SCLMA President’s Message Dr Roger Faint2 NEWSLETTER February 2020 Telehone (07) 5443 6990 Email...

February 2020 NEWSLETTER 1

Telephone (07) 5443 6990 Email [email protected]

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

The SCLMA thanks Sullivan Nicolaides Pathology for the distribution of the monthly newsletter of the Sunshine

Coast Local Medical Association.

The extraordinary 2019 novel coronavirus is quickly reaching pandemic proportions despite significant measures taken by China and the rest of the world including Australia.

The threat of a military war between the USA and Iran or a

trade war between the USA and China didn’t seem to affect the world economy, however a viral epidemic has. It illustrates the potential seriousness, not just to life, as to how Government and the financial industry perceive this threat. Whew!

The SCLMA management committee met last Thursday to evaluate 2019 and to plan 2020. I would like to reassure members that the organisation is in a comfortable position financially and there is strong demand for our monthly clinical meetings and newsletter advertising.

The committee is importantly representative of the Sunshine Coast medical profession and is sound in commitment and opinion. Thank you.

Next month, Dr Dilip Dhupelia, AMAQ President, is visiting our clinical meeting in his likely final year as President and I urge all members to attend.

Current issues, some ongoing, others more recent, include the sudden appearance and submission of the QLD Conversion Therapy - Health Legislation Amendment bill 2019. This amendment to the QLD Health Act 2005 would potentially make it illegal to discuss or manage gender dysphoria in adolescents or similar. This submission is after a display of sensibility regarding the Termination of Pregnancy Act 2018. Disappointing I know.

Ongoing is the pharmacy campaign to prescribe and dispense antibiotics orchestrated by the business group, the Pharmacy Guild and the QLD parliamentary inquiry into aged care, end-of-life care and voluntary assisted dying.

Locally I am advised there are local public health district budgetary pressures and I imagine some consequent pressure/stress on speciaIist hospital departments. I am advised by Dr Dhupelia that this is a trend across QLD and that budgetary pressures will not ease anytime soon.

I am advised there are welcome improvements in the patient flow of DEM at the SCUH, that there is now a spinal surgeon employed and that a second orthopaedic traineee will be reinstated in 2021. However sadly Surgery Connect is still a necessary backup for public OPD and is not likely to disappear in the near future.

Also universal Bulk Billing at GP practices on the Sunshine Coast is disappearing because of financial pressures and I encourage you all to write to your local Federal members.

Two important date claimers for this year, include:The Sunshine Coast Health Report with CE, Adjunct Professor Naomi Dwyer, Chief Executive, SCHHS on Thursday 27th August and the SCLMA Cocktail Party on Friday 14 August (Twin Waters).

Also the SCLMA will host welcoming drinks for Griffith University medical students and junior doctors in early April this year. This will be a first and the committee and I look forward to this being a yearly event so as to create awareness & relevance as to our existence and thus create future members.

Welcome back and hope to see you at our next clinical meeting on Thursday 27 February. Dr Roger K Faint

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

NEWSLETTERFebruary 2020

NEWSLETTER February 20202


CONTACTS:President Dr Roger Faint

Ph: 5445 1046 (W) Ph: 0448 848 327

Vice President and Dr Scott MastersMeetings Convenor Ph: 5491 1144 (W)

AMAQ North Coast Dr Wayne HerdyArea Representative

Secretary: Dr John Evans

Treasurer: Dr Peter Ruscoe

Newsletter Editor: Dr Kirsten Hoyle Ph: 5452 6511 (W)

Meetings Convenor: Dr Alicia Lorenz

Committee: Dr Tau Boga Dr Fabio Brecciaroli

Dr Grant Eddie Dr Jonathan Last Dr Mason Stevenson Dr James TunggalGP Registrar Rep: Dr Annie George

Hospital Liaison: Dr Shrey SinghPHN Representative: Dr Jon Harper Student Representative: To be advised.

For general enquiries and all editorial or advertising contributions and costs, please contact:

Jo Bourke (Secretariat)Ph: 5479 3979Mob: 0407 037 112Fax: 5479 3995

The Sunshine Coast Local Medical Association welcomes contributions from members, especially ‘Letters to the Editor”.Please address all correspondence to:

SCLMA PO Box 549 Cotton Tree 4558Email: [email protected]: 5479 3995Newsletter Editor: Dr Kirsten HoyleEmail: [email protected]

Disclaimer: The views expressed by the authors or articles in the newsletter of the Sunshine Coast Local Medical Association Inc. are not necessarily those of the Sunshine Coast Local Medical Association Inc. The Sunshine Coast Local Medical Association Inc. accepts no responsibility for errors, omissions or inaccuracies contained therein or for the consequences of any action taken by any person as a result of anything contained in this publication.

MARCH 2020 NEWSLETTER

Deadline will be SATURDAY7th MARCH 2020

• Perhaps you might like to comment on articles published.

• What would you like to see in the newsletter?• Do you have some jokes we can publish (and not

offend anyone!!).

Our circulation via email, post and courier (Sullivan Nicolaides Pathology) reaches more than 1,000 recipients!

Contact Jo: 5479 3979Mobile: 0407 037 112Email: [email protected]: 5479 3995

We welcome new content - case studies, local news and photos. If you are a new member, please send in a short bio and a photo to introduce yourself.

ARE YOU A MEMBER?If you are not a member please complete the application form available on the website:

www.sclma.com.au.You will need two proposers to sign your application form. If this is a problem, come along to a monthly

clinical meeting to introduce yourself Enquiries: Jo Ph: 5479 3979 or 0407 037 112

Email: [email protected] you listed on the Member Directory on our

website? Are your details correct? Directory form available on the website.

HIGHLIGHTS in this issue:

P 4-5: SCHHS - Adj Prof Naomi Dwyer, CEO

P 6: SCHHS - GPLO UPDATE

P 8: PHN February Update

P 10: Karen Clark - BPH Update

P 11: Dr Wayne Herdy - ‘Eradiation of an unwanted burden’

P 14: Jo Munday - Eden Priv Hosp Update

P 22: The Poole Group - Year End!

P 26-27: AMA Queensland President’s Report

P 36: Wishlist Fun Run - 22 March 2020

Please ‘like’, ‘share’ and ‘follow’ our Facebook page: sunshinecoast local medical association.

Website: www.sclma.com.au

Editorial

The origin and evolution of the novel Coronavirus 2019 is as yet elusive. The current theory is that bats are the primary host and that Civert Cats or Pangolins may have transmitted it to humans. As medicos we are all watching the emerging public health crisis but perhaps we should be asking a doctor of economics rather than a doctor of medicine about the real potential of the virus. It will be immersing to observe how it could infect the economies of the world.

While some have been quick to point out that the common Influenza is more lethal than nCoV2019, the latter’s rate of spread and mutation rate are faster and therefore make it, so far, unpredictable. And this means that the cost of caring for the ill and the mortality rate are inadequate gauges of the economic impact which will be determined by the response of the uninfected people and governments.

While the demand for masks, thermometers, Biotron and CSL shares are increasing, most other economic measures are on a downward trajectory. People are avoiding crowds (shopping malls, restaurants, cruises) and governments are closing borders. The Chinese government has implemented draconian measures to limit the mobility of >50,000,000 of its population, extended the Lunar New Year factory closures and enforced school closures in its attempt to contain the virus. China’s economy is more integrated into global activity and supply chains (think car and electronic parts) than ever before. It is the world’s biggest importer of commodities (think oil, iron ore, soybeans). The Chinese are big spenders on luxury items (think Gucci, tourism/aviation, foreign education). At a time when the world GDP is already zero and markets are fragile, a demand shock of this magnitude and a decrease in production that leads to a slowdown in capital flow is a tipping point more comparable to that brought about by war or an event such as 9/11. Coronavirus is not the cause but may be the catalyst for world economic slowdown and whether the world can cope, will depend on how fast the virus and the panic it engenders, is contained.

The third fallout may be political. Xi’s attempt to silence whistle-blowers in Wuhan then his ability to have two hospitals built within ten days to treat the infected (and suspend internal travel such that Beijing Disneyland is vacant!), shows both sides of his authoritarian power and the shattering urgency of the giant but has stirred murmurs about his acumen as China’s most powerful leader since Mao Zedong.

And for the conspiracy theorists, the medical literature has already published that 4 inserts in nCoV2019 have similarity to those found in HIV 1 (not seen in other Coronaviruses), leading some virologists to question whether the virus has evolved in the natural world or in a laboratory!

CLINICAL MEETINGS 2020:Please note that these details are correct at time of printing! They may change! Check our website for latest updates. www.sclma.com.au Click on Activities and Meetings.

THURSDAY 27 FEBRUARY 2020• Dr Dilip Dhupelia AMAQ President • Dr Stephen Byrne, Neurosurgeon & Spinal

Surgeon

THURSDAY 27 MARCH 2020 ENT Evolve - Dr Kristy Fraser-Kirk

THURSDAY 30 APRIL 2020 Details still being finalised for this meeting

THURSDAY 28 MAY 2020 Sunshine Coast HeartCare Specialists

Meetings are being finalised for the remainder of 2020. The committee has voted that ALL meetings will be held on the LAST Thursday of each month. Canapes, 2-course dinner, beverages are provided. Free for members.Maroochy Surf Club Private Function Room.

