunshine Coast To access the Acute Knee Clinic, a patient mental health Orthopaedic Clinic provides an Acute Knee needs to have a current referral to Dr Steven Examples of these Clinic each Monday and Tuesday which is Lawrie and plain x-rays of the knee should injuries include: specifically designed for, but not limited to, also be arranged before the initial consultation. sports injuries of the knee with a view to A plain x-ray is very important in the initial A medial ligament injury is usually easily rapid assessment, investigation and adoption assessment to exclude fractures, loose treated in a range of motion brace, using of a management plan within the first few As an organisation, Central Queensland, Wide Bay, Sunshine Coast PHN bodies, and to show the alignment of the an MCL protocol if applied with the 1st days of the initial injury. staff stuck it to suicide stigma this October for Mental Health Week 2016. knee joint and the patellofemoral joint, which week or so. But it can be extremely Working in the health industry, it’s important to understand how our peers The Acute Knee Clinic has now been running cannot be seen on other investigations, such difficult to correct if there is a delay of a for twelve years. We have treated many as an MRI scan. number of weeks. and co-workers are touched by suicide in their everyday lives. Staff from professional and semi-professional athletes Splints and orthotics can be organized Paediatric meniscal tears may be as well as the “weekend warriors”, including across our Sunshine Coast and Gympie offices have been involved in an directly with Leonie Walton on 5473 5858. repairable early after an injury, but a delay a special interest in paediatric sporting Leonie attends our clinic on a Thursday typically means meniscal resection range of positive mental health and wellbeing activities leading up to injuries. Dr Lawrie has a close association afternoon, but she is available throughout the becomes necessary. with many sporting teams on the Sunshine Queensland Mental Health Week at the beginning of October. week as needed. Coast, including the Sunshine Coast Falcons, Acute patellar dislocation may respond to As a primary health care organisation, it’s our responsibility to spread the Melbourne Storm and many other local clubs. The Acute Knee Clinic is intended to surgical repair if surgery is offered in the complement Dr Lawrie’s other interests, Specific conditions that can benefit from first 2 weeks after the injury. word about positive mental health language, encourage others to check in including hip and knee replacement, emergent assessment include suspected with each other regularly and provide contacts for support. We recognise the revision arthroplasty, computer assisted joint Traumatic meniscal tears where early ligamentous injuries, including cruciate replacement, cartilage surgery, as well as hip, repair rather than delayed resection can need for improved mental health and suicide prevention services in our catchment – particularly in rural and ligaments, medial ligaments, multiple knee and ankle arthroscopy. make a dramatic difference in outcomes remote areas where access to primary mental health services may be limited, or where there’s a lot of ligament injuries, acute patellar dislocation, stigma attached to mental illness. In the coming financial year, we’ll be committing a significant amount of locked knees and especially paediatric Dr Lawrie is happy to take phone calls for Early ACL surgery in the young active resources to the mental health service landscape. cruciate and meniscal injuries whether that advice, queries etc as this often helps the patient/sportsman. referral process. be by implementing early surgical techniques We’re also supporting a wide range of mental health awareness, wellbeing and suicide prevention activities in the greater Sunshine Coast community. The awareness events kicked off in late August at the PHN Gympie office, which hosted the ‘Converstation’ bike – a custom built stationary bicycle used to start conversations about positive mental health and wellbeing.

The bike, designed and funded by the Gympie Mental Health Week Organising Committee, uses pedal power to convert energy to run a television connected to the bike, which will play topical mental health videos. The bike is a metaphorical representation of mental health stigma in the community – if the bike stops being ridden, the ‘conversation’ on the screen also stops. The bike was also a prominent feature of the popular Gympie Gold Rush Festival in early October.

PHN staff recently gathered in the Maroochydore office to mark RUOK Day, World Suicide Prevention Day and Mental Health week and hear stories of people affected by suicide. Guest Lynda Neville from StandBy Response Service and discussed the importance of language when discussing suicide, and how avoiding “the ‘C’ word” can reduce the stigma around suicide. Guidelines developed by mental health professionals recommend using “took his/her own life”, “died by suicide” or “suicided” instead of the word ‘commit’.

StandBy Response Service can provide individual in-house training about suicide awareness, including how to have safe conversations in the workplace and after care for individual staff and affected workplaces. StandBy also provide an invaluable ‘linkage’ service for workplaces and can connect businesses to relative leading industry partners e.g. MATES in Construction, PANDA, Transcultural MH etc. Standby Responsive Service StandBy Coordinator Ms Lynda Neville presented on the issue of stigmatising language, and the need to reduce the ‘C’ word when discussing suicide or comforting a bereaved loved one. At the PHN, we’re encouraging other health professionals to be mindful of language when taking part in such discussions.

The statistics tell us about 2500 people in Australia took their own life in 2014. We’re encouraging practices to be in the know around appropriate language to discuss or report suicide in Queensland Mental Health Week 2016, and advise GPs, allied health practitioners and practice staff to visit MindFrame to learn more about respectful conversations. For more, visit http://www.mindframe-media.info/

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 11

For appointments contact Sunshine Coast Orthopaedic Clinic Dr Steven Lawrie Suite 17, Kawana Private Hospital 5 Innovation Parkway, Birtinya QLD 4575 The Acute Knee Clinic p: 07 5493 3994 f: 07 5493 3897 e: [email protected] The first few days can make all the difference or an appropriate non-operative treatment www.sunshineortho.com.au PHN placing the focus on positive in recovery from a sporting injury. programme. Dr Steve Lawrie at the Sunshine Coast To access the Acute Knee Clinic, a patient mental health Orthopaedic Clinic provides an Acute Knee needs to have a current referral to Dr Steven Examples of these Clinic each Monday and Tuesday which is Lawrie and plain x-rays of the knee should injuries include: specifically designed for, but not limited to, also be arranged before the initial consultation. sports injuries of the knee with a view to A plain x-ray is very important in the initial A medial ligament injury is usually easily rapid assessment, investigation and adoption assessment to exclude fractures, loose treated in a range of motion brace, using of a management plan within the first few As an organisation, Central Queensland, Wide Bay, Sunshine Coast PHN bodies, and to show the alignment of the an MCL protocol if applied with the 1st days of the initial injury. staff stuck it to suicide stigma this October for Mental Health Week 2016. knee joint and the patellofemoral joint, which week or so. But it can be extremely Working in the health industry, it’s important to understand how our peers The Acute Knee Clinic has now been running cannot be seen on other investigations, such difficult to correct if there is a delay of a for twelve years. We have treated many as an MRI scan. number of weeks. and co-workers are touched by suicide in their everyday lives. Staff from professional and semi-professional athletes Splints and orthotics can be organized Paediatric meniscal tears may be as well as the “weekend warriors”, including across our Sunshine Coast and Gympie offices have been involved in an directly with Leonie Walton on 5473 5858. repairable early after an injury, but a delay a special interest in paediatric sporting Leonie attends our clinic on a Thursday typically means meniscal resection range of positive mental health and wellbeing activities leading up to injuries. Dr Lawrie has a close association afternoon, but she is available throughout the becomes necessary. with many sporting teams on the Sunshine Queensland Mental Health Week at the beginning of October. week as needed. Coast, including the Sunshine Coast Falcons, Acute patellar dislocation may respond to As a primary health care organisation, it’s our responsibility to spread the Melbourne Storm and many other local clubs. The Acute Knee Clinic is intended to surgical repair if surgery is offered in the complement Dr Lawrie’s other interests, Specific conditions that can benefit from first 2 weeks after the injury. word about positive mental health language, encourage others to check in including hip and knee replacement, emergent assessment include suspected with each other regularly and provide contacts for support. We recognise the revision arthroplasty, computer assisted joint Traumatic meniscal tears where early ligamentous injuries, including cruciate replacement, cartilage surgery, as well as hip, repair rather than delayed resection can need for improved mental health and suicide prevention services in our catchment – particularly in rural and ligaments, medial ligaments, multiple knee and ankle arthroscopy. make a dramatic difference in outcomes remote areas where access to primary mental health services may be limited, or where there’s a lot of ligament injuries, acute patellar dislocation, stigma attached to mental illness. In the coming financial year, we’ll be committing a significant amount of locked knees and especially paediatric Dr Lawrie is happy to take phone calls for Early ACL surgery in the young active resources to the mental health service landscape. cruciate and meniscal injuries whether that advice, queries etc as this often helps the patient/sportsman. referral process. be by implementing early surgical techniques We’re also supporting a wide range of mental health awareness, wellbeing and suicide prevention activities in the greater Sunshine Coast community. The awareness events kicked off in late August at the PHN Gympie office, which hosted the ‘Converstation’ bike – a custom built stationary bicycle used to start conversations about positive mental health and wellbeing.

The bike, designed and funded by the Gympie Mental Health Week Organising Committee, uses pedal power to convert energy to run a television connected to the bike, which will play topical mental health videos. The bike is a metaphorical representation of mental health stigma in the community – if the bike stops being ridden, the ‘conversation’ on the screen also stops. The bike was also a prominent feature of the popular Gympie Gold Rush Festival in early October.

PHN staff recently gathered in the Maroochydore office to mark RUOK Day, World Suicide Prevention Day and Mental Health week and hear stories of people affected by suicide. Guest Lynda Neville from StandBy Response Service and discussed the importance of language when discussing suicide, and how avoiding “the ‘C’ word” can reduce the stigma around suicide. Guidelines developed by mental health professionals recommend using “took his/her own life”, “died by suicide” or “suicided” instead of the word ‘commit’.

StandBy Response Service can provide individual in-house training about suicide awareness, including how to have safe conversations in the workplace and after care for individual staff and affected workplaces. StandBy also provide an invaluable ‘linkage’ service for workplaces and can connect businesses to relative leading industry partners e.g. MATES in Construction, PANDA, Transcultural MH etc. Standby Responsive Service StandBy Coordinator Ms Lynda Neville presented on the issue of stigmatising language, and the need to reduce the ‘C’ word when discussing suicide or comforting a bereaved loved one. At the PHN, we’re encouraging other health professionals to be mindful of language when taking part in such discussions.

The statistics tell us about 2500 people in Australia took their own life in 2014. We’re encouraging practices to be in the know around appropriate language to discuss or report suicide in Queensland Mental Health Week 2016, and advise GPs, allied health practitioners and practice staff to visit MindFrame to learn more about respectful conversations. For more, visit http://www.mindframe-media.info/

Telephone (07) 5443 6990 Email [email protected] 12 NEWSLETTER October 2016

Planning Aged Care Needs

The wave of older Australians will continue to grow over the coming decades. As such, we can no longer afford to ignore the issues around aged care with over 1 million retirees already accessing aged care services in Australia.

GP Assessment Planning ahead can help to demystify aged care and reduce stress levels. With awareness and pre-planning retirees can maintain control and choice and have access to the financial resources to pay for care and minimise the stress on families. This brief article discusses the steps older Australians could consider when planning to move to residential aged care.

Assessing options Admit your private patients, call 1300 675 897 Aged care help can be accessed in a retirees home or in a residential service. They are able to arrange a Ambulance free assessment by an Aged Care Assessment Team/Service (ACAT/ACAS). Your call will be taken by an Intensive Care Unit RMO who will assess your patient and organise They will need to have ACAT/ACAS approval before they can access a government subsidised home care admission. package or residential care. • Avoid inter-hospital transfers by directly admitting your private patients with heart symptoms • 24/7 general and interventional cardiology on-call cover Tips – They can book an appointment directly with ACAT/ACAS on 1800 200 422. Further information is • Our dedicated cardiac pathway ensures patients receive fast and effective care in our cardiac available at www.myagedcare.gov.au cath lab, coronary care unit or cardiac ward. Admission Searching for services www.buderimheartcentre.com.au Make a list. This should include location, amenities and specific health care needs. This list will help patients develop a shortlist of potential services that they may require. Also patients need to check what fees will be asked for accommodation and ongoing services to ensure it is affordable.

Tips - Search for services by visiting myagedcare.gov.au and search by postcode for the list of aged care facilities in their preferred location. Also search the internet for ‘aged care placement services’ for advice and help to choose a service and negotiate a place.

New Trauma Recovery Structuring finances Residents may be faced with accepting a place in whichever service has a low-means place available and Program for Veterans could even be a shared room. Structuring assets to pay for accommodation as well as create sufficient cash flow is paramount. The Sunshine Coast Private Hospital now offers an intensive program to help guide Estate planning veterans through the trauma recovery process. Retiree’s Wills should be reviewed and updated to reflect wishes. As dementia is a leading factor behind the need for care services, when the time comes it is likely that the client will need to delegate financial decisions Covering topics such as anxiety, depression, anger, to someone else. This is easier if an enduring power of attorney (and guardianship) is in place. So it is addiction and sleep disorders, the program aims to provide veterans with: important to have the appropriate powers in place before a person has lost legal capacity as once capacity has been lost, it will be too late to set up the powers and a trip to the Guardianship Tribunal will be needed. • A clear understanding of post traumatic stress disorder and its impact, as well as factors that maintain trauma If you would like to discuss any questions you may have please give me a call. • The opportunity to learn how to use cognitive behavioural therapy to overcome trauma Kirk Jarrott Partner – 07 5437 9900 • Assistance to prepare a relapse prevention plan The statistics Patients are now being accepted and do not • On average, one new case of dementia occurs in Australia every 6 minutes require a specialist referral. Send your referral Celebrating caring for our community via Medical Objects or fax to 5452 0671. • 30% of people over age 85 have dementia • More than 50% of people in subsidised aged care facilities have dementia

Cooinda Mental Health Service T: 1300 780 413 F: 5452 0671 12 Elsa Wilson Drive sunshinecoasthospital.com.au/cooinda Source: Alzheimers’ Australia, www.fightdementia.org.au Buderim QLD 4556 [email protected]

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 13

Planning Aged Care Needs

The wave of older Australians will continue to grow over the coming decades. As such, we can no longer afford to ignore the issues around aged care with over 1 million retirees already accessing aged care services in Australia.

GP Assessment Planning ahead can help to demystify aged care and reduce stress levels. With awareness and pre-planning retirees can maintain control and choice and have access to the financial resources to pay for care and minimise the stress on families. This brief article discusses the steps older Australians could consider when planning to move to residential aged care.

Assessing options Admit your private patients, call 1300 675 897 Aged care help can be accessed in a retirees home or in a residential service. They are able to arrange a Ambulance free assessment by an Aged Care Assessment Team/Service (ACAT/ACAS). Your call will be taken by an Intensive Care Unit RMO who will assess your patient and organise They will need to have ACAT/ACAS approval before they can access a government subsidised home care admission. package or residential care. • Avoid inter-hospital transfers by directly admitting your private patients with heart symptoms • 24/7 general and interventional cardiology on-call cover Tips – They can book an appointment directly with ACAT/ACAS on 1800 200 422. Further information is • Our dedicated cardiac pathway ensures patients receive fast and effective care in our cardiac available at www.myagedcare.gov.au cath lab, coronary care unit or cardiac ward. Admission Searching for services www.buderimheartcentre.com.au Make a list. This should include location, amenities and specific health care needs. This list will help patients develop a shortlist of potential services that they may require. Also patients need to check what fees will be asked for accommodation and ongoing services to ensure it is affordable.

Tips - Search for services by visiting myagedcare.gov.au and search by postcode for the list of aged care facilities in their preferred location. Also search the internet for ‘aged care placement services’ for advice and help to choose a service and negotiate a place.

New Trauma Recovery Structuring finances Residents may be faced with accepting a place in whichever service has a low-means place available and Program for Veterans could even be a shared room. Structuring assets to pay for accommodation as well as create sufficient cash flow is paramount. The Sunshine Coast Private Hospital now offers an intensive program to help guide Estate planning veterans through the trauma recovery process. Retiree’s Wills should be reviewed and updated to reflect wishes. As dementia is a leading factor behind the need for care services, when the time comes it is likely that the client will need to delegate financial decisions Covering topics such as anxiety, depression, anger, to someone else. This is easier if an enduring power of attorney (and guardianship) is in place. So it is addiction and sleep disorders, the program aims to provide veterans with: important to have the appropriate powers in place before a person has lost legal capacity as once capacity has been lost, it will be too late to set up the powers and a trip to the Guardianship Tribunal will be needed. • A clear understanding of post traumatic stress disorder and its impact, as well as factors that maintain trauma If you would like to discuss any questions you may have please give me a call. • The opportunity to learn how to use cognitive behavioural therapy to overcome trauma Kirk Jarrott Partner – 07 5437 9900 • Assistance to prepare a relapse prevention plan The statistics Patients are now being accepted and do not • On average, one new case of dementia occurs in Australia every 6 minutes require a specialist referral. Send your referral Celebrating caring for our community via Medical Objects or fax to 5452 0671. • 30% of people over age 85 have dementia • More than 50% of people in subsidised aged care facilities have dementia

Cooinda Mental Health Service T: 1300 780 413 F: 5452 0671 12 Elsa Wilson Drive sunshinecoasthospital.com.au/cooinda Source: Alzheimers’ Australia, www.fightdementia.org.au Buderim QLD 4556 [email protected]

Telephone (07) 5443 6990 Email [email protected] 14 NEWSLETTER October 2016

Excellence in Diagnostics

Sunshine Coast Radiology works in collaboration with our referring doctors to deliver value through International Day of Radiology Spotlights Advances quality services. in Breast Cancer Screening Treatment We achieve this through a united vision, innovation and shared responsibility through a team of IDOR 2016 celebrates thousands of lives saved by mammography and role that diverse radiologists who collectively bring a wealth radiology plays in detection, diagnosis and management of breast diseases of advanced knowledge to the field of medical diagnostics. • The International Day of Radiology is an initiative deaths have plummeted nearly We are committed to providing excellence in diagnostics of the European Society of Radiology, the 40 percent. Every major medical as patients are our number one priority. Radiological Society of North America and the organization with expertise in breast American College of Radiology cancer care, including the American This is proven with our on-going commitment and ISO • It is an annual event held with the aim of building College of Radiology, the American certification reflected in our quality management systems. greater awareness of the value that radiology Congress of Obstetricians and contributes to safe patient care and improving Gynecologists (ACOG) and Society 1300 MY SCAN / 1300 69 7226 understanding of the vital role radiologists play in of Breast Imaging (SBI), recommend that women start the healthcare continuum. getting annual mammograms at age 40. scradiology.com.au • In 2016 the day is dedicated to breast imaging and the Breast cancer is the most common invasive cancer essential role that radiology affecting women in Australia. One in eight women will plays in the detection, diagnosis be diagnosed with breast cancer in their lifetime and NEUROLOGICAL PHYSIOTHERAPY and management of diseases of over 15,050 women are diagnosed each year. Medical Neuro @ Sports & Spinal is a newly formed, specialised Physiotherapy team, put together to review the breast. Find out more: imaging is one of the most progressive disciplines in and assess an individual’s level of impairment and function in the presence of neurological disease http://www.internationaldayofradiology.com/ healthcare and, with advances in technology and or injury. This will assist in monitoring its progression and to determine the best possible care and services necessary to ensure the patient is managing as well as possible in everyday life. research, it is now possible to detect most breast Sunshine Coast Radiology is proud to take part in cancers at a very early stage. An initial assessment with our Neuro team involves a comprehensive exam to devise a suitable rehabilitation plan individualised to the patient’s needs. This plan will aim to: International Day of Radiology (IDoR) — Tuesday, - Improve or maintain function Nov. 8 — the 121st anniversary of the discovery of the “We are proud to be celebrating the International - Slow the progression of symptoms X-ray. IDoR 2016 is dedicated to breast imaging and Day of Radiology as a recognition of the role of - Decrease career burden the essential role that radiology plays in the detection, radiology in improving human life. The profession Patients that may benefit from visiting Neuro @ Sports & Spinal include those with: diagnosis and management of breast diseases. IDoR of radiology continues to be innovative, investing • Stroke • Acquired Brain Injury • Spinal Cord Injury • Huntington’s Disease 2016 will also include celebrations during National in and developing new technologies to deliver • Parkinson’s Disease • Muscle Disorders • Polyneuropathies • Multiple Sclerosis Radiologic Technology Week (Nov. 6–12). advancements in all areas of medicine. Radiology is now an integral and essential component of The team consists of physiotherapists: Laura Perry, Alice Latham and Kirstie Davidson. This year, IDoR celebrates the thousands of lives advanced health care provision, with Radiologists Laura Perry | Leading Physiotherapist for Neuro @ Sports & Spinal saved by the many contributions of breast imagers and medical imaging technicians playing a vital role Laura graduated with a Bachelor of Physiotherapy at the University of South Australia, and and radiation oncologists. Since mammography in achieving better health outcomes for patients.” since then has been working in private practice. Laura has developed a passion for neurologicial rehabilitation. Laura believes in a holistic approach to injury and management to help her use became widespread in the1980s, breast cancer Dr Siavash Es’haghi, CEO – Sunshine Coast Radiology patients achieve their goals and to provide the best possible outcome and care.