ENQUIRIES: Jo 0407 037 112

Given that the number of nCoV samples sequenced so far is small, the intrinsic variability of genome editing and the virus’s high mutation rate, the answer to such a question is akin to waiting to reach the final chapter of a LeCarre novel!

2020 has started out more unpredictable than I had predicted! Hang on to your handkerchiefs!

Regards,

Kirsten

e. [email protected]



CONTACTS:President Dr Roger Faint

Ph: 5445 1046 (W) Ph: 0448 848 327

Vice President and Dr Scott MastersMeetings Convenor Ph: 5491 1144 (W)

AMAQ North Coast Dr Wayne HerdyArea Representative

Secretary: Dr John Evans

Treasurer: Dr Peter Ruscoe

Newsletter Editor: Dr Kirsten Hoyle Ph: 5452 6511 (W)

Meetings Convenor: Dr Alicia Lorenz

Committee: Dr Tau Boga Dr Fabio Brecciaroli

Dr Grant Eddie Dr Jonathan Last Dr Mason Stevenson Dr James TunggalGP Registrar Rep: Dr Annie George

Hospital Liaison: Dr Shrey SinghPHN Representative: Dr Jon Harper Student Representative: To be advised.

For general enquiries and all editorial or advertising contributions and costs, please contact:

Jo Bourke (Secretariat)Ph: 5479 3979Mob: 0407 037 112Fax: 5479 3995

The Sunshine Coast Local Medical Association welcomes contributions from members, especially ‘Letters to the Editor”.Please address all correspondence to:

SCLMA PO Box 549 Cotton Tree 4558Email: [email protected]: 5479 3995Newsletter Editor: Dr Kirsten HoyleEmail: [email protected]

Disclaimer: The views expressed by the authors or articles in the newsletter of the Sunshine Coast Local Medical Association Inc. are not necessarily those of the Sunshine Coast Local Medical Association Inc. The Sunshine Coast Local Medical Association Inc. accepts no responsibility for errors, omissions or inaccuracies contained therein or for the consequences of any action taken by any person as a result of anything contained in this publication.

MARCH 2020 NEWSLETTER

Deadline will be SATURDAY7th MARCH 2020

• Perhaps you might like to comment on articles published.

• What would you like to see in the newsletter?• Do you have some jokes we can publish (and not

offend anyone!!).

Our circulation via email, post and courier (Sullivan Nicolaides Pathology) reaches more than 1,000 recipients!

Contact Jo: 5479 3979Mobile: 0407 037 112Email: [email protected]: 5479 3995

We welcome new content - case studies, local news and photos. If you are a new member, please send in a short bio and a photo to introduce yourself.

ARE YOU A MEMBER?If you are not a member please complete the application form available on the website:

www.sclma.com.au.You will need two proposers to sign your application form. If this is a problem, come along to a monthly

clinical meeting to introduce yourself Enquiries: Jo Ph: 5479 3979 or 0407 037 112

Email: [email protected] you listed on the Member Directory on our

website? Are your details correct? Directory form available on the website.

HIGHLIGHTS in this issue:

P 4-5: SCHHS - Adj Prof Naomi Dwyer, CEO

P 6: SCHHS - GPLO UPDATE

P 8: PHN February Update

P 10: Karen Clark - BPH Update

P 11: Dr Wayne Herdy - ‘Eradiation of an unwanted burden’

P 14: Jo Munday - Eden Priv Hosp Update

P 22: The Poole Group - Year End!

P 26-27: AMA Queensland President’s Report

P 36: Wishlist Fun Run - 22 March 2020

Please ‘like’, ‘share’ and ‘follow’ our Facebook page: sunshinecoast local medical association.

Website: www.sclma.com.au

Editorial

The origin and evolution of the novel Coronavirus 2019 is as yet elusive. The current theory is that bats are the primary host and that Civert Cats or Pangolins may have transmitted it to humans. As medicos we are all watching the emerging public health crisis but perhaps we should be asking a doctor of economics rather than a doctor of medicine about the real potential of the virus. It will be immersing to observe how it could infect the economies of the world.

While some have been quick to point out that the common Influenza is more lethal than nCoV2019, the latter’s rate of spread and mutation rate are faster and therefore make it, so far, unpredictable. And this means that the cost of caring for the ill and the mortality rate are inadequate gauges of the economic impact which will be determined by the response of the uninfected people and governments.

While the demand for masks, thermometers, Biotron and CSL shares are increasing, most other economic measures are on a downward trajectory. People are avoiding crowds (shopping malls, restaurants, cruises) and governments are closing borders. The Chinese government has implemented draconian measures to limit the mobility of >50,000,000 of its population, extended the Lunar New Year factory closures and enforced school closures in its attempt to contain the virus. China’s economy is more integrated into global activity and supply chains (think car and electronic parts) than ever before. It is the world’s biggest importer of commodities (think oil, iron ore, soybeans). The Chinese are big spenders on luxury items (think Gucci, tourism/aviation, foreign education). At a time when the world GDP is already zero and markets are fragile, a demand shock of this magnitude and a decrease in production that leads to a slowdown in capital flow is a tipping point more comparable to that brought about by war or an event such as 9/11. Coronavirus is not the cause but may be the catalyst for world economic slowdown and whether the world can cope, will depend on how fast the virus and the panic it engenders, is contained.

The third fallout may be political. Xi’s attempt to silence whistle-blowers in Wuhan then his ability to have two hospitals built within ten days to treat the infected (and suspend internal travel such that Beijing Disneyland is vacant!), shows both sides of his authoritarian power and the shattering urgency of the giant but has stirred murmurs about his acumen as China’s most powerful leader since Mao Zedong.

And for the conspiracy theorists, the medical literature has already published that 4 inserts in nCoV2019 have similarity to those found in HIV 1 (not seen in other Coronaviruses), leading some virologists to question whether the virus has evolved in the natural world or in a laboratory!

CLINICAL MEETINGS 2020:Please note that these details are correct at time of printing! They may change! Check our website for latest updates. www.sclma.com.au Click on Activities and Meetings.

THURSDAY 27 FEBRUARY 2020• Dr Dilip Dhupelia AMAQ President • Dr Stephen Byrne, Neurosurgeon & Spinal

Surgeon

THURSDAY 27 MARCH 2020 ENT Evolve - Dr Kristy Fraser-Kirk

THURSDAY 30 APRIL 2020 Details still being finalised for this meeting

THURSDAY 28 MAY 2020 Sunshine Coast HeartCare Specialists

Meetings are being finalised for the remainder of 2020. The committee has voted that ALL meetings will be held on the LAST Thursday of each month. Canapes, 2-course dinner, beverages are provided. Free for members.Maroochy Surf Club Private Function Room.

ENQUIRIES: Jo 0407 037 112

Given that the number of nCoV samples sequenced so far is small, the intrinsic variability of genome editing and the virus’s high mutation rate, the answer to such a question is akin to waiting to reach the final chapter of a LeCarre novel!

2020 has started out more unpredictable than I had predicted! Hang on to your handkerchiefs!

Regards,

Kirsten

e. [email protected]



HEALTH SERVICE LINK - FEBRUARY 2020

Happy 2020 to SCLMA Colleagues

On behalf of Sunshine Coast Health, I wish the SCLMA community a happy new year. 2020 promises to be an exciting year as we set the vision for our future with the development of our 10-year Master Clinical Services Plan and our 2020-24 Strategic Plan. Importantly, these plans are being codesigned with the medical community, local community organisations, consumers and staff. The inaugural Sunshine Coast Health Symposium is also planned for 18-20 March 2020, Under the leadership of the Sunshine Coast Health Institute (SCHI), the symposium will showcase innovation, diversity and excellence in health within our region, with presentations focusing on education, research, innovation, safety and quality, working in partnership, and population and community health. More information is available on the website.

I would like to thank Dr Deborah Bailey, Acting Executive Director Medical Services, who finished her secondment with us this month. Our colleagues at Gold Coast Health were very generous in releasing Deborah and it’s been wonderful having someone of her expertise and experience. Dr Chris Lilley, Clinical Director Mental Health and Addiction Services, will step into the role in an acting capacity to continue the strong and positive medical leadership provided by Deborah.

Back to school oral health

This month our Oral Health Service is encouraging families to ensure children have a smile on their dial in 2020, encouraging a visit to a SCHHS school dental van or clinic.

Students from prep through to year 10 are eligible for free dental care during a school visit from one of our dental vans or clinics.

The focus is on prevention and parents are encouraged to access care for their children before there is a problem. Having a regular dental check-up is important to help prevent small problems turning into big ones.

If you have patients requiring assistance with oral health, they can also contact the following clinics:

Caloundra 5436880 Gympie 54898437 Noosa 54495900 Kawana 54384200 Nambour 54412763

Helping keep children safe at kindergarten and childcare

As the school year starts many parents are feeling nervous about sending their little ones off to kindergarten or childcare. It was many years ago for me, but I still vividly remember the anticipatory lead up that all would go well in this major milestone for our child and family.

Knowing a child is up-to date with immunisation can provide real peace of mind to families.

It’s important for parents to review their child’s vaccination dates, to make sure they are up-to-date or know when they are due for their next vaccination.

We know the immunisation schedule can be hard to stay on top of, and there is a big gap in the schedule from 18 months to four years so vaccination may not be top-of-mind.