Sports & Spinal: 7 locations on the Sunshine Coast! scradiology.com.au Referrals via Medical Objects or Referral Pad Ph: 07 5479 1777 | E: [email protected] Excellence in Diagnostics

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 15

Excellence in Diagnostics

Sunshine Coast Radiology works in collaboration with our referring doctors to deliver value through International Day of Radiology Spotlights Advances quality services. in Breast Cancer Screening Treatment We achieve this through a united vision, innovation and shared responsibility through a team of IDOR 2016 celebrates thousands of lives saved by mammography and role that diverse radiologists who collectively bring a wealth radiology plays in detection, diagnosis and management of breast diseases of advanced knowledge to the field of medical diagnostics. • The International Day of Radiology is an initiative deaths have plummeted nearly We are committed to providing excellence in diagnostics of the European Society of Radiology, the 40 percent. Every major medical as patients are our number one priority. Radiological Society of North America and the organization with expertise in breast American College of Radiology cancer care, including the American This is proven with our on-going commitment and ISO • It is an annual event held with the aim of building College of Radiology, the American certification reflected in our quality management systems. greater awareness of the value that radiology Congress of Obstetricians and contributes to safe patient care and improving Gynecologists (ACOG) and Society 1300 MY SCAN / 1300 69 7226 understanding of the vital role radiologists play in of Breast Imaging (SBI), recommend that women start the healthcare continuum. getting annual mammograms at age 40. scradiology.com.au • In 2016 the day is dedicated to breast imaging and the Breast cancer is the most common invasive cancer essential role that radiology affecting women in Australia. One in eight women will plays in the detection, diagnosis be diagnosed with breast cancer in their lifetime and NEUROLOGICAL PHYSIOTHERAPY and management of diseases of over 15,050 women are diagnosed each year. Medical Neuro @ Sports & Spinal is a newly formed, specialised Physiotherapy team, put together to review the breast. Find out more: imaging is one of the most progressive disciplines in and assess an individual’s level of impairment and function in the presence of neurological disease http://www.internationaldayofradiology.com/ healthcare and, with advances in technology and or injury. This will assist in monitoring its progression and to determine the best possible care and services necessary to ensure the patient is managing as well as possible in everyday life. research, it is now possible to detect most breast Sunshine Coast Radiology is proud to take part in cancers at a very early stage. An initial assessment with our Neuro team involves a comprehensive exam to devise a suitable rehabilitation plan individualised to the patient’s needs. This plan will aim to: International Day of Radiology (IDoR) — Tuesday, - Improve or maintain function Nov. 8 — the 121st anniversary of the discovery of the “We are proud to be celebrating the International - Slow the progression of symptoms X-ray. IDoR 2016 is dedicated to breast imaging and Day of Radiology as a recognition of the role of - Decrease career burden the essential role that radiology plays in the detection, radiology in improving human life. The profession Patients that may benefit from visiting Neuro @ Sports & Spinal include those with: diagnosis and management of breast diseases. IDoR of radiology continues to be innovative, investing • Stroke • Acquired Brain Injury • Spinal Cord Injury • Huntington’s Disease 2016 will also include celebrations during National in and developing new technologies to deliver • Parkinson’s Disease • Muscle Disorders • Polyneuropathies • Multiple Sclerosis Radiologic Technology Week (Nov. 6–12). advancements in all areas of medicine. Radiology is now an integral and essential component of The team consists of physiotherapists: Laura Perry, Alice Latham and Kirstie Davidson. This year, IDoR celebrates the thousands of lives advanced health care provision, with Radiologists Laura Perry | Leading Physiotherapist for Neuro @ Sports & Spinal saved by the many contributions of breast imagers and medical imaging technicians playing a vital role Laura graduated with a Bachelor of Physiotherapy at the University of South Australia, and and radiation oncologists. Since mammography in achieving better health outcomes for patients.” since then has been working in private practice. Laura has developed a passion for neurologicial rehabilitation. Laura believes in a holistic approach to injury and management to help her use became widespread in the1980s, breast cancer Dr Siavash Es’haghi, CEO – Sunshine Coast Radiology patients achieve their goals and to provide the best possible outcome and care.

Sports & Spinal: 7 locations on the Sunshine Coast! scradiology.com.au Referrals via Medical Objects or Referral Pad Ph: 07 5479 1777 | E: [email protected] Excellence in Diagnostics

Telephone (07) 5443 6990 Email [email protected] 16 NEWSLETTER October 2016 VARIETY BASH 2016 - DUSTY SWAGS TO CHEQUERED FLAGS. Congratulations to long-time SCLMA member .... Dr Wayne Herdy - Warwick to Bathurst 30th Sept-9th October. Dr Heather Parker, Aviation Medical Examiner

I have just completed the 2016 Variety Bash, and what an There were a number of AWs, (auxiliary workshops), which Dr Heather Parker was made an Honorary Life She organised her own flights to Gayndah or experience it was. And a learning curve. I’ll talk about three had entered as non-Bashers but in support of their friends member of the Australasian Society of Aerospace Kingaroy each month to work in private GP practices domains - the fundraising purpose, the rally drive experience, in a Bash car, and the RAAF provided a mobile workshop Medicine at the annual convention in Townsville for 12 years. and the social function of the Bash. that has surprising capabilities. During the Bash, a 1950s recently. Heather has been a Designated Aviation fire truck blew a clutch, and a VW beetle of similar vintage For those who haven’t attended my previous communications, crunched its front end. In both cases, a replacement part Medical Examiner for the Civil Aviation Safety With a friend she flew to Mt Isa to raise money for the Bash is a major fund-raising event for Variety Queensland, could be found reasonably locally and both vehicles were Authority for over 30 years and she has served on the RFDS, and to the AWPA conferences in Dubbo, the children’s charity. The money goes to supporting kids with back on the road within a day. its Committee for six years. During her time on the Longreach, Echuca and Alice Springs. She flew in special needs, and their families, and specific gifts are made committee she convened conferences, presented the Great Hawaiian Air Race in 2001, raising money to institutions. Variety has a venerable history arising when The part that I was least prepared for was the mad antics papers, wrote articles for every newsletter, and for the “Make-a-wish” Foundation. She also served a child was left in a theatre to be cared for by actors (read of the social activity. From the moment we arrived at the actively contributed to the development of ASAM. on the Aviation Safety Forum in Canberra. the website for more history). The Bash started 30 years starting point, it was clear that we had some very strange ago when Dick Smith persuaded his friends to drive cars at travelling companions. The cars had, in some cases, entered ASAM has been in existence for 67 years since 1949 In 2006 Heather was awarded the Nancy-Bird least 30 years old from Burke to Burketown, and it has run 10 or more Bashes and over the years a lot of work had been and 36 people have been made honorary Members, Walton Award from AWPA for “the most noteworthy annually since, 27 years in Queensland. put into creating some quite bizarre vehicles. The photos tell only three of them women doctors. One of these was contribution to aviation by a woman of Australasia”, only part of the story. The fundraising purpose is pretty clear. What is not so clear a former Sunshine Coast GP Dr Dorothy Herbert who and in that same year an OAM for “services to is where the money goes. I was comfortable supporting this The crews were even more entertaining. About half of the was made an Honorary member in 1997. aviation and to medicine”. charity because it looked to me that most of the money goes entrants were repeat entrants from past years, and played out to where it is actually supposed to go, which is more than you their chosen characters day and night. One has to wonder if Heather attained a Diploma in Medical Journalism She has recently been appointed as Medical Assessor can say for most large charities. they all totally put their characters away in a box at home from UQ and has written articles for JASAM, Airnews, to QCAT which involves travelling to Brisbane to and become normal folk again until the next Bash. During this Bash, the fund donated a specialized trampoline Helinews, Australian Flying, Australian Doctor and sit on the Tribunal. She is still working as a GP in to a school to allow disabled kids to enjoy the experience and My favourite car was Mad Max and my favourite characters Medical Observer. Peregian Springs and does about 500 Pilot Medicals maybe improve their motor function. Individual support is the Hippy Hornbags (from Maleny). We had clowns, two a year for various Authorities. more detailed, and I plan bringing to an LMA meeting a local versions of Batman, Rocky Horror and the Simpsons, Men in She is a GP and a private pilot, and passionate about family who has benefited from the support of Variety. Each Black and the Cat in the Hat, Captain Risky, and on it went. medicine and flying. She learned to fly at Caloundra family has a different function. To add a perspective, and The hardest to ignore were the Aussie Rock team, with VERY in 1989 and joined the Australian Women Pilots’ I hope it is not commercial in confidence; the top 10 fund- loud music blasting from the top of their car day and night. Association (AWPA) Over the years Heather has raisers in this Bash raised about a million dollars between Of the 81 cars, half were old hands and had a polished act, attained AME status with other authorities: NZ, USA, them. the half of us who were newcomers were at first bewildered by Canada, UK and Europe, Singapore, South Africa The lowest fund-raisers had a minimum target of $8500 each, the spectacle and eventually all just joined in the fun. By the and Moldova. which we barely reached. Some teams spent the entire year end of the tour, we all knew one another, and it was clear why Heather worked with the Wide Bay/Burnett Regional in fund-raising, with sausage sizzles, raffles, golf days, and the past Bashers were greeting one another as old friends Health Authority which required her to fly herself to all very time-consuming slow ways of reaching the qualifying from day one. outlying centres including Wondai and Kingaroy to minimum. conduct Women’s Health clinics. My team was entered as Old Bones (complete with skeleton The car rally experience was not what I had experienced in costumes, although somehow that got translated to Old the past, but was a lot easier. This is a fun run, a drive in the Farts which carried less of a medical message). Every day country with mates. It is not a rally, so it is not competitive, had a stop somewhere, usually pre-arranged to attract local not a speed trial. The navigation was also mostly straight- attention and bring local kids in to get a touch of excitement forward, the only real challenge being last-minute changes and oodles of handouts from the Bash teams. Every small to the route caused by road closures after extensive flooding town where we stopped got an economic boost, an estimated in central NSW. $90K each stop spent on catering (service clubs, P&Cs), fuel, and alcohol which figured prominently in the social calendar For an ex-rally driver/navigator, it was elementary, but for from the outset (every car having a designated driver of your average driver some of the mud sections through the course). forests were an extension of the comfort zone. There was a fairly challenging day of unpredictable and treacherous mud Would I do it again? Yes, but this time I would use the roads, but all cars and crews finally got in to a belated dinner. experience to create a better Bash for my team. I can see plenty of options to make it an opportunity for health What was different was the age of the cars involved, minimum promotion (Random Breast Test stops, when did you last have 30 years old, needing a lot of care and attention as the days a mammogram? Prostate testing, don’t worry fellas it’s only a went by and old machinery showed its weak spots. Our car blood test. And perpetuating our Old Bones theme – ‘Healthy started chewing a LOT of oil, almost to the point of calling young bones make healthy old bones’ (an osteoporosis theme.) in at service stations to fill the oil and check the petrol. The The Variety Bash next year will be departing from Caloundra engine will need some substantial rebuilding before the car More Variety Bash photos on back page and on the SCLMA website. Check out the Variety Bash in August and going out to Longreach. So the fundraising and sets off on its next adventure. the car preparation start all over again. W Herdy. website to see all donations: https://2016varietybash.everydayhero.com/au/wayne

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 17 VARIETY BASH 2016 - DUSTY SWAGS TO CHEQUERED FLAGS. Congratulations to long-time SCLMA member .... Dr Wayne Herdy - Warwick to Bathurst 30th Sept-9th October. Dr Heather Parker, Aviation Medical Examiner