In collaboration with the great work you all do in this area, SCHHS leads a range of important initiatives to reduce barriers to vaccination. These include the Jabba Jabba Indigenous childhood vaccination outreach service and specialised support and education for general practices that provide vaccination.

We are encouraging families to access reliable information about childhood vaccination on this website, use the Queensland Health smartphone app ‘VacciDate’ to help keep track of their child’s vaccinations, and talk to their GP.

HEALTH SERVICE LINK - FEBRUARY 2020 /cont:Jabba Jabba program recognised state wide

Speaking of the Jabba Jabba program, we were thrilled to wrap up 2019, with this team being awarded the prestigious Queensland Health Award for Excellence in Indigenous Leadership.

A joint program between our Aboriginal and Torres Strait Islander Health team and Child and Community Health team, the Jabba Jabba program provides culturally appropriate access for hard-to-reach sections of our Aboriginal and Torres Strait Islander community to mainstream healthcare services including vaccination services for children. This valued, culturally responsive service provides free home visiting vaccinations for children 0-5 years, clinical service, support and information regarding:

• Childhood immunisation for children aged 0-5 years• Vaccination for Flu aged 15 and over• Information regarding childhood diseases, immunisations and any possible reactions to these• Referrals to appropriate organisations e.g. NCACCH - Mums and Bubs program and Indigenous

Child Health Worker 4-12 years, Child Health Family Care Program and Play Groups• Community services and upcoming community events relevant to Aboriginal and Torres Strait Islander

people.

Meet our Amazing Medical Leaders

As we open the year, I’d like to introduce you to Dr Alison Roper, Clinical Director of our SCHHS Breast screen Service. Alison leads an amazing multi-disciplinary team, recognised for providing exceptional care to the women in our community.

The latest BreastScreen Queensland Client Survey, which surveyed more than 2000 women who had accessed our care, revealed 92 per cent of respondents were very satisfied with their experience, and 99 per cent said they would be confident to use our service again. We are extremely proud of the achievements of BreastScreen Clinical Director Dr Alison Roper and her team for providing such a valued and highly regarded service.

Dr Roper has been with Queensland Health for more than eight years, initially joining BreastScreen on a part time basis in combination with her work in General Practice.

Always humble, Dr Roper said she feels very lucky to get such great feedback from patients.

“My role is very satisfying, like most people in my field I do what I do to help people. Picking up breast cancer at the early stages is satisfying, knowing many of these women will get through their treatment.

“It is such a great feeling to know that our focus on respect and kindness, as well as truly listening to our patients, is paying off,” she said.

“From the top down at Sunshine Coast Hospital and Health Service, our emphasis is truly on the care of the patients. Importantly, looking after our staff is another way this manifests itself.

Dr Roper praises her team of approximately 50 people.

“Each and every surgeon, radiologists, medical officer, clinical nurse, radiographer and administration team member contributes to the success of our programme.”

With cooking being a passion of Dr Roper’s, it is likely she had a busy festive season treating her friends and family to her delicious baked goods.

Until next time, take care

Naomi

Adj. Prof Naomi Dwyer, Chief Executive, SCHHS



GP Liaison: Your Hospital Connection

The importance of clinical handoverAs they say, collaboration divides the task and multiplies the success. In healthcare there is always room for improved collaboration and communication in the interest of our patients.

Discharge summaries A few years ago, a literature review, produced as part of the state-wide GPLO Forum workplan, explored the safe handover of care from hospital to GP.

The findings were not surprising:

• Patients are more likely to be readmitted when a clinical handover document is delayed beyond 7 days

• About one quarter of patients see their GP within 4 days after discharge, indicating that a discharge summary is required within this timeframe

• Up to 80% of discharge summaries contain incorrect or missing information, especially in relation to medication changes

• Faxed and handwritten discharge summaries are hard to read and interpret and are more likely to contain inaccurate medication related information.

The Sunshine Coast Hospital and Health Service has a same day discharge policy, which means that discharge summaries must be completed prior to the patient leaving the hospital.

GPLOs assist with educating the interns about the most effective way to write clinical handovers to primary care. Please contact the GPLU if you want to provide feedback about discharge summaries.

Communication is a two-way street While we view effective communication from tertiary care to primary care as being paramount, effective communication from General Practice to hospital is equally important.

GP Chris Bollen, who undertook an audit of GP referral letters, found that while most referrals contained the required information, concerns reported by other medical specialists included lack of detail or uncertain information, which made it difficult to triage. In December, Chris said in NewsGP, “If you’ve put minimal information in the referral, then the specialist cannot make a decision on how timely the appointment needs to be.”

Recently, the RACGP published a new Referral Guide titled ‘Referring to other medical specialists; a guide for good referral outcomes for your patients.’ Sunshine Coast HealthPathways provides management guidance and information about making referrals to services in the local health system.

Feedback on a particular HealthPathway can be submitted by clicking on the feedback button at the bottom of each page.

Introducing Sunshine Coast Neurosurgery, the specialist practice of Dr Stephen Byrne, who has worked on the Sunshine Coast since 2017.

Dr Byrne MBChB, MRCSEd, FRACS underwent his neurosurgical training in Melbourne, Adelaide & New Zealand before gaining his Fellowship of the Royal Australasian College of Surgeons.

In fact, Stephen is the only fellowship-trained spine surgeon on the coast endorsed by both the Australian Orthopaedic Association and the Neurosurgical Society of Australasia.

At Sunshine Coast Neurosurgery all patients receive one-to-one pre-operative counselling and tailored personalised care using the latest techniques to deliver world-class healthcare.

Please feel free to call Sunshine Coast Neurosurgery to discuss any neurosurgical issue and we look forward to helping your patients along the road to recovery.

www.scneurosurgery.com.au

Choosing the right surgeon for your patients on the Sunshine Coast isn’t rocket science - it’s brain surgery.

Sunshine Coast University Private HospitalSuite 17, 3 Doherty Street, Birtinya QLD 4575

T 07 5437 7256E [email protected]

List of ServicesSunshine Coast Neurosurgery use their extensive experience to treat many common conditions such as: • Cervical and lumbar degenerative conditions • Brain tumours • Spine tumours • Pituitary tumours • Chiari malformations. Plus they have a specialist interest in minimally invasive brain and spine surgery.



CENTRAL QLD, WIDE BAY, SUNSHINE COAST PHN - FEBRUARY 2020Risk Checker online tool

More than 50 per cent of Australians are living with at least one chronic health condition. And now a new research-based online tool can assess a user’s chances of developing some of the biggest killers: heart disease, kidney disease and type 2 diabetes.

Developed by The George Institute for Global Health and healthdirect Australia, the healthdirect Risk Checker is a free, quick way to understand the risk of developing these diseases in the next five years, and lifestyle changes which can be made to reduce that risk.

The healthdirect Risk Checker goes further than most online risk checking tools by providing people with a personalised summary and report, based on the information they enter about their health and habits.

The tool also provides practical advice about lifestyle changes that can reduce the risk of developing these deadly diseases and, where appropriate, prompts a visit to the GP.

CEO of Healthdirect Australia, Karen Borg, said that while overall Australians have good health, being overweight, a poor diet and a lack of exercise are key contributors to people dying from preventable diseases.

“These are all things we have the power to change,” Ms Borg said.

Heart disease is the top single-cause killer of Australians and 13 million Australians have three or more preventable risk factors for heart disease.

Kidney disease affects 1.7 million Australians. It is also linked to an increased risk of heart attack but less than 10% know they have kidney disease.

Type 2 diabetes is closely linked to a range of preventable health issues such as amputations, blindness and increased risk of heart attack and is the fastest growing chronic disease in Australia.

The healthdirect Risk Checker tool and results follow an algorithm developed by The George Institute for Global Health and adhere to Healthdirect Australia’s strict Clinical Governance Framework for health and safety.

Risk Checker can be used by a range of health professionals to talk with patients about risk factors, prevention and treatment for heart disease, kidney disease and type 2 diabetes.

Three posters have been developed encouraging people to try the tool. Health professionals can display these in their practices - for heart disease, kidney disease and type 2 diabetes.

A factsheet has also been developed for health professionals, explaining what the healthdirect Risk Checker is, the evidence-base for the tool and how it can be used in practice. Learn more about the Risk Checker tool and find resources for your practice online at: www.healthdirect.gov.au/risk-checker/heart-kidney-diabetes

PHN WEBSITE:

https://www.ourphn.org.au

MARK YOUR DIARIES!

Sunshine Coast Health ReportThursday 27 August 2020

Maroochy Surf Club Function RoomAdj Prof Naomi Dwyer

Chief Executive, SCHHS and

Speakers from PHN and GPLOs.

First trimester/dating ultrasound

Nuchal translucency ultrasound

Non-Invasive Prenatal testing (NIPT)

Chorionic villus sampling

Amniocentesis

Second trimester morphology

Third trimester growth and welfare

Second opinion ultrasound

Pelvic/gynaecologic ultrasound

Pre-IVF assessment and follicular tracking

Saline Sonohysterogram

Hysterosalpingo-contrast-sonography (HyCoSy)

Targeted endometriosis ultrasound

Services include:

Advanced Women’s Imaging provides specialised scans and diagnostic procedures for women using state of the art equipment and technology. Dr Ladwig is passionate about providing high quality professional care including individual consultations for patients following their ultrasound, with an opportunity to discuss findings.