I have just completed the 2016 Variety Bash, and what an There were a number of AWs, (auxiliary workshops), which Dr Heather Parker was made an Honorary Life She organised her own flights to Gayndah or experience it was. And a learning curve. I’ll talk about three had entered as non-Bashers but in support of their friends member of the Australasian Society of Aerospace Kingaroy each month to work in private GP practices domains - the fundraising purpose, the rally drive experience, in a Bash car, and the RAAF provided a mobile workshop Medicine at the annual convention in Townsville for 12 years. and the social function of the Bash. that has surprising capabilities. During the Bash, a 1950s recently. Heather has been a Designated Aviation fire truck blew a clutch, and a VW beetle of similar vintage For those who haven’t attended my previous communications, crunched its front end. In both cases, a replacement part Medical Examiner for the Civil Aviation Safety With a friend she flew to Mt Isa to raise money for the Bash is a major fund-raising event for Variety Queensland, could be found reasonably locally and both vehicles were Authority for over 30 years and she has served on the RFDS, and to the AWPA conferences in Dubbo, the children’s charity. The money goes to supporting kids with back on the road within a day. its Committee for six years. During her time on the Longreach, Echuca and Alice Springs. She flew in special needs, and their families, and specific gifts are made committee she convened conferences, presented the Great Hawaiian Air Race in 2001, raising money to institutions. Variety has a venerable history arising when The part that I was least prepared for was the mad antics papers, wrote articles for every newsletter, and for the “Make-a-wish” Foundation. She also served a child was left in a theatre to be cared for by actors (read of the social activity. From the moment we arrived at the actively contributed to the development of ASAM. on the Aviation Safety Forum in Canberra. the website for more history). The Bash started 30 years starting point, it was clear that we had some very strange ago when Dick Smith persuaded his friends to drive cars at travelling companions. The cars had, in some cases, entered ASAM has been in existence for 67 years since 1949 In 2006 Heather was awarded the Nancy-Bird least 30 years old from Burke to Burketown, and it has run 10 or more Bashes and over the years a lot of work had been and 36 people have been made honorary Members, Walton Award from AWPA for “the most noteworthy annually since, 27 years in Queensland. put into creating some quite bizarre vehicles. The photos tell only three of them women doctors. One of these was contribution to aviation by a woman of Australasia”, only part of the story. The fundraising purpose is pretty clear. What is not so clear a former Sunshine Coast GP Dr Dorothy Herbert who and in that same year an OAM for “services to is where the money goes. I was comfortable supporting this The crews were even more entertaining. About half of the was made an Honorary member in 1997. aviation and to medicine”. charity because it looked to me that most of the money goes entrants were repeat entrants from past years, and played out to where it is actually supposed to go, which is more than you their chosen characters day and night. One has to wonder if Heather attained a Diploma in Medical Journalism She has recently been appointed as Medical Assessor can say for most large charities. they all totally put their characters away in a box at home from UQ and has written articles for JASAM, Airnews, to QCAT which involves travelling to Brisbane to and become normal folk again until the next Bash. During this Bash, the fund donated a specialized trampoline Helinews, Australian Flying, Australian Doctor and sit on the Tribunal. She is still working as a GP in to a school to allow disabled kids to enjoy the experience and My favourite car was Mad Max and my favourite characters Medical Observer. Peregian Springs and does about 500 Pilot Medicals maybe improve their motor function. Individual support is the Hippy Hornbags (from Maleny). We had clowns, two a year for various Authorities. more detailed, and I plan bringing to an LMA meeting a local versions of Batman, Rocky Horror and the Simpsons, Men in She is a GP and a private pilot, and passionate about family who has benefited from the support of Variety. Each Black and the Cat in the Hat, Captain Risky, and on it went. medicine and flying. She learned to fly at Caloundra family has a different function. To add a perspective, and The hardest to ignore were the Aussie Rock team, with VERY in 1989 and joined the Australian Women Pilots’ I hope it is not commercial in confidence; the top 10 fund- loud music blasting from the top of their car day and night. Association (AWPA) Over the years Heather has raisers in this Bash raised about a million dollars between Of the 81 cars, half were old hands and had a polished act, attained AME status with other authorities: NZ, USA, them. the half of us who were newcomers were at first bewildered by Canada, UK and Europe, Singapore, South Africa The lowest fund-raisers had a minimum target of $8500 each, the spectacle and eventually all just joined in the fun. By the and Moldova. which we barely reached. Some teams spent the entire year end of the tour, we all knew one another, and it was clear why Heather worked with the Wide Bay/Burnett Regional in fund-raising, with sausage sizzles, raffles, golf days, and the past Bashers were greeting one another as old friends Health Authority which required her to fly herself to all very time-consuming slow ways of reaching the qualifying from day one. outlying centres including Wondai and Kingaroy to minimum. conduct Women’s Health clinics. My team was entered as Old Bones (complete with skeleton The car rally experience was not what I had experienced in costumes, although somehow that got translated to Old the past, but was a lot easier. This is a fun run, a drive in the Farts which carried less of a medical message). Every day country with mates. It is not a rally, so it is not competitive, had a stop somewhere, usually pre-arranged to attract local not a speed trial. The navigation was also mostly straight- attention and bring local kids in to get a touch of excitement forward, the only real challenge being last-minute changes and oodles of handouts from the Bash teams. Every small to the route caused by road closures after extensive flooding town where we stopped got an economic boost, an estimated in central NSW. $90K each stop spent on catering (service clubs, P&Cs), fuel, and alcohol which figured prominently in the social calendar For an ex-rally driver/navigator, it was elementary, but for from the outset (every car having a designated driver of your average driver some of the mud sections through the course). forests were an extension of the comfort zone. There was a fairly challenging day of unpredictable and treacherous mud Would I do it again? Yes, but this time I would use the roads, but all cars and crews finally got in to a belated dinner. experience to create a better Bash for my team. I can see plenty of options to make it an opportunity for health What was different was the age of the cars involved, minimum promotion (Random Breast Test stops, when did you last have 30 years old, needing a lot of care and attention as the days a mammogram? Prostate testing, don’t worry fellas it’s only a went by and old machinery showed its weak spots. Our car blood test. And perpetuating our Old Bones theme – ‘Healthy started chewing a LOT of oil, almost to the point of calling young bones make healthy old bones’ (an osteoporosis theme.) in at service stations to fill the oil and check the petrol. The The Variety Bash next year will be departing from Caloundra engine will need some substantial rebuilding before the car More Variety Bash photos on back page and on the SCLMA website. Check out the Variety Bash in August and going out to Longreach. So the fundraising and sets off on its next adventure. the car preparation start all over again. W Herdy. website to see all donations: https://2016varietybash.everydayhero.com/au/wayne

Telephone (07) 5443 6990 Email [email protected] 18 NEWSLETTER October 2016 MEDICAL MOTORING MEDICAL MOTORING / cont: with Dr Clive Fraser

Holden Commodore SV6 “Driven to extinction” Medical Facility Everyone complains that in the 21st Century all cars Fit-Out Specialists look the same, but the Commodore still stands out in the crowd, because it is so big. REFURB EXISTING • FIT-OUT NEW That does provide a challenge fitting into those small Extensive experience in all parking spaces that beckon in Darlinghurst and Potts Whilst I loved the Commodore’s driving experience types of Medical Facilities: Point. I can’t say I liked it’s on-board MyLink entertainment • Radiology • Specialists centre. But all that bulk on the outside does translate into • Day Surgery • Hospitals acres of space internally. Sydney drivers all know that 702 ABC Sydney doesn’t • Medical Clinics • GPs have reception on the Central Coast. There is a rear seat that is living room size and really I found the simple task of storing 1233 ABC Newcastle We are happy to work with your designers does fit three adults, though I can’t remember the last or we can help you engage a designer. Friday 6th October 2016 was a sad day for Ford fans time anyone sat in the back when I’ve been driving. particularly confusing, and the operation of the radio We can help with council certification if required. all over Australia (and New Zealand). was further complicated by the inadvertent pushing The Friday afternoon commute out of Sydney sees of the horizontally placed buttons below the touch It was the day that the very last Ford Falcon rolled off the Commodore crawling along with thousands of screen. Contact: 1300 658 997 the production line at Broadmeadows, a blue Falcon other commuters so it seems around town there [email protected] One thousand kilometres in a Commodore is XR6. really is no point in having a 3.6 litre V6 and 210 kW under the hood. surprisingly pleasant. Ironically it was also the last Friday before the 2016 My lumbar spine and gluteal region agreed that the I wasn’t disappointed once I hit the F1 Freeway as it’s Exceptional Professional Strata Bathurst 1000 race which would see Ford place third. seats were comfortable. there that the Commodore can finally stretch its legs. Suite in Dedicated Medical Building Ford has manufactured cars in Australia for 91 And I think that 7.8 litres per 100 km in a mixture of Birtinya, Sunshine Coast years and 4,356,628 vehicles have been built at My last drive in a Commodore was in a VE which was stop-start and freeway driving is commendable for a Broadmeadows. 43 kg heavier than the VF. family-sized car. With the plant’s closure 1200 jobs at Ford would go The attractive styling of the VF also means that the Would I buy a VF Commodore? with probably another 8,000 jobs in the components coefficient of drag has dropped from 0.33 to 0.30, industry also being lost. meaning that the VF accelerates faster and also uses Yes, because I’ve never owned one and I think it less fuel. would satisfy my nostalgic cravings. Undoubtedly many tears will be shed over the loss of Safe motoring, Australia’s automotive manufacturing industry. That’s a combination that rev-heads and greenies will agree on. Doctor Clive Fraser Though they have always been arch rivals Holden now has the locally-built six cylinder rear-wheel drive On the open road the Commodore has effortless market all to itself at last. power and I can see just why sales reps have always preferred “family” cars when they spend all day on So I decided to take a long last look at the soon to the road. be extinct VF with a trip from For Sale & Lease Lot 11 & 12, 5 Innovation Parkway, Birtinya QLD Sydney to Terrigal and on to Newcastle and the Commodore can forever claim bragging rights in the “Sunshine Coast Surgical and Specialist Centre”

Hunter Valley. power race with the 6.2 litre V8 VF HSV GTS having  Lot 11: 77sq m | Lot 12: 129sq m power of 430 kW and 740 Nm of torque.  Located on Level 1 with 5 exclusive car parks  Fitted out tenancies ready for occupation with reception, consulting rooms & open area For reasons too complicated to explain I made the  Building comprises of GP’s, Surgeons & various health services including specialists  Exceptional lake / water views, north facing journey twice so I covered 1,000 kilometres in three That makes that version of the VF the most powerful  Close proximity to the Sunshine Coast Public & Private University Hospitals days. car ever produced for public sale in Australia. For Lease: From $630p/w + Outgoings + GST For Sale: (Lot 11 & 12) $1.25m + GST (Negotiable) *Approx No problems finding my SV6 Commodore in the In the United States General Motors sells this car as Jason O’Meara airport parking lot. the Chevrolet SS and in the United Kingdom as the 0408 087 868 07 5313 7500 Vauxhall VXR8. [email protected] savills.com.au

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 19 MEDICAL MOTORING MEDICAL MOTORING / cont: with Dr Clive Fraser

Holden Commodore SV6 “Driven to extinction” Medical Facility Everyone complains that in the 21st Century all cars Fit-Out Specialists look the same, but the Commodore still stands out in the crowd, because it is so big. REFURB EXISTING • FIT-OUT NEW That does provide a challenge fitting into those small Extensive experience in all parking spaces that beckon in Darlinghurst and Potts Whilst I loved the Commodore’s driving experience types of Medical Facilities: Point. I can’t say I liked it’s on-board MyLink entertainment • Radiology • Specialists centre. But all that bulk on the outside does translate into • Day Surgery • Hospitals acres of space internally. Sydney drivers all know that 702 ABC Sydney doesn’t • Medical Clinics • GPs have reception on the Central Coast. There is a rear seat that is living room size and really I found the simple task of storing 1233 ABC Newcastle We are happy to work with your designers does fit three adults, though I can’t remember the last or we can help you engage a designer. Friday 6th October 2016 was a sad day for Ford fans time anyone sat in the back when I’ve been driving. particularly confusing, and the operation of the radio We can help with council certification if required. all over Australia (and New Zealand). was further complicated by the inadvertent pushing The Friday afternoon commute out of Sydney sees of the horizontally placed buttons below the touch It was the day that the very last Ford Falcon rolled off the Commodore crawling along with thousands of screen. Contact: 1300 658 997 the production line at Broadmeadows, a blue Falcon other commuters so it seems around town there [email protected] One thousand kilometres in a Commodore is XR6. really is no point in having a 3.6 litre V6 and 210 kW under the hood. surprisingly pleasant. Ironically it was also the last Friday before the 2016 My lumbar spine and gluteal region agreed that the I wasn’t disappointed once I hit the F1 Freeway as it’s Exceptional Professional Strata Bathurst 1000 race which would see Ford place third. seats were comfortable. there that the Commodore can finally stretch its legs. Suite in Dedicated Medical Building Ford has manufactured cars in Australia for 91 And I think that 7.8 litres per 100 km in a mixture of Birtinya, Sunshine Coast years and 4,356,628 vehicles have been built at My last drive in a Commodore was in a VE which was stop-start and freeway driving is commendable for a Broadmeadows. 43 kg heavier than the VF. family-sized car. With the plant’s closure 1200 jobs at Ford would go The attractive styling of the VF also means that the Would I buy a VF Commodore? with probably another 8,000 jobs in the components coefficient of drag has dropped from 0.33 to 0.30, industry also being lost. meaning that the VF accelerates faster and also uses Yes, because I’ve never owned one and I think it less fuel. would satisfy my nostalgic cravings. Undoubtedly many tears will be shed over the loss of Safe motoring, Australia’s automotive manufacturing industry. That’s a combination that rev-heads and greenies will agree on. Doctor Clive Fraser Though they have always been arch rivals Holden now has the locally-built six cylinder rear-wheel drive On the open road the Commodore has effortless market all to itself at last. power and I can see just why sales reps have always preferred “family” cars when they spend all day on So I decided to take a long last look at the soon to the road. be extinct VF Holden Commodore with a trip from For Sale & Lease Lot 11 & 12, 5 Innovation Parkway, Birtinya QLD Sydney to Terrigal and on to Newcastle and the Commodore can forever claim bragging rights in the “Sunshine Coast Surgical and Specialist Centre”

Hunter Valley. power race with the 6.2 litre V8 VF HSV GTS having  Lot 11: 77sq m | Lot 12: 129sq m power of 430 kW and 740 Nm of torque.  Located on Level 1 with 5 exclusive car parks  Fitted out tenancies ready for occupation with reception, consulting rooms & open area For reasons too complicated to explain I made the  Building comprises of GP’s, Surgeons & various health services including specialists  Exceptional lake / water views, north facing journey twice so I covered 1,000 kilometres in three That makes that version of the VF the most powerful  Close proximity to the Sunshine Coast Public & Private University Hospitals days. car ever produced for public sale in Australia. For Lease: From $630p/w + Outgoings + GST For Sale: (Lot 11 & 12) $1.25m + GST (Negotiable) *Approx No problems finding my SV6 Commodore in the In the United States General Motors sells this car as Jason O’Meara airport parking lot. the Chevrolet SS and in the United Kingdom as the 0408 087 868 07 5313 7500 Vauxhall VXR8. [email protected] savills.com.au

Telephone (07) 5443 6990 Email [email protected] 20 NEWSLETTER October 2016

SUNSHINE COAST LOCAL MEDICAL ASSOCIATION Inc. ABN: 56 932 130 084 MEMBERSHIP APPLICATION Enquiries: Jo Bourke Ph: 5479 3979 Mb: 0407 037 112 Email: [email protected]

Experience New Europe in Estonia NAME Surname: First Name: EMAIL:

PRACTICE ADDRESS: For members who wish to receive hard copies (instead of by email) of the One of the smallest nations in the Baltic region, Estonia has monthly invitation & newsletter by Sullivan Nicolaides Pathology Couriers to avoid postage costs. recently emerged as most sought-after destinations in Europe. Its mesmerizing cultural heritage, untouched wetlands, remote Practice/Building islands, thriving city life, spectacular castles will definitely leave you awestruck. Estonia offers different holidays options Street: for everyone, suiting every age group and every taste. The Suburb: Postcode: unexplored countryside makes Estonia a perfect choice for destination weddings, honeymoons, vacations or getaways Phone: Fax: with friends and families. ALTERNATE ADDRESS: (if practice address not applicable) Street: For the Urban Dwellers Suburb: Postcode: Estonia has a creative mix of Europe and rich historical heritage of Russia, which inspires the lifestyle and delights the visitors. The capital city of Tallinn invites urban dwellers to discover and explore the transformation Phone: of creative villages. Kalamaja in Tallinn makes a perfect venue for musical concerts and is host to music festivals PRACTITIONER DETAILS: such as Jazzkaar and Tallinn Music Festival. The city is also home to architectural marvels of Soviet era such as Qualifications: Patarei sea- fortress, Seaplane harbor, Port Noblessner. Date of Birth: Year of Graduation: Wanderlust Hospital employed / Private Practice (cross out one) With almost half of the country covered with forests, Estonia is a nature’s paradise, offering you enough to General Practice / Specialist (cross out one) explore the unique landscapes. The Soomaa National Park, located in South Western Estonia and spread in the 390 square kilometers area, the park is known for its picturesque peat bogs. Bog walking is the most interesting Area of Speciality: outdoor activity in the wetlands, allowing you to explore regions inaccessible on foot. The other famous National PLEASE NOTE: Retired doctors who wish to join the Association are required to attach a letter of parks are Lahemaa national park, Matsalu national park and Vilsandi National Park. good standing from their respective College. PROPOSERS: (to comply with the Queensland Associations Incorporation Act, two financial members of For the Adrenaline Rush Seekers the Association are required to nominate each applicant for new membership. Members renewing their If you get your kick from adventure activities, Estonia invites you with its open arms, offering an unmatched membership do not need proposers). adrenaline experience and tons of outdoor sports and activities such as off-road racing, go karting, rallying, 1. NAME: Signature: hiking and sky diving. Estonia has almost 3000 kilometer coastline, making it heaven for watersports such as kayaking, canoeing, windsurfing, and scuba diving. The country is renowned for its love for sports and games, 2. NAME: Signature: with readily available options throughout such as outdoor gyms, tennis courts, golf clubs, medieval archery ANNUAL SUBSCRIPTION (GST included): (Please tick) DELIVERY OPTIONS? centers, and bowling alleys. Full-time ordinary members - GP and Specialist $ 77 Your Monthly Invitation? What we have planned for you? Doctor spouse of full-time ordinary member $ 33 By Email? A detailed itinerary has been developed, including all the exciting adventures put together to make your trip to Estonia, an unforgettable experience. Absentee or non-resident doctors $ 33 By Courier?

• A guided trip through the city of Tallinn, exploring the creative villages and savoring local cuisines Part-time ordinary members (less than 10 hours per week) $ 33 By Post? • Visit to Kalamaja in Tallinn to experience Tallinn Music Festival Non-practising ordinary members, under 60 years old $ 33 Your Monthly Newsletter? • Visit to Sangaste Castle and Taagepera Castle, to experience the history and elegant lifestyle of Estonia • A guided Bog walking tour in Soomaa National Park, getting soaked in the natural beauty of Estonia, Residents & Doctors in Training Free By Email? exploring wetlands and experiencing undisturbed flora and fauna. Non-practising ordinary members, over 60 years old Free By Courier? • Organized Skiing tour in the city of Otepää and Sky diving near Tallinn Patron and honorary members Free By Post? Book today to Witness a whole new Europe in Estonia, a refreshing experience altogether to feel and Payment can be made by cheque payable to SCLMA or by direct debit to the enjoy! SCLMA Westpac Account. BSB: 034-243 ACCOUNT NUMBER: 11-9298 www.123Travelconferences.com.au A TAX RECEIPT WILL BE SENT FOR YOUR RECORDS. Please return this form with your cheque OR details of your E.F.T. to: SCLMA PO BOX 549 COTTON TREE 4558 OR: FAX TO 5479 3995 PLEASE NOTE HALF PRICE MSHIP CONTINUING THIS YEAR! Please note: Membership applications will be considered at the next Management Committee meeting.