Specialised ultrasound service for women

Dr Denise Ladwig is a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and has a Diploma of Diagnostic Ultrasound. She has special interests in gynaecologic pathology, 3D/4D imaging and fetal abnormalities.

07 5436 7550 [email protected]

DR DENISE LAD IGFRANZCOG, DDU

A local O&G imaging service offering personalised detailed scanning by a Specialist.

We use new patented evidence-based Orthotic Technology!

Guaranteed Outcomes

• Evidence-based research in Biomechanics and Kinetic Orthotic therapy.

• Leading therapeutic technology including:

1. Shock Wave therapy Machines, excellent for treating chronic plantar fasciitis and Achilles tendonitis.

2. New Photodynamic Fungal Nail Therapy Unit, highly effective and significantly safer than existing laser for this treatment.

• Passionate and experienced Team committed to delivering the best possible treatment for our patients on the Sunshine Coast and in Brisbane.

Locations

Maroochydore, Noosa, Nambour, Caloundra, Morayfield and Indooroopilly with satellite practices at Mapleton and Kenilworth.

All EPC patients Bulk Billed

www.daneverson.com.auPhone: 1300 130 410

Move without pain™



BUDERIMPRIVATEHOSPITALSCLMAcolumn February2020DearSCLMAcolleagues,IhopeyouallhadawonderfulChristmasandNewYearandyouhavestartedtheyearfeelingrefreshedandenergised.OurteamatBuderimPrivateHospitalareintheprocessofmasterplanningtoensureweareequippedtomeetthelong-termneedsofourexpandingSunshineCoastcommunity.Wearealsoconfiguringeventsandactivitiesforourmedicalcommunityandsomeoftheseareoutlinedbelowforyourinformation.GPEducationandCPRworkshopsCardiologyCPDEvent–Savethedate!OurCardiologyGPCPDeventwillbeheldonsitehereatthehospitalonbothTuesday3MarchandWednesday4March2020.ComealongtohearthelatestupdatesfromourspecialistsaboutcardiacchestpainandECGinterpretationinanemergencysituation.Registrationisfreeand4Category2QI&CPDpointshavebeenappliedfor.Visitwww.buderimprivatehospital.com.au/GPeducationtoregisterorformoreinformationabouttheday’sprogram,includingthespeakersandtheirpresentations.2020CPRWorkshopsThedatesforour2020CPRWorkshopsforGPsandPracticeStaffhaverecentlybeenreleased.Visitwww.buderimprivatehospital.com.au/CPRWorkshopsfortheworkshopdates,moreinformationandtoregister.GPSurveyreminderWeinviteyoutoshareyourthoughtsandopinionsonthedeliveryofGPeducationinthefuture.Wevalueyourfeedbackandwillusetheresultsofthissurveytoshapeboththesubjectmatterandformatofoureducationeventsmovingforward.Iurgeyoutotaketwominutesofyourtimetocompletethissurvey.Simplyvisit:www.buderimprivatehospital.com.au/GPsurveyKindregards,KarenClarkGeneralManagerE:[email protected] P:0754303260

ERADICATION OF AN UNWANTED BURDEN

by Wayne HerdyI recently attended a conference on Hepatitis C eradication. At the end of it I decided there is a bigger message with a lesson even for those who have no interest on Hepatitis C.

I have been delivering talks for some time now, hoping to persuade my GP colleagues to accept the challenge of identifying the HCV patients in their practices, and following the relatively simple pathway towards curing them. Regrettably few have answered the challenge.

The trend in the UK has been aimed at early eradication, using a few tools that don’t sit comfortably into the Australian landscape but are still being experimented with in our back yard.

Firstly, for case-finding, small teams are going out where the HCV patients abide, in methadone clinics, needle exchanges, homeless shelters and jails. The teams have “peers” (reformed drug addicts, maybe a nurse or a pharmacist, but never a doctor (we would be too expensive, even if we were interested). Yes, this is already happening in Australia too.

Next, instead of the bothersome blood tests, nigh impossible in addicts with appalling venous access, they are making the diagnosis with one dried blood spot. This technology identifies the HCV virus but not the genotype [Australia is likely to forego the need for genotype by year’s end]. A literally spot diagnosis in 7 minutes from a finger-prick. Bypass all those pesky and expensive doctors and pathologists again.

And the last step, when the diagnosis is made, a full supply of the chosen Direct Acting Antiviral is handed out. A nurse or pharmacist might be involved, or the workers might be people with hardly even a first aid certificate. [A course of DAAs in the UK is far far cheaper than what the Australian taxpayer pays, so there is less incentive to be formal in the process of prescribing and dispensing].

This is of course a wonderful program with a realistic prospect of achieving the WHO goal of eradication by 2030 (a goal where Australia is dragging behind). Who can object to such a projected outcome at quite low cost? My personal objection is the lack of follow-up. I think HCV customers should be followed for life, a task which GPs are ideally equipped to manage. Otherwise we will miss a lot of cirrhosis, and fail to diagnose the hepatocellular carcinomas until too late.

Now for the strongest message for all doctors, with or without an interest in infectious disease. What this cluster of experiments illustrates loud and clear is the fact that, if doctors fail to address challenges such as the HCV epidemic, somebody else will (yes WILL, not “might”) step into the vacuum. They will create a workforce niche that we will never win back. And the HCV battle illustrates that the gap might be filled by other health practitioners, maybe by nurses and pharmacists who we know are already more than keen to create a patch on what should be our turf. But if we are not overly fussy about perfection of care the gap might well be filled by workers who have no health training at all.

Get ready for the Brave New World, it is already on our doorsteps. Doctors might become the unwanted burden scheduled for eradication.

Wayne Herdy



Breast Diagnostic Specialists is a breast specialist centre on the Sunshine Coast.

We are pleased to provide mammograms

using the MammoPad breast cushion for

a “softer mammogram”.

MammoPad benefits

• Soft foam for cushioning support

• Padded surface reduces discomfort

• Assists with relaxation during the exam

• Helps hold breast tissue in place

• Aids optimal breast positioning

• Provides a warmer, softer mammogram

Trusted Breast CareBreast Diagnostic Specialists1 Main DriveWarana QLD 4575

07 5436 [email protected]

MammoPad breast cushionFreedom to consult a Specialist

3D MammographyEarly detection is key

EARLY DETECTION SAVES LIVES

Trusted Breast Care

• We offer comprehensive services including

Breast Screening, Diagnostics, MRI,

Ultrasound and Interventional procedures.

• 3D mammography exams on the Selenia®

Dimensions® 3D system by Hologic.

• Procedures including Core Biopsy,

Hookwire localization, Cyst Aspiration, Fine

needle aspiration and Stereotactic Biopsy.

• Double reading of mammography,

independently by two of our Specialists.

• Consultation for your patients on the day,

with an on-site Specialist.

SUNSHINE COAST UNIVERSITY PRIVATE HOSPITAL

NAMBOUR SELANGOR PRIVATE HOSPITAL • NOOSA HOSPITAL

MONTHLY UPDATE

Noosa Hospital Ophthalmology services Sunshine Coast residents now have access to private ophthalmology services at Noosa Hospital. Shane Mitchell Director of Clinical Services commented, “It has been a pleasure to support the commencement of a comprehensive ophthalmology service at Noosa. We are fortunate to have two committed ophthalmologists providing onsite clinics and surgery. We look forward to supporting the growth of the ophthalmology service with Dr Madeleine Adams and Dr Kristopher Rallah-Baker.”

Noosa Hospital’s private ophthalmology service includes:• cataract surgery, including complex cataract and refractive lens• minimally invasive glaucoma surgery• eyelid surgeries• laser treatments for glaucoma• injections for diabetic eye disease and age-related macular degeneration

Clinical Trials underway at SCUPH!The Clinical Trials Unit at SCUPH has achieved some great milestones since opening in 2019. After initial work to establish SCUPH as an attractive location to conduct clinical trials, trial coordinator Dr Amanda Williams is excited to have two trials up and running with others in the pipeline.

Working closely with Coastal Cancer Care Doctors including Dr Michelle Morris and Dr Jeremy Long, the hospital’s first Oncology trial provides an immunotherapy treatment option for patients with Stage III (unresectable) or Stage IV melanoma. Of note, SCUPH was recognized as the first site open for recruitment in the Asia Pacific region for this trial, a testament to the ability of all stakeholders to come together for the good of patients.

A trial for metastatic urothelial cancer is set to open for recruitment in March.In the Renal space, Amanda and the Renal Day Unit team are working with Dr Nicholas Gray and Dr Rathika Krishnasamy on a global study looking at the impact that differing dialysate sodium concentrations, in patients receiving haemodialysis, has on the number of major cardiovascular events. This trial aims to fill a remarkable gap in the evidence for the care of these patients.

Amanda welcomes enquirIes about the clinical trials unit and can be contacted at –williamsamanda@ ramsayhealth.com.au or 07 5390 6057.

PD Warriors at Nambour SelangorNambour Selangor continues to run its popular PD Warrior programme once per week on a Monday afternoon. PD Warriors is an exercise class for people with Parkinson’s run by PD Warrior trained Exercise Physiologists and Physiotherapists. The programme offers tailored exercises specifically for patients with Parkinson Disease.

PD Warrior was created in 2011 by two Australian neurological physiotherapists and is available in several countries outside of Australia. A recent survey of PD Warrior patients nationwide found that 98% of participants felt that the programme was worth their time.

Participants wishing to join the program require a referral from their GP or Specialist and will receive an assessment by our staff to determine their suitability for the program. Participants who enrol in the programme can attend the class on an ongoing basis for as long as they like.

By CEO Oli Steele



EDENPRIVATEHOSPITALUPDATE–February2020

ThankyoufortheopportunitytoupdatetheSCLMAwiththelatestfromEdenPrivateHospital.

NEW-InpatientMentalHealthUnitandTMS–lateFebruary2020

EdenPrivateHospitalispleasedtoannouncethatweareopeninga10bedinpatientmentalhealthunitinlateFebruary2020.Thiswillcomplementourexistingmentalhealthgroupprogramswhichcannowbeofferedtobothinpatientsandoutpatients.ForinformationaboutEdenPrivateHospital’sgroupmentalhealthprograms–pleasevisit

https://edenprivate.com.au/mental-health-programs

EdenwillalsobeofferingTMS(TranscranialMagneticStimulation),anon-invasiveprocedurethatinvolvesthefocusedapplicationofmagneticenergytosuperficialregionsofthebrain,inducingsmallelectricalcurrents.Duringtheprocedure,anelectricalcurrentpassesthroughasmallcoilplacedclosetothescalp.Thiscurrentinducesamagneticfield.Themagneticfieldcanpassintothebrainwithoutresistance.Ifthemagneticfieldisofsufficientstrength,itwillstimulateelectricalactivityinnervesbelowthecoil,thatis,insuperficialregionsofthebrain.

StudieshaveevaluatedtheroleofTMSinthetreatmentofdepressionsincethemid-1990s.ThesestudieshaveclearlyshownthatTMSismoreeffectivethanaplacebotypeofstimulation,especiallyinpatientswhohavenotrespondedwelltoantidepressantmedicationtreatment.

EdenRehabilitationClinicOpeninginGympie

AnewrehabilitationcliniclocatedatGympieSpecialistCentre,74ChannonStwillbeavailablefrom29January2020.TheclinicwillbedeliveredbyEdenPrivateHospital’sexperiencedalliedhealthteam(PhysiotherapyandExercisePhysiology)andwillbeavailablefor:

- Alliedhealth1:1assessments- Specialistrehabilitationprograms:

• Type2Diabetes• CardiacConditions

- Parkinson’sDisease-PDWarrior

ItissuitableforpatientswithoutprivatehealthinsuranceviaEPC(outofpocket$20persession).OtherfundingoptionsincludeDVA,HomeCarePackages,NDIS,PrivateHealthandselffunded.Referralscanbefaxedto54477592.

KindRegards

JoMunday

CEO–EdenPrivateHospital

[email protected]

Sunshine Coast Orthopaedic ClinicFor appointments contact

Dr Steven Lawrie Suite 17, Kawana Private Hospital 5 Innovation Parkway, Birtinya QLD 4575 p: 07 5493 3994 f: 07 5493 3897 e: [email protected] www.sunshineortho.com.auThe first few days can make all the difference

in recovery from a sporting injury.

Dr Steve Lawrie at the Sunshine Coast Orthopaedic Clinic provides an Acute Knee Clinic each Monday and Tuesday which is specifically designed for, but not limited to, sports injuries of the knee with a view to rapid assessment, investigation and adoption of a management plan within the first few days of the initial injury.

The Acute Knee Clinic has now been running for twelve years. We have treated many professional and semi-professional athletes as well as the “weekend warriors”, including a special interest in paediatric sporting injuries. Dr Lawrie has a close association with many sporting teams on the Sunshine Coast, including the Sunshine Coast Falcons, Melbourne Storm and many other local clubs.

Specific conditions that can benefit from emergent assessment include suspected ligamentous injuries, including cruciate ligaments, medial ligaments, multiple ligament injuries, acute patellar dislocation, locked knees and especially paediatric cruciate and meniscal injuries whether that be by implementing early surgical techniques

or an appropriate non-operative treatment programme.

To access the Acute Knee Clinic, a patient needs to have a current referral to Dr Steven Lawrie and plain x-rays of the knee should also be arranged before the initial consultation.

A plain x-ray is very important in the initial assessment to exclude fractures, loose bodies, and to show the alignment of the knee joint and the patellofemoral joint, which cannot be seen on other investigations, such as an MRI scan.

Splints and orthotics can be organized directly with Leonie Walton on 5473 5858. Leonie attends our clinic on a Thursday afternoon, but she is available throughout the week as needed.

The Acute Knee Clinic is intended to complement Dr Lawrie’s other interests, including hip and knee replacement, revision arthroplasty, computer assisted joint replacement, cartilage surgery, as well as hip, knee and ankle arthroscopy.

Dr Lawrie is happy to take phone calls for advice, queries etc as this often helps the referral process.

Examples of these injuries include:

A medial ligament injury is usually easily treated in a range of motion brace, using an MCL protocol if applied with the 1st week or so. But it can be extremely difficult to correct if there is a delay of a number of weeks.

Paediatric meniscal tears may be repairable early after an injury, but a delay typically means meniscal resection becomes necessary.

Acute patellar dislocation may respond to surgical repair if surgery is offered in the first 2 weeks after the injury.

Traumatic meniscal tears where early repair rather than delayed resection can make a dramatic difference in outcomes

Early ACL surgery in the young active patient/sportsman.

The Acute Knee Clinic

Your LOCAL Heart TeamComprehensive Sub Specialty Practice

FIRST TRANSCATHETER AORTIC VALVE IMPLANTATION (TAVI) PERFORMED AT SCUPH.TAVI is now the preferred treatment option for patients with severe aortic stenosis. Clinical trials have demonstrated superiority over surgical AVR for high, intermediate and low risk patients.

Our SCHS Heart Team: Drs Peter Larsen and Stuart Butterly, (Interventional Cardiologists) and Dr Mark Johnson (Cardiac Imaging Specialist) work with Specialist Cardiac Anaesthetist Dr Rae Duffy to perform these cases.

Our first TAVI patient was an 83 y.o female. A 26mm Evolut R TAVI was performed and the patient was discharged home the following day! Over 40 cases have now been performed at SCUPH.

We welcome all referrals for patients with Aortic Stenosis to be assessed through our Multi-disciplinary Heart Valve Team.

At SCHS our goal is to improve access to and the quality of Cardiac Care on the Sunshine Coast.

The Medtronic Evolut R TAVI valve. Our first patient on discharge, day 1 post TAVI

PHONE: 5414 1100 FAX: 5414 1101 [email protected] www.scheart.com.auBIRTINYA Suite 4 Ground Floor Sunshine Coast University Private Hospital, 3 Doherty Street Birtinya QLD 4575

BUDERIM Suite 9 Medical Centre Buderim Private Hospital, 12 Elsa Wilson Dr Buderim QLD 4556

TEWANTIN Suite 1, 66 Poinciana Ave Tewantin QLD 4565

GYMPIE Ramsay Medical Consulting Suites70-72 Channon Street Gympie QLD 4570

CABOOLTUREConsulting Suites, Caboolture Private Hospital, McKean St, Caboolture QLD 4510



Call 07 5390 6000 or visit sunshinecoastuniversityprivate.com.au3 Doherty Street, Birtinya QLD 4575

The Sunshine Coast University Private Hospital provides a comprehensive range of cardiac services such as coronary angiography, exercise stress testing, a coronary care unit and a full range of support and rehabilitation programs.

Our experienced and nationally respected team of cardiologists, who admit to the coronary care unit and share 24 hour – 7 days a week cover for their patients, are well known to the local Sunshine Coast community.

For more information about our cardiology services or other services offered by the Sunshine Coast University Private Hospital please visit sunshinecoastuniversityprivate.com.au

Dr Tim Nathan MB ChB (Edin), FRCS (Eng), FRCS (Urol), FRACS (Urol)

Suite 6Buderim Private Hospital12 Elsa Wilson DriveBuderimPh: 07 5370 2095Fx: 07 5301 8120www.drtimnathan-urology.com.au

Tim graduated from the University of Edinburgh and completed advanced training in urology at teaching hospitals in London and Queensland. He has trained extensively in da Vinci Robotic Surgery at the University Hospital, Leipzig, and the Wesley Hospital.

Tim successfully introduced Robotic Prostate and Kidney Surgery to Buderim Private Hospital. He has pioneered MRI guided robotic transperineal prostate biopsy for safe and accurate diagnosis.