The Sunshine Coast Local Medical Association has Public Liability Insurance

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 21

SUNSHINE COAST LOCAL MEDICAL ASSOCIATION Inc. ABN: 56 932 130 084 MEMBERSHIP APPLICATION Enquiries: Jo Bourke Ph: 5479 3979 Mb: 0407 037 112 Email: [email protected]

Experience New Europe in Estonia NAME Surname: First Name: EMAIL:

PRACTICE ADDRESS: For members who wish to receive hard copies (instead of by email) of the One of the smallest nations in the Baltic region, Estonia has monthly invitation & newsletter by Sullivan Nicolaides Pathology Couriers to avoid postage costs. recently emerged as most sought-after destinations in Europe. Its mesmerizing cultural heritage, untouched wetlands, remote Practice/Building islands, thriving city life, spectacular castles will definitely leave you awestruck. Estonia offers different holidays options Street: for everyone, suiting every age group and every taste. The Suburb: Postcode: unexplored countryside makes Estonia a perfect choice for destination weddings, honeymoons, vacations or getaways Phone: Fax: with friends and families. ALTERNATE ADDRESS: (if practice address not applicable) Street: For the Urban Dwellers Suburb: Postcode: Estonia has a creative mix of Europe and rich historical heritage of Russia, which inspires the lifestyle and delights the visitors. The capital city of Tallinn invites urban dwellers to discover and explore the transformation Phone: of creative villages. Kalamaja in Tallinn makes a perfect venue for musical concerts and is host to music festivals PRACTITIONER DETAILS: such as Jazzkaar and Tallinn Music Festival. The city is also home to architectural marvels of Soviet era such as Qualifications: Patarei sea- fortress, Seaplane harbor, Port Noblessner. Date of Birth: Year of Graduation: Wanderlust Hospital employed / Private Practice (cross out one) With almost half of the country covered with forests, Estonia is a nature’s paradise, offering you enough to General Practice / Specialist (cross out one) explore the unique landscapes. The Soomaa National Park, located in South Western Estonia and spread in the 390 square kilometers area, the park is known for its picturesque peat bogs. Bog walking is the most interesting Area of Speciality: outdoor activity in the wetlands, allowing you to explore regions inaccessible on foot. The other famous National PLEASE NOTE: Retired doctors who wish to join the Association are required to attach a letter of parks are Lahemaa national park, Matsalu national park and Vilsandi National Park. good standing from their respective College. PROPOSERS: (to comply with the Queensland Associations Incorporation Act, two financial members of For the Adrenaline Rush Seekers the Association are required to nominate each applicant for new membership. Members renewing their If you get your kick from adventure activities, Estonia invites you with its open arms, offering an unmatched membership do not need proposers). adrenaline experience and tons of outdoor sports and activities such as off-road racing, go karting, rallying, 1. NAME: Signature: hiking and sky diving. Estonia has almost 3000 kilometer coastline, making it heaven for watersports such as kayaking, canoeing, windsurfing, and scuba diving. The country is renowned for its love for sports and games, 2. NAME: Signature: with readily available options throughout such as outdoor gyms, tennis courts, golf clubs, medieval archery ANNUAL SUBSCRIPTION (GST included): (Please tick) DELIVERY OPTIONS? centers, and bowling alleys. Full-time ordinary members - GP and Specialist $ 77 Your Monthly Invitation? What we have planned for you? Doctor spouse of full-time ordinary member $ 33 By Email? A detailed itinerary has been developed, including all the exciting adventures put together to make your trip to Estonia, an unforgettable experience. Absentee or non-resident doctors $ 33 By Courier?

• A guided trip through the city of Tallinn, exploring the creative villages and savoring local cuisines Part-time ordinary members (less than 10 hours per week) $ 33 By Post? • Visit to Kalamaja in Tallinn to experience Tallinn Music Festival Non-practising ordinary members, under 60 years old $ 33 Your Monthly Newsletter? • Visit to Sangaste Castle and Taagepera Castle, to experience the history and elegant lifestyle of Estonia • A guided Bog walking tour in Soomaa National Park, getting soaked in the natural beauty of Estonia, Residents & Doctors in Training Free By Email? exploring wetlands and experiencing undisturbed flora and fauna. Non-practising ordinary members, over 60 years old Free By Courier? • Organized Skiing tour in the city of Otepää and Sky diving near Tallinn Patron and honorary members Free By Post? Book today to Witness a whole new Europe in Estonia, a refreshing experience altogether to feel and Payment can be made by cheque payable to SCLMA or by direct debit to the enjoy! SCLMA Westpac Account. BSB: 034-243 ACCOUNT NUMBER: 11-9298 www.123Travelconferences.com.au A TAX RECEIPT WILL BE SENT FOR YOUR RECORDS. Please return this form with your cheque OR details of your E.F.T. to: SCLMA PO BOX 549 COTTON TREE 4558 OR: FAX TO 5479 3995 PLEASE NOTE HALF PRICE MSHIP CONTINUING THIS YEAR! Please note: Membership applications will be considered at the next Management Committee meeting.

The Sunshine Coast Local Medical Association has Public Liability Insurance

Telephone (07) 5443 6990 Email [email protected] 22 NEWSLETTER October 2016 SCLMA WEBSITE - MEMBER DIRECTORY www.sclma.com.au

Membership

Matters!

SAMPLE: Membership Applications accepted at the PRACTICE CONTACT FAX EMAIL / WEBSITE SCLMA Management Committee held 27 CARDIOLOGY October 2017 Dr John SMITH Dr Tom BROWN • Dr Scott Kitchener (General Practice) Interventional • Dr Morne Terblanche (Anaesthetics) GENERAL PRACTICE • Dr Anita Ponniah (General Practice) Dr Penny SMITH • Dr Kirsten Price (Breast Surgeon) Women’s health • Dr Alicia Lorenz (General Practice) Dr Betty BROWN • Dr Chris Lawson (General Practice) • Dr Michael Naue (General Practice) YOUR DETAILS JOIN BEFORE THE END OF THIS YEAR Please supply ONLY information you give consent to be published AND YOUR MEMBERSHIP WILL INCLUDE on the SCLMA website directory (public domain) HOW OFTEN DO YOU CHECK OUT THE 2017. SCLMA WEBSITE?? BE PART OF THE LARGEST LOCAL ______It is a work in progess with new information MEDICAL ASSOC IN AUSTRALIA! (Title) (First Name) (Surname) being uploaded as often as possible

Name of Practice______www.sclma.com.au Address: ______• Are your Directory details up to Suburb: ______P/C______date? DO YOU REALISE THERE

Phone: ______Fax: ______• (perhaps you may have moved??) THERE WOULD BE NO SCLMA NEWSLETTER WITHOUT OUR • If you are a new member, would Email: ______ADVERTISERS!! you like to be listed? Website: ______For changes and new listings please PLEASE SUPPORT OUR ADVERTISERS! Specify category for your listing: (e.g. General Practice, Gynaecology, Cardiology, Anaesthetics) complete the Directory form on opposite page (public info only). ______Membership application form and Directory form also available on the Special Interests: ______website. Click on the links.

Fax: 5479 3995 Signed: ______Date: ______Email [email protected] Post to: PO BOX 549 COTTON TREE 4558 OR FAX TO 5479 3995

2014 Form Members Directory Website Page 1 of 1

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 23 SCLMA WEBSITE - MEMBER DIRECTORY www.sclma.com.au

Membership

Matters!

SAMPLE: Membership Applications accepted at the PRACTICE CONTACT FAX EMAIL / WEBSITE SCLMA Management Committee held 27 CARDIOLOGY October 2017 Dr John SMITH Dr Tom BROWN • Dr Scott Kitchener (General Practice) Interventional • Dr Morne Terblanche (Anaesthetics) GENERAL PRACTICE • Dr Anita Ponniah (General Practice) Dr Penny SMITH • Dr Kirsten Price (Breast Surgeon) Women’s health • Dr Alicia Lorenz (General Practice) Dr Betty BROWN • Dr Chris Lawson (General Practice) • Dr Michael Naue (General Practice) YOUR DETAILS JOIN BEFORE THE END OF THIS YEAR Please supply ONLY information you give consent to be published AND YOUR MEMBERSHIP WILL INCLUDE on the SCLMA website directory (public domain) HOW OFTEN DO YOU CHECK OUT THE 2017. SCLMA WEBSITE?? BE PART OF THE LARGEST LOCAL ______It is a work in progess with new information MEDICAL ASSOC IN AUSTRALIA! (Title) (First Name) (Surname) being uploaded as often as possible

Name of Practice______www.sclma.com.au Address: ______• Are your Directory details up to Suburb: ______P/C______date? DO YOU REALISE THERE

Phone: ______Fax: ______• (perhaps you may have moved??) THERE WOULD BE NO SCLMA NEWSLETTER WITHOUT OUR • If you are a new member, would Email: ______ADVERTISERS!! you like to be listed? Website: ______For changes and new listings please PLEASE SUPPORT OUR ADVERTISERS! Specify category for your listing: (e.g. General Practice, Gynaecology, Cardiology, Anaesthetics) complete the Directory form on opposite page (public info only). ______Membership application form and Directory form also available on the Special Interests: ______website. Click on the links.

Fax: 5479 3995 Signed: ______Date: ______Email [email protected] Post to: PO BOX 549 COTTON TREE 4558 OR FAX TO 5479 3995

2014 Form Members Directory Website Page 1 of 1

Telephone (07) 5443 6990 Email [email protected] 24 NEWSLETTER October 2016 SUNSHINE COAST LOCAL MEDICAL ASSOCIATION INC SUNSHINE COAST LOCAL MEDICAL ASSOCIATION INC MANAGEMENT COMMITTEE MEETING MANAGEMENT COMMITTEE MEETING THURSDAY 25 AUGUST 2016 THURSDAY 25 AUGUST 2016 Maroochydore Surf Club Function Room, Maroochydore Maroochydore Surf Club Function Room, Maroochydore MINUTES MINUTES /cont: (Accepted at Committee Meeting 15 September 2016 (Accepted at Committee Meeting 15 September 2016