Specialising in:

• Mona Lisa Robotic Transperineal Prostate Biopsy

• Da Vinci Robotic Prostatectomy & Renal Surgery

• BPH - Laser Prostatectomy & Urolift

• Stone Disease

• Penile Prosthesis Surgery

• Vasectomy Reversal

• Urodynamic Studies

Excellence in Prostate Cancer Diagnosis & Managment

Dinnerandrefreshmentwillbeservedduringtheeducationmeeting

RSVP

AGENDA

6.30 pm Arrival and registration Meeting commences PresentationMeeting concludes9.00 pm

7.00 pm 6.45 pm

BENIGN PROSTATIC OBSTRUCTION

SPEAKER Dr. Tony Gianduzzo (Urologist)

TOPIC

VENUES HARRY’S ON BUDERIM

DAISY’S PLACE

invites you to an Educational Evening on

O RWed.26thFeb,6:30-9.00pm

Wed. 11th March, 6:30 - 9.00pm

2859 Steve Irwin Way, Glenview QLD 4553

11 Harrys Lane, Buderim 4556

Dr. Tony Gianduzzo

No later than Wed. 19th Feb (Harry’s) or Wed. 4th March (Daisy’s) to [email protected] or ring 07 5444 0672(please advise of any dietary requirements)

Restaurant parking availablePARKING

– a guide to workup and treatment

The educational content of this meeting has been independently prepared by the speaker. Dr Tony Gianduzzo thanks Teleflex for supporting this event.



ResMed.com.au

Help your patients Awaken their bestSimply send us a referral and we will take care of the rest.

Contact our Area Manager and Sleep Coach Kristin Caddell if you need our current referral templates or pads today: 0466 795 035 or [email protected]

Shop 3, Plaza Links, 5 Plaza Parade, Maroochydore (free parking) Call: 1300 925 387

Professional, outcome focused patient care backed by over 20 years of experience.

Complimentary sleep health consultations and one-on-one education sessions throughout each step of the patients therapy journey (at no costs to the patients).

Convenient rental and rent-to-buy options to suit a wide range of needs and budgets.

Department of Veteran’s Affairs approved supplier.

Comprehensive CPAP product range at competitive prices.

After hours phone support available to all patients.

Online live chat: ResMed.com.au.

Alternative treatment options.

Interest-Free PlansOur convenient Interest-Free Plans are designed to save the hassle and uncertainty of purchasing equipment parts as required, it has never been easier to own a CPAP device. Plans are only $99 up front with affordable interest free monthly rates.

Easy weekly CPAP trialsIf a patient is not yet ready to purchase, we offer an easy weekly CPAP rental program for only $35 per week with no lock in period.

This includes all equipment and servicing from our experienced team of sleep coaches.

Our team of local, independent sleep physicians will bulk bill all eligible home sleep test patients. Following a treatment recommendation, your patient has a range of affordable options to begin treatment and awaken their best.

Our difference

RENTAL FROMPLANS FROM

Bulk billed home sleep tests

4 CATEGORY 2 RACGP POINTS 4 CATEGORY 2 RACGP POINTS HAVE BEEN APPLIED FORHAVE BEEN APPLIED FOR

SPEAKERSDr Mike Natale Emergency Cardiac Chest Pain and ECG Interpretation in an Emergency Situation

Dr Steve KypraiosECG Case Presentations

CARDIOLOGYTUESDAY 3 MARCH 2020 and WEDNESDAY 4 MARCH 2020

Education CentreLevel 3 | Buderim Private Hospital12 Elsa Wilson Drive | Buderim

Tuesday 3 March 6pm - 8pm| OR |Wednesday 4 March 7am - 9am

RegistrationVisit buderimprivatehospital.com.au/GPeducation for more information and to RSVP

PELVIC ORGAN PROLAPSE & PESSARIES

SPORTS & SPINAL'S WOMEN'S HEALTH IS AVAILABLE AT:SUNSHINE COAST: BUDERIM, SIPPY DOWNS, NAMBOUR, COOLUM

BRISBANE: REDCLIFFE, NORTH LAKES, CHERMSIDE & WOOLLOONGABBA

Pelvic Organ Prolapse (POP) refers to the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus/cervix or vault after hysterectomy.

1 in 3 women are experiencing POP that extends to the level of introitus or beyond (Brown et al, 2002)

1 in 9 women will need surgery in their lifetime (Brown et al, 2002)

1 in 3 women who have a surgical repair, will need a subsequent POP surgery (Brown et al, 2002)

Conservative management should be the first-line intervention for mild to moderate POP. Generally, a combination of lifestyle advice, bowel and bladder management and pelvic floor muscle training is used by Pelvic Health Physiotherapists to provide symptom relief to these patients.There are however often patients for whom this does not result in adequate relief, and in these cases further education and implementation of support pessaries can be provided. A pessary is a medical-grade device that is designed to be worn in the vagina, to provide support to the pelvic organs.

Sports & Spinal Physiotherapy Centres have a team of experienced Women’s Health Physiotherapists who are now offering pessary fittings as a management option for patients with POP and SUI. We will continue to work closely with patients, their GPs and specialists to ensure that the most appropriate treatment option based on current evidence is provided.



The hospital provides a range of comprehensive services including: • Emergency

Department• Bariatric Surgery• Breast & Endocrine• Ear, Nose & Throat• Endoscopy• Gastroenterology• General Medicine• General Surgery• Geriatric Medicine

• Gynaecology• Haematology /

Oncology• Hepatology• Intensive Care• Ophthalmology• Oral & Maxillofacial• Orthopaedics• Plastic &

Reconstructive Surgery

• Rehabilitation & Pain Medicine – Day and Inpatient programs, including Hydrotherapy

• Renal Medicine• Respiratory Medicine• Urology• Vascular

Quality health care close to homeNoosa Hospital is a fully accredited medical and surgical hospital located in the heart of Noosa. We welcome privately insured patients, veterans, public patients and overseas visitors.

Call 07 5455 9200 for more information or visit noosahospital.com.au111 Goodchap St, Noosaville QLD 4566

Your pathology provider on the Sunshine CoastResults (24 hours) P: 1300 778 555

Added tests P: (07) 3377 8528

Sonic Dx / IT Support P: 1800 100 769

Doctor Stores Request F: (07) 5459 1440

Faxed Pathology Request Forms F: (07) 5459 1440

Local Laboratories

Birtinya P: (07) 5459 1400

Kawana P: (07) 5459 1433

www.snp.com.au

Attention SCLMA Members! Are you listed on the Members Directory on our website? Are your details correct? Would you like to add more details? Have you added your website? Directory form available on website for new members. www.sclma.com.au Vist the website often for Latest News!



YEARENDTAXPLANNING,IT’SNEVERTOOEARLY

Canyoubelieveit’sFebruary2020already?Wethoughtwewouldgetinearlyandmentionsometipsontaxplanningthatyoumaywanttothinkaboutoverthecomingmonths.TaxplanningfortheendoftheFinancialYearshouldnotbelefttoolate.Nowisaperfecttimeandopportunitytoreviewyourfinancesandaccounts,especiallyifyouareexpectinghigherincomethanpreviousyears.Ontheflipsideitwouldbebeneficialtoreviewyoursituationifyourincomehasdropped.Taxminimizationandplanningcanbeaveryeffectivetooltolegitimatelysaveontax.Itisalwaysbettertobeproactiveratherthanreactive.

Toachievebestresultsyoushouldreviewyourtaxgroupasawhole,individuals,companies,trusts,partnershipsandselfmanagedsuperfunds.Youshouldcalculate&prepareyeartodatefinancialstatementsandprojectforafullyear.Thisallowsforwardplanninginrelationtocashflowanddeductionstobeundertaken,allwiththefocusontaxsaving.

Ifyouarelookingtosellingyourbusiness&successionplanninginthenearfutureaneffectivetaxplangivesyouthebestchanceforasolidyearendresulttosupporttheeventualbusinesssale.Abadresultcouldgreatlyaffectafuturesaleasmostsalesrefertobetween3and5yearsofprofitfigures.

Youmightalsotaketheopportunitytoreviewtheresultsofyoursuperannuationandshareportfolioperformanceandwherenecessarymakechanges.Nowmaybeagoodtimetosellorbuysharestocrystalizeanycapitalgainsorlosses.Itmayalsobeagreattimetocheckonyeartodatesuperfundcontributionsandremainingagebasedcontributionslimitsavailablefortheyear.

Aspartofyourreviewyoushouldalsorevisitloaninterestratesandtermstonegotiatebetterrateswithyourbank,orevenmovebanksifbetterdealsareoutthere.Youshouldalsoreviewyourbankchargesandagainquestionyourbanker.

Insurancesareoftenoverlookeduntilrequired.It’snotunusualfortaxpayerstounderoroverinsureorsimplymissitemsthatshouldbeinsured.Anannualreviewonallinsurances,life,incomeprotection,trauma,businessinsuranceandothergeneralinsurancesisaworthwhileexercise.Quiteoftentherenewaldatearrivesandwedon’thavethetimetoreviewtheinsurancesbeforetheyaredue.

Privatehealthinsuranceisanotherinsurancethatshouldbereviewedannually.Astaxpayersthemajorityofuspaythe2%basicmedicarelevybuttherearesometaxpayerspayingthesurcharge.Ifyouarepayingprivatehealthanannualreviewwillensurethatyouarecoveredforwhatyouneedtobe.Ifyouremoveproceduresanditemsthatyouwon’trequireyourpremiumsmayreduce.

Taxplanningisanindividualchoice.Oftenourbestintentionsaretoplan,buttimeorlackofitoftenintervenes.Someoftheaboveitems,ifaddressed,shouldhelpyoutopreserveyourhardearnedmoney.

Feelfreetocallusshouldyouliketodiscuss.Ph:0754379900.