Attendance: Drs Di Minuskin, Scott Masters, Jenny Grew, Motion: ‘that the SCLMA does not support PHN Country to Coast Report: Dr Jon Harper Peter Ruscoe, Mason Stevenson, Kirsten Hoyle, Mark De the stated AMA position but rather, it strongly • HealthPathways has been launched at a symposium. Wet, Jon Harper, Jeremy Long, Marcel Knesl (Observers supports the request to the Commonwealth Clinical algorithms will be edited to localise them. Next Meeting: – Drs Steven Coverdale and Ted Weaver) Government for funding to secure the requisite Consultation with GPs and specialists will commence number of Medical Student places for the in due course. • Jon highlighted involvement with the University of the 15 September 2016 Maroochydore Surf Club. Apologies: Drs Wayne Herdy, Nigel Sommerfeld. Sunshine Coast HHS to establish a Medical School.’ Sunshine Coast as being invigorating for the PHN. • The PHN is supportive of the SCHHS Medical School Maroochydore Surf Club Minutes of last meeting: 28 July 2016 (To be accepted). Moved: Peter Ruscoe. Seconded: Di Minuskin. Carried. proposal. Moved: Peter Ruscoe Seconded: Marcel Knesl. Accepted. Dr Peter Ruscoe PLEASE NOTE CHANGE OF DATE TO 3rd Treasurer’s Report : General Business: Business arising from Minutes: Nil (a) Accounts to be paid: • Discussion of nominations for SCLMA Committee THURSDAY INSTEAD OF 4th THURSDAY TO • Australia Post – July 2016 Account positions prior to AGM. AVOID SCHOOL HOLIDAYS. President’s Report: Dr Di Minuskin • M7 Band – Xmas function • Smart Steps Accounting - audit • Progression of Urgent Care Centre, Caloundra: call for Meeting Close: 1859 expressions of interest have gone to GPs to work in • Jo Bourke – Secretariat July 2016 Dr Jenny Grew, Secretary the centre. The discussion required includes the types • Jo Bourke – Adobe CC subscription July 2016 of illnesses likely to be seen. • C Hawkins – Assist Secretariat July 2016 • C Hawkins – AGM Expenses • The proposed opening is January 2017 with ongoing • Snap Printing – Newsletter July 2016 assessment as to the longevity of the project. • Snap Printing – Newsletter August 2016 • Jo Bourke – Newsletter August 2016 Vice President’s Report : Dr Wayne Herdy. Apology. • Peter Ruscoe – function expenses REDCLIFFE LOCAL MEDICAL ASSOCIATION NEWSLETTER • Jo Bourke – function expenses Redcliffe LMA produces a similar newsletter Secretary’s Report: Dr Jenny Grew • Wayne Herdy – Niki pump - Cittamani For full details re advertising go to their website: Correspondence In: Peter Ruscoe moved that the accounts as presented be • Copy B Owler & C Zappala – to Health Minister re approved for payment. www.rdma.org.au or email: [email protected] Griffith Medical School SCoast Seconded: Jeremy Long. Carried. • E Weaver & S Coverdale – re Medical student places Sunshine Coast (b) Membership Report: ADVERTISING GUIDELINES: • Chris Zappala – re extra medical places • Dr Peter Fuller (Sports and Exercise Medicine) • Dr Trevor Shar (Urology) To comply with Section 133 of the National Law and guidelines, advertising of services must not: • Dr Felicity Adams (General Surgery) Correspondence Out: Nil Paragraph (a) “Create or be likely to create unwarranted and unrealistic expectations about the • Dr Christopher Price (Gynaecology) effectiveness of the health services advertised” • Dr Mark Brown (re-join, General Practice) Business arising from Correspondence: Paragraph (f) “Claim that the services provided by a particular regulated health profession are Peter Ruscoe moved that the membership applications be • Drs Weaver and Coverdale opened discussion, better, as safe as or safer than others” summarising the contents of their letter for the approved. Seconded: Jenny Grew. Carried. Paragraph (o) “Contain any claim, statement or implication that a practitioner provides superior Committee, noting in addition the negative impact on recruitment to the Sunshine Coast University Hospital AMAQ Councillor’s Report: Dr Wayne Herdy – Apology. services to those provided by other registered health practitioners” and that the information contained in their letter has • Mason noted that the North Coast AMAQ position is vacant, candidates sought. been presented to the AMA. PLEASE NOTE THE FOLLOWING: • The AMA has indicated that it does not sanction Meetings Convenor Report: Dr Scott Masters The anti discrimination commission of Queensland has the following statement on job advertising: a further increase in total medical student places • Successful SCLMA social function acknowledged. nationally. Drs Weaver and Coverdale argue that if • Sponsors lined up for the remainder of this year’s Discriminatory advertising is against the law. Job advertisements need to give the impression that all extra medical school places are not allocated to the meetings. suitable applicants are welcome to apply. References to sex, relationship status, age, race, religion etc Sunshine Coast Hospital and Health Service, then a • HealthPathways will be presented as a topic at a should be avoided, as should the use of words that may indicate a preference for particular groups or full medical school equivalent will not be viable locally. forthcoming meeting. • Discussion ensued as to the political background for may discourage others from applying, eg foreman, tradesman, glamorous, well-built, mature, youthful, this issue, to workforce implications and for the need office girl etc. Publishers can be fined and be the subject of a complaint to the Commission for Hospital Liaison Report: Dr Jeremy Long publishing discriminatory advertisements that show an intention to contravene the Anti-Discrimination to make a decision on the SCLMA’s stance on the • Lots of recruitment activity from exceptionally good Act 1991. Discriminatory advertisements will therefore often be refused or modified by publishers in issue. applicants, all of whom mention the Medical School. order to avoid legal liability.

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 25 SUNSHINE COAST LOCAL MEDICAL ASSOCIATION INC SUNSHINE COAST LOCAL MEDICAL ASSOCIATION INC MANAGEMENT COMMITTEE MEETING MANAGEMENT COMMITTEE MEETING THURSDAY 25 AUGUST 2016 THURSDAY 25 AUGUST 2016 Maroochydore Surf Club Function Room, Maroochydore Maroochydore Surf Club Function Room, Maroochydore MINUTES MINUTES /cont: (Accepted at Committee Meeting 15 September 2016 (Accepted at Committee Meeting 15 September 2016

Attendance: Drs Di Minuskin, Scott Masters, Jenny Grew, Motion: ‘that the SCLMA does not support PHN Country to Coast Report: Dr Jon Harper Peter Ruscoe, Mason Stevenson, Kirsten Hoyle, Mark De the stated AMA position but rather, it strongly • HealthPathways has been launched at a symposium. Wet, Jon Harper, Jeremy Long, Marcel Knesl (Observers supports the request to the Commonwealth Clinical algorithms will be edited to localise them. Next Meeting: – Drs Steven Coverdale and Ted Weaver) Government for funding to secure the requisite Consultation with GPs and specialists will commence number of Medical Student places for the in due course. • Jon highlighted involvement with the University of the 15 September 2016 Maroochydore Surf Club. Apologies: Drs Wayne Herdy, Nigel Sommerfeld. Sunshine Coast HHS to establish a Medical School.’ Sunshine Coast as being invigorating for the PHN. • The PHN is supportive of the SCHHS Medical School Maroochydore Surf Club Minutes of last meeting: 28 July 2016 (To be accepted). Moved: Peter Ruscoe. Seconded: Di Minuskin. Carried. proposal. Moved: Peter Ruscoe Seconded: Marcel Knesl. Accepted. Dr Peter Ruscoe PLEASE NOTE CHANGE OF DATE TO 3rd Treasurer’s Report : General Business: Business arising from Minutes: Nil (a) Accounts to be paid: • Discussion of nominations for SCLMA Committee THURSDAY INSTEAD OF 4th THURSDAY TO • Australia Post – July 2016 Account positions prior to AGM. AVOID SCHOOL HOLIDAYS. President’s Report: Dr Di Minuskin • M7 Band – Xmas function • Smart Steps Accounting - audit • Progression of Urgent Care Centre, Caloundra: call for Meeting Close: 1859 expressions of interest have gone to GPs to work in • Jo Bourke – Secretariat July 2016 Dr Jenny Grew, Secretary the centre. The discussion required includes the types • Jo Bourke – Adobe CC subscription July 2016 of illnesses likely to be seen. • C Hawkins – Assist Secretariat July 2016 • C Hawkins – AGM Expenses • The proposed opening is January 2017 with ongoing • Snap Printing – Newsletter July 2016 assessment as to the longevity of the project. • Snap Printing – Newsletter August 2016 • Jo Bourke – Newsletter August 2016 Vice President’s Report : Dr Wayne Herdy. Apology. • Peter Ruscoe – function expenses REDCLIFFE LOCAL MEDICAL ASSOCIATION NEWSLETTER • Jo Bourke – function expenses Redcliffe LMA produces a similar newsletter Secretary’s Report: Dr Jenny Grew • Wayne Herdy – Niki pump - Cittamani For full details re advertising go to their website: Correspondence In: Peter Ruscoe moved that the accounts as presented be • Copy B Owler & C Zappala – to Health Minister re approved for payment. www.rdma.org.au or email: [email protected] Griffith Medical School SCoast Seconded: Jeremy Long. Carried. • E Weaver & S Coverdale – re Medical student places Sunshine Coast (b) Membership Report: ADVERTISING GUIDELINES: • Chris Zappala – re extra medical places • Dr Peter Fuller (Sports and Exercise Medicine) • Dr Trevor Shar (Urology) To comply with Section 133 of the National Law and guidelines, advertising of services must not: • Dr Felicity Adams (General Surgery) Correspondence Out: Nil Paragraph (a) “Create or be likely to create unwarranted and unrealistic expectations about the • Dr Christopher Price (Gynaecology) effectiveness of the health services advertised” • Dr Mark Brown (re-join, General Practice) Business arising from Correspondence: Paragraph (f) “Claim that the services provided by a particular regulated health profession are Peter Ruscoe moved that the membership applications be • Drs Weaver and Coverdale opened discussion, better, as safe as or safer than others” summarising the contents of their letter for the approved. Seconded: Jenny Grew. Carried. Paragraph (o) “Contain any claim, statement or implication that a practitioner provides superior Committee, noting in addition the negative impact on recruitment to the Sunshine Coast University Hospital AMAQ Councillor’s Report: Dr Wayne Herdy – Apology. services to those provided by other registered health practitioners” and that the information contained in their letter has • Mason noted that the North Coast AMAQ position is vacant, candidates sought. been presented to the AMA. PLEASE NOTE THE FOLLOWING: • The AMA has indicated that it does not sanction Meetings Convenor Report: Dr Scott Masters The anti discrimination commission of Queensland has the following statement on job advertising: a further increase in total medical student places • Successful SCLMA social function acknowledged. nationally. Drs Weaver and Coverdale argue that if • Sponsors lined up for the remainder of this year’s Discriminatory advertising is against the law. Job advertisements need to give the impression that all extra medical school places are not allocated to the meetings. suitable applicants are welcome to apply. References to sex, relationship status, age, race, religion etc Sunshine Coast Hospital and Health Service, then a • HealthPathways will be presented as a topic at a should be avoided, as should the use of words that may indicate a preference for particular groups or full medical school equivalent will not be viable locally. forthcoming meeting. • Discussion ensued as to the political background for may discourage others from applying, eg foreman, tradesman, glamorous, well-built, mature, youthful, this issue, to workforce implications and for the need office girl etc. Publishers can be fined and be the subject of a complaint to the Commission for Hospital Liaison Report: Dr Jeremy Long publishing discriminatory advertisements that show an intention to contravene the Anti-Discrimination to make a decision on the SCLMA’s stance on the • Lots of recruitment activity from exceptionally good Act 1991. Discriminatory advertisements will therefore often be refused or modified by publishers in issue. applicants, all of whom mention the Medical School. order to avoid legal liability.

Telephone (07) 5443 6990 Email [email protected] 26 NEWSLETTER October 2016

TAKE FIVE ......