“Thosewhoplantofail,failtoplan.”BenjaminFranklin

Designing better careGenesisCare radiation oncology

GenesisCare, Sunshine Coast Haematology and Oncology Clinic and associated allied health services have united to create a truly integrated cancer treatment centre, purpose built to provide the gold-standard in cancer diagnosis, treatment and management.

The same radiation oncologists you know and trust, providing high quality, personalised care.

Our services include:Stereotactic radiation therapy, cranial and SABR for lung, spine, bone and liver

•

Deep Inspiration Breath Hold (DIBH)•Leading radiation therapytechniques including VMAT and IGRT

•

Specialised wide-field radiation therapy for extensive skin cancerisation

•

Treatment for benign conditions including dupuytren’s disease

•

Daily patient bus service available•

Dr Debra FurnissGI, Breast, lung, SABR, SRS, benign diseases, skin and palliative

Dr Olivia BigaultUrological, gynaecological, breast, skin and palliative

Dr James MacKeanProstate brachytherapy, urological, GI, SRS, haematology and palliative

Dr Bradley WongWide-field skin, prostate, urological, benign conditions, breast and palliative

Modern radiotherapy: wide-field skin cancer treatment A solution is now available to treat invasive and pre-invasive non-melanoma skin cancers (NMSC) across large, curved areas of the body.

Outcomes 12 months after radiation therapy treatment:

of treatment areas received a cosmetic score of good or excellent*.1

98%of patients had undergone previous treatment with other therapies.1

88%of treatment areas had complete clinical clearance of non-melanoma skin cancers.1

86%

For further information, call 5374 8100 or refer your patient for clinical discussion.

genesiscare.com

* Cosmetic outcomes measured using Lovett et al scoring tool.1. GenesisCare data on file. 2. Lovett et al, 1990, Int J Radiat Onc Biol Phys, 19(2):235-42.

Before treatment

After treatment (3 months)


Diagnosis:

Referred with consideration of cosmetic impact of RT vs surgery

•

Treatment perscribed:55Gy in 25 fractions using conformal radiation therapy

•Outcomes:

Clinical clearance at 12 months: 100%•Cosmetic outcome: Good•

Nose case study:

“This revolutionary treatment is life-changing for both our patients and their families. We can now provide a long-term solution for those patients with large areas of their body affected by skin cancers using modern radiotherapy and 3D printed bolus.” - Dr Bradley Wong

Consulting clinics at Caboolture, Caloundra, Noosa and Gympie

•

Buderim10 King StreetBuderim QLD 4556

[email protected]

Tel: 5374 8100 Nambour10 Mapleton Road Nambour QLD 4560

[email protected]

Tel: 5374 8100

Basal cell carcinoma•Prior treatments: None•



YEARENDTAXPLANNING,IT’SNEVERTOOEARLY

Canyoubelieveit’sFebruary2020already?Wethoughtwewouldgetinearlyandmentionsometipsontaxplanningthatyoumaywanttothinkaboutoverthecomingmonths.TaxplanningfortheendoftheFinancialYearshouldnotbelefttoolate.Nowisaperfecttimeandopportunitytoreviewyourfinancesandaccounts,especiallyifyouareexpectinghigherincomethanpreviousyears.Ontheflipsideitwouldbebeneficialtoreviewyoursituationifyourincomehasdropped.Taxminimizationandplanningcanbeaveryeffectivetooltolegitimatelysaveontax.Itisalwaysbettertobeproactiveratherthanreactive.

Toachievebestresultsyoushouldreviewyourtaxgroupasawhole,individuals,companies,trusts,partnershipsandselfmanagedsuperfunds.Youshouldcalculate&prepareyeartodatefinancialstatementsandprojectforafullyear.Thisallowsforwardplanninginrelationtocashflowanddeductionstobeundertaken,allwiththefocusontaxsaving.

Ifyouarelookingtosellingyourbusiness&successionplanninginthenearfutureaneffectivetaxplangivesyouthebestchanceforasolidyearendresulttosupporttheeventualbusinesssale.Abadresultcouldgreatlyaffectafuturesaleasmostsalesrefertobetween3and5yearsofprofitfigures.

Youmightalsotaketheopportunitytoreviewtheresultsofyoursuperannuationandshareportfolioperformanceandwherenecessarymakechanges.Nowmaybeagoodtimetosellorbuysharestocrystalizeanycapitalgainsorlosses.Itmayalsobeagreattimetocheckonyeartodatesuperfundcontributionsandremainingagebasedcontributionslimitsavailablefortheyear.

Aspartofyourreviewyoushouldalsorevisitloaninterestratesandtermstonegotiatebetterrateswithyourbank,orevenmovebanksifbetterdealsareoutthere.Youshouldalsoreviewyourbankchargesandagainquestionyourbanker.

Insurancesareoftenoverlookeduntilrequired.It’snotunusualfortaxpayerstounderoroverinsureorsimplymissitemsthatshouldbeinsured.Anannualreviewonallinsurances,life,incomeprotection,trauma,businessinsuranceandothergeneralinsurancesisaworthwhileexercise.Quiteoftentherenewaldatearrivesandwedon’thavethetimetoreviewtheinsurancesbeforetheyaredue.

Privatehealthinsuranceisanotherinsurancethatshouldbereviewedannually.Astaxpayersthemajorityofuspaythe2%basicmedicarelevybuttherearesometaxpayerspayingthesurcharge.Ifyouarepayingprivatehealthanannualreviewwillensurethatyouarecoveredforwhatyouneedtobe.Ifyouremoveproceduresanditemsthatyouwon’trequireyourpremiumsmayreduce.

Taxplanningisanindividualchoice.Oftenourbestintentionsaretoplan,buttimeorlackofitoftenintervenes.Someoftheaboveitems,ifaddressed,shouldhelpyoutopreserveyourhardearnedmoney.

Feelfreetocallusshouldyouliketodiscuss.Ph:0754379900.

“Thosewhoplantofail,failtoplan.”BenjaminFranklin

Designing better careGenesisCare radiation oncology

GenesisCare, Sunshine Coast Haematology and Oncology Clinic and associated allied health services have united to create a truly integrated cancer treatment centre, purpose built to provide the gold-standard in cancer diagnosis, treatment and management.

The same radiation oncologists you know and trust, providing high quality, personalised care.

Our services include:Stereotactic radiation therapy, cranial and SABR for lung, spine, bone and liver

•

Deep Inspiration Breath Hold (DIBH)•Leading radiation therapytechniques including VMAT and IGRT

•

Specialised wide-field radiation therapy for extensive skin cancerisation

•

Treatment for benign conditions including dupuytren’s disease

•

Daily patient bus service available•

Dr Debra FurnissGI, Breast, lung, SABR, SRS, benign diseases, skin and palliative

Dr Olivia BigaultUrological, gynaecological, breast, skin and palliative

Dr James MacKeanProstate brachytherapy, urological, GI, SRS, haematology and palliative

Dr Bradley WongWide-field skin, prostate, urological, benign conditions, breast and palliative

Modern radiotherapy: wide-field skin cancer treatment A solution is now available to treat invasive and pre-invasive non-melanoma skin cancers (NMSC) across large, curved areas of the body.

Outcomes 12 months after radiation therapy treatment:

of treatment areas received a cosmetic score of good or excellent*.1

98%of patients had undergone previous treatment with other therapies.1

88%of treatment areas had complete clinical clearance of non-melanoma skin cancers.1

86%

For further information, call 5374 8100 or refer your patient for clinical discussion.

genesiscare.com

* Cosmetic outcomes measured using Lovett et al scoring tool.1. GenesisCare data on file. 2. Lovett et al, 1990, Int J Radiat Onc Biol Phys, 19(2):235-42.

Before treatment



Diagnosis:

Referred with consideration of cosmetic impact of RT vs surgery

•

Treatment perscribed:55Gy in 25 fractions using conformal radiation therapy

•Outcomes:

Clinical clearance at 12 months: 100%•Cosmetic outcome: Good•

Nose case study:

“This revolutionary treatment is life-changing for both our patients and their families. We can now provide a long-term solution for those patients with large areas of their body affected by skin cancers using modern radiotherapy and 3D printed bolus.” - Dr Bradley Wong

Consulting clinics at Caboolture, Caloundra, Noosa and Gympie

•

Buderim10 King StreetBuderim QLD 4556

[email protected]

Tel: 5374 8100 Nambour10 Mapleton Road Nambour QLD 4560

[email protected]

Tel: 5374 8100

Basal cell carcinoma•Prior treatments: None•



• Breast & Endocrine Surgery• Bariatric Surgery• Colorectal Surgery• Ear, Nose and Throat Surgery• Gastroenterology• General Medicine• General Surgery• Geriatric Medicine• Haematology & Oncology • Oral & Maxillofacial Surgery

• Orthopaedic Surgery• Paediatric Surgery• Pain Medicine• Palliative Care• Rehabilitation –

Day & Inpatient Programs• Renal Medicine• Respiratory & Sleep Medicine• Urology• Vascular Surgery

Caring for people in our community for over 70 yearsNambour Selangor Private

Hospital is a modern health care facility providing a comprehensive range of medical and surgical services to the Sunshine Coast community in a caring and supportive environment.

Call 07 5459 7444 for more information or visit nambourselangor.com.au62 Netherton St, Nambour QLD 5460 Authorised by the Australian Government, Canberra.