FROZEN CARBURETOR EATING IN THE FIFTIES and SIXTIES People often complain about the police, but you rarely hear about • Pasta was not eaten. the positive things they do, such as this incident involving a biker • Curry was a surname. and a frozen carburetor • A takeaway was a mathematical problem. Last January on a bitterly cold winter’s day, a North Dakota State • A pizza was something to do with a leaning tower. Trooper on patrol came upon a motorcyclist who was stalled by the roadside. The biker was swathed in heavy protective clothing • All potato crisps were plain; the only choice we had was and wearing a full-face helmet to protect the face from the cold whether to put the salt on or not. weather. • Rice was only eaten as a milk pudding. “What’s the matter? asked the Trooper. “Carburetor’s frozen,” • Calamari was called squid and we used it as fish bait. was the terse reply. “Pee on it. That’ll thaw it out.” “I can’t,” said • A Big Mac was what we wore when it was raining. the biker. “OK, watch me closely and I’ll show you.” • Brown bread was something only poor people ate. The Trooper unzipped and promptly warmed the carburetor as promised. Moments later the bike started and the rider drove off, • Oil was for lubricating, fat was for cooking. waving. • Tea was made in a teapot using tea leaves and never A few days later, the local State Troopers’ office received a note green. of thanks from the father of the motorcyclist. It began: “On behalf • Sugar enjoyed a good press in those days, and was of my daughter Jill...” regarded as being white gold. • Cubed sugar was regarded as posh. BLONDES • Fish didn’t have fingers in those days. Two blondes are filling up at a petrol station and the first • Eating raw fish was called poverty, not sushi. blonde says to the second, “I bet these awful fuel prices are going • None of us had ever heard of yoghurt. to go even higher.” The second blonde replies, “Won’t affect me, • Healthy food consisted of anything edible. I always put in just $10 worth.” • People who didn’t peel potatoes were regarded as lazy. One day, Jill’s husband came home from the office and found her sobbing convulsively. “I feel terrible,” she told him. “I was • Indian restaurants were only found in India. pressing your suit and I burned a big hole in the seat of your • Cooking outside was called camping. trousers.” “Forget it,” consoled her husband. “Remember that I • Seaweed was not a recognised food. bought an extra pair of trousers for that suit.” “Yes, and it’s lucky for you that you did,” said Jill, drying her eyes. “I used them to • “Kebab” was not even a word, never mind a food. patch the hole” • Prunes were medicinal. A blonde decided to redecorate her bedroom. She wasn’t sure • Surprisingly, muesli was readily available, it was how many rolls of wallpaper she would need, but she knew that calledcattle feed. her blonde friend from next door had recently done the same job • Water came out of the tap. and the two rooms were identical in size. • If someone had suggested bottling it and charging more “Buffy,” she said, “How many rolls of wallpaper did you buy for than petrol for it, they would have become a laughing your bedroom?” “Ten,” said Buffy. So the blonde bought the ten stock!! rolls of paper and did the job, she had 2 rolls leftover. “Buffy,” she said. “I bought ten rolls of wallpaper for the bedroom, but I’ve got 2 leftover!” “Yes,” said Buffy. “So did I.” QUICK TIP: Dependent vs Dependant Blonde Interview The executive was interviewing a young Americans love simplifying language, so they use the word blonde for a position in his company. He wanted to find out “dependent” for both the adjective AND noun. But in Australian something about her personality so he asked, “If you could have English, we distinguish the noun (a person who is dependent a conversation with any person, living or dead, who would that on someone else – usually a child) as a “dependant”, while the be?” The blonde quickly responded, “The living one.” adjective (relying on or addicted to) is “dependent”. 1. The man was dependent on coffee to wake him up. THE PREGNANT BLONDE 2. Meanwhile, his dependants were annoying other patrons in the cafe... The other day my neighbour, who is blonde, came running up to me in the driveway just jumping for joy! She said, “ I have some really great news!” I am pregnant! QUOTE of the day ...... I knew that she had been trying for a while so I told her, “That’s great! I couldn’t be happier for you!”Then she said, “There’s Life is 10% what happens to you more.” She said, “Well, we are not having just one baby. We are and 90% how you react to it. going to have twins Amazed at how she could know so soon after getting pregnant, I asked her how she knew. She said... Charles R. Swindoll “That was the easy part. I went to Wal-Mart and they actually had a home pregnancy kit in a twin-pack. Both tests came out positive!”

Telephone (07) 5443 6990 Email [email protected] October 2016 NEWSLETTER 27

NOVEMBER CONTACTS: 2016 NLETTER CLASSIFIEDS President Dr Roger Faint Deadline CHILD PSYCHIATRIST - OPEN TO REFERRALS VRGP or ADVANCED REGISTRAR Ph: 5445 1046 SHORT WAITING LIST Interested in Practice ownership in Peregian Beach Date will be • Dr Brenda Heyworth now consults 5 days/week from Part time or full time GP who wishes to transition to full Vice President Dr Wayne Herdy Nucleus Medical Suites, Buderim. practice ownership MONDAY 14 • Please fax specialist doctor referral • Modern busy mixed billing practice & AMAQ Councillor Ph: 54791 5666 • (No Mental Health Plan needed) • Thirty-seven years established, fully accredited NOVEMBER Ph. 5444 5022 Fax. 5444 5033” • Medical Director software, Secretary: Dr Mark de Wet September 2016 • Family practice Ph: 5444 7344 The Editor would like • Friendly supportive staff the newsletter to reach all readers in the 3rd GP WANTED TO JOIN FRIENDLY TEAM - BUDERIM Contact GP owner 0407 137 070 Treasurer: Dr Peter Ruscoe week of each month. So ... ALL reporters • This is a full time position and advertisers - please help us achieve this • Full nursing support with a CDM nurse and a fully GP REQUIRED - O&G PRACTICE - BUDERIM Ph: 5446 1466 equipped treatment room Excellent opportunity for a GP to join our Integrated challenge! • Our practice is accredited and fully computerised using Women’s Health Practice located in Buderim on the Newsletter Editor: Dr Kirsten Hoyle Best Practice and is mixed billing. beautiful Sunshine Coast Queensland. Ph: 5452 6511 Our circulation via email, post and courier Please contact Nicola on (07) 5456 1600 We are looking for a full time or part time VR or Non VR (Sullivan Nicolaides Pathology) reaches Email: [email protected] GP to join our well established practice. Meetings Convenor: Dr Scott Masters more than 1,000 recipients! September 2016 • Private Billing, No weekends, No after hours • Remuneration negotiable Ph: 5491 1144 CONSULTING ROOM AVAILABLE FOR LEASE For further information please contact Dr Dana Moisuc or Contact Jo: 5479 3979 • Located in central Cotton Tree Danielle Evans,Practice Manager Ph: 07 5478 3533 Hospital Liaison: Dr Marcel Knesl Mobile: 0407 037 112 • Modern Specialist Room with a well-recognised name Email: [email protected] Ph: Ph: 5479 0444 Email: [email protected] and reputation July 2016 • Available Long-term or sessional basis Fax: 5479 3995 • Included in lease is electricity and cleaning. We are able POSITION VACANT - CALOUNDRA SKIN CLINIC Committee: Dr Di Minuskin We welcome new content - case studies, local news to offer full secretarial services if required Non-corporate practice established in 2003 Dr Mason Stevenson • Private location with ocean views and waiting area • Private billing, Remuneration by negotiation and photos. If you are a new member, send in a Dr John Evans Ph: 07 5479 2922 Email: [email protected] • Full time or part time short bio and a photo to introduce yourself. Dr Tau Boga September 2016 • Friendly supportive team including nursing support • Modern premises with three consultation rooms, Dr Fabio Brecciaroli GPs REQUIRED FOR BUSY BUDERIM PRACTICE treatment room and OT • Vacancies exist for GPs to join us in-hours, or after- • We are in an area of Work Force Shortage For general enquiries and all editorial or advertising hours, in our busy 24 hour, 7 day medical practice in Dr Alex Morgan 075492 6333(W) 075443 2610(H) after contributions and costs, please contact: Buderim. hours Email : [email protected] ARE YOU A MEMBER? • GPs urgently required to join our long-established staff, July 2016 Jo Bourke (Secretariat) who serve the Sunshine Coast community with quality Ph: 5479 3979 If you are not a member please complete the healthcare in a newly refurbished and spacious practice. SPECIAL OPPORTUNITY -MAROOCHYDORE Mob: 0407 037 112 application form available on the website: • We are fully accredited with RN nursing support and Special opportunity for a VR GP who is seeking to take Fax: 5479 3995 pathology on-site, great diagnostic tools including up an existing patient load of a departing colleague at our www.sclma.com.au. Molemax HD Pro. busy, well established non-corporate Family Practice. The Sunshine Coast Local Medical Association • Visit our website on www.scchealthcentre.com.au. We are a fully accredited, fully computerised, mixed billing welcomes contributions from members, especially • Situated centrally on Buderim, you can enjoy both practice with a friendly and happy professional team You will need two proposers to sign your application lifestyle and purpose in a caring environment. including nursing support and a fully equipped treatment ‘Letters to the Editor”. form. If this is a problem, come along to a monthly Email [email protected] room. Please contact the Practice Manager: clinical meeting to introduce yourself Ph; 0418 714 864. [email protected] or 0409 447 096 Please address all correspondence to: Enquiries: Jo Ph: 5479 3979 or 0407 037 112 September 2016 Continuing as per request. SCLMA PO Box 549 Cotton Tree 4558 Email: [email protected] Email: [email protected] VRGP MOOLOOLABA VR GP REQUIRED – PELICAN WATERS FAMILY Are you listed on the Member Directory on our Busy, not for profit clinic is seeking a VR GP to work with DOCTORS Fax: 5479 3995 website? Are your details correct? a supportive and relaxed team of GPs and nurses offering VR GP required for doctor owned Family Medical Centre Newsletter Editor: Dr Kirsten Hoyle family planning services in Pelican Waters, Caloundra. Directory form available on the website. • In Mooloolaba. Hourly rate, work at your own pace with Long established, accredited and fully computerised, Email: [email protected] no particular number of clients to be seen per hour. Fully General Practice with full time experienced Nurse and computerised using Best Practice software. Receptionist support. Visiting Allied Health Professionals • Work as many or as few hours as you like. Would suit a and pathology on site. Mixed billing and flexible working Disclaimer: The views expressed by the authors or articles semi-retired GP or a GP with young children who would hours available. For further information please contact in the newsletter of the Sunshine Coast Local Medical appreciate flexibility. Practice Manager: Karen Clarke on 07 5492 1044 or Association Inc. are not necessarily those of the Sunshine • No after hours or weekend work (unless you want to). e-mail [email protected]. (Afterhours on Coast Local Medical Association Inc. The Sunshine Coast The opportunity also exists to be involved in decision 0438 416 917) making and goal setting for the clinic. Continuing as per request. Local Medical Association Inc. accepts no responsibility Please contact Wendy Stephenson on 5444 8077 or Classifieds remain FREE for current SCLMA members, for errors, omissions or inaccuracies contained therein or 0416 938 040 or E: [email protected] for the consequences of any action taken by any person $110 for non-members. August 2016 Ph Jo: 5479 3979 or 0407 037 112 as a result of anything contained in this publication. Email: [email protected]

Telephone (07) 5443 6990 Email [email protected] NEWSLETTER October 2016

SCLMA CLINICAL MEETING - 15 SEPTEMBER 2016 Maroochydore Surf Club Function Room, Maroochydore Speaker: Dr Jonathan Robertson, Interventional Radiologist Topic: ‘Interventional Radiology : It’s like Surgery, only Magic’’ Speaker: Dr Rebecca Magee, Sunshine Coast Vascular and Endovascular Surgeon Topic: ‘Advancements in lower limb Arterial Reconstruction’’ Thank you to our Sponsors: Medtronic and National Home Doctor

Left: Presenters: Dr Jonathan Robertson and Dr Rebecca Magee

Sponsor: Scott Steele from Medtronic.

More photos from Wayne Herdy’s Variety Bash drive to Bathurst with co-driver Bernard Ballantyne

Sunshine Coast Local Medical Association Inc PO Box 549 Cotton Tree QLD 4558 www.sclma.com.au