Specialist Practice

REGISTRATION AND SUPPORTTo get connected to My Health Record please contact [email protected] or 1300 901 001

Help improve clinical decision making

Avoid duplicate tests / scans / diagnostics

Help to inform end-of-life care decisions

Fewer adverse events for your patients

Medicine reconciliation tasks and prescribing

Less administrative burden gathering information

Why use My Health Record?

What information may support your practice and patient care?

Shared health summaries which include a patient’s:

Hospital discharge summaries

Pathology reports and diagnostic imaging reports

Medicare Information

Patient entered information including advance care planning documents

Medicines information such as:

Medical history

Prescription and dispense recordsPharmacist shared Medicines List

MedicinesAllergies

Adverse drug reactions

Immunisations

Improve clinical care for patients in specialist practiceBetter care coordination through My Health Record connectivity

Did you know that My Health Record is designed to provide you with better access to key health information to support you in caring for your patients.i

Access the My Health Record system

Access training and resources

There are two ways to access a patient’s My Health Record as a healthcare provider

General resources for specialists:1. Go to myhealthrecord.gov.au2. Click on For healthcare professionals3. Scroll down and click on Specialist Practice

My Health Record clinical software simulators:1. Go to digitalhealth.gov.au2. Click on Using the My Health Record System3. On the left hand menu, click on Training Resources4. Below Training Resources, click on On Demand Training

You can upload, view and download information. A full list of My Health Record conformant software types can be found at myhealthrecord.gov.au

Access My Health Record securely via a web browser via logging in through PRODA. The healthcare provider will be able to view and download information but will not be able to upload any clinical information.

Conformant Software National Provider Portal



AMAQ’salarmatloomingpharmacytrial

AMA Queensland has recently written to Queensland’s 93 Members of Parliament urging them to call on the Health Minister to immediately stop preparations for the trial allowing pharmacists to dispense antibiotics for urinary tract infections (UTI) without the need for a prescription. In the letter we also called for an immediate end to the physiotherapy prescribing trial being held in emergency departments.

You can read the full letter at www.amaq.com.au Newfeaturescomingin2020As we move into 2020, we are making it easier for members to access AMA Queensland whenever and wherever they need us. Our team is busy finalising some new features that will be launched in 2020 as part of your AMA Queensland membership,

• NEW AMA app In 2020 we are launching the new AMA Queensland app where you will be able to access Queensland Doctors’ Community (QDC), download workplace resources, update your membership profile and renew your membership, register for events, access membership benefits and discounts and more – all at the touch of a button.

• NEW Live and Interactive Q&A Webinar Series on QDC

In 2020, we have introduced a series of ‘LIVE Q&A webinars with key stakeholders via QDC, starting with AMA Federal President, Dr Tony Bartone, and Vice President Dr Chris Zappala. Save the date to chat LIVE with Tony and Chris on QDC on19 February at 6pm and have your say on key health policy issues you want AMA to take forward in 2020.

Our second webinar will feature Adj Prof Steve Hambleton, Deputy Chair MBS Review Taskforce, answering questions on the MBS review and MBS billing issues.

• NEW QDC Junior Doctor-Only and Medical Student-Only Discussion Forums

Two new forums are being created especially for Students and Junior Doctor members to have peer-to-peer discussions on issues that are uniquely relevant to them.

In the meantime, we encourage you to share your experience on Queensland Doctors’ Community (QDC). Log in to QDC to share their experiences, post conversations, and find out how other members have developed solutions to common challenges. Current topics of interest include pharmacy prescribing, doctors and Coronavirus, electronic medical records, to name a few.

Login with your AMA details and see what your colleagues are saying: https://community.amaq.com.au/home

ObesityinQueensland–HaveyoursayAMA Queensland will be holding the inaugural Obesity Awareness Week (March 2 – 6) next month and will be encouraging all Queenslanders to take part in a variety of activities aimed at improving their health and wellbeing. The messages will be distributed through a range of digital, social and traditional media channels To assist AMA Queensland in developing materials to tackle the rising incidence of obesity, we are asking our members to answer three questions about their experience at the coal face of providing primary health care. You can take the two-minute survey atwww.surveymonkey.com/r/Obesity_GPSurvey Your answers will provide an indication of the incidence of obesity-related health issues that GPs experience in their daily practice.

Keep an eye out for further details on Obesity Awareness Week and how you can get involved coming soon: we will be sending you Obesity Awareness Week flyers and posters for your practices and social media kit to post on your own pages.

Conversiontherapy-HealthLegislationAmendmentBill2019

AMA Queensland sought feedback from members and recently provided a submission to the Health, Communities, Disability Services and Domestic and Family Violence Prevention Committee about the proposed Bill before the Queensland Parliament (Health Legislation Amendment Bill 2019), particularly in relation to amendments to the Health Act 2005 seeking to outlaw conversion therapy in Queensland. Dr Dilip Dhupelia, and AMA Queensland members, Dr Cary Breakey and Dr Peter Parry also presented at a public briefing on 7 February 2020. Our position - AMA Queensland does not support conversion therapy and supports the State Government’s intent to ban this practice. However, the Bill’s definition of conversion therapy is ambiguous and AMA Queensland is concerned that doctors who currently deliver evidence-based therapies in this field may inadvertently fall foul of the legislation. AMA Queensland recommended the Bill’s definition of conversion therapy be amended to ‘a treatment for which the only intent is to attempt to change or suppress a person’s sexual orientation or gender identity’. AMA Queensland also called for the Bill to be further amended to remove the indictable nature of the proposed legislation with any breaches or offences handled by the existing health regulatory framework such as the Health Ombudsman. Dr Dilip Dhupelia, President AMA Queensland Jane Schmitt, CEO AMA Queensland



ObesityinQueensland–HaveyoursayAMA Queensland will be holding the inaugural Obesity Awareness Week (March 2 – 6) next month and will be encouraging all Queenslanders to take part in a variety of activities aimed at improving their health and wellbeing. The messages will be distributed through a range of digital, social and traditional media channels To assist AMA Queensland in developing materials to tackle the rising incidence of obesity, we are asking our members to answer three questions about their experience at the coal face of providing primary health care. You can take the two-minute survey atwww.surveymonkey.com/r/Obesity_GPSurvey Your answers will provide an indication of the incidence of obesity-related health issues that GPs experience in their daily practice.

Keep an eye out for further details on Obesity Awareness Week and how you can get involved coming soon: we will be sending you Obesity Awareness Week flyers and posters for your practices and social media kit to post on your own pages.

Conversiontherapy-HealthLegislationAmendmentBill2019

AMA Queensland sought feedback from members and recently provided a submission to the Health, Communities, Disability Services and Domestic and Family Violence Prevention Committee about the proposed Bill before the Queensland Parliament (Health Legislation Amendment Bill 2019), particularly in relation to amendments to the Health Act 2005 seeking to outlaw conversion therapy in Queensland. Dr Dilip Dhupelia, and AMA Queensland members, Dr Cary Breakey and Dr Peter Parry also presented at a public briefing on 7 February 2020. Our position - AMA Queensland does not support conversion therapy and supports the State Government’s intent to ban this practice. However, the Bill’s definition of conversion therapy is ambiguous and AMA Queensland is concerned that doctors who currently deliver evidence-based therapies in this field may inadvertently fall foul of the legislation. AMA Queensland recommended the Bill’s definition of conversion therapy be amended to ‘a treatment for which the only intent is to attempt to change or suppress a person’s sexual orientation or gender identity’. AMA Queensland also called for the Bill to be further amended to remove the indictable nature of the proposed legislation with any breaches or offences handled by the existing health regulatory framework such as the Health Ombudsman. Dr Dilip Dhupelia, President AMA Queensland Jane Schmitt, CEO AMA Queensland



2019 Form Members Directory Website Page 1 of 1

SCLMA WEBSITE - MEMBER DIRECTORY www.sclma.com.au

SAMPLE: SPECIALITY PRACTICE CONTACT FAX EMAIL / WEBSITE

CARDIOLOGY Dr John SMITH Dr Tom BROWN Interventional

GENERAL PRACTICE Dr Penny SMITH Women’s health

Dr Betty BROWN

YOUR DETAILS

Please supply ONLY information you give consent to be published on the SCLMA website directory (PUBLIC DOMAIN)

_________________________________________________________________________ (Title) (First Name) (Surname) Name of Practice___________________________________________________________ Address: ________________________________________________________________ Suburb: _________________________________________________ P/C___________ Phone: _____________________________ Fax: ______________________________ Email: _______________________________________________________________ Website: ________________________________________________________________ Specify category for your listing: (e.g. General Practice, Gynaecology, Cardiology, Anaesthetics) __________________________________________________________________________ Special Interests: ____________________________________________________________ Signed: _______________________________________________ Date: _____________

EMAIL: [email protected] FAX: 07 5479 3995

KYOTO- THE BED OF CHERRY BLOSSOMS

Kyoto is where you can celebrate the breath-taking symbol of spring – “sakura” or cherry blossoms. Fall in love with this season like the Japanese by enjoying the stunning view of the city of Kyoto coyly blushing as it gets hugged by a blanket of rosy cherry blossoms. You could partake in tea ceremonies at cherry blossom locations, or head to the countryside or the city and pick your own picnic spot under a cherry tree surrounded by beautiful pinkish-white blossoms. Whatever your style of enjoying this nature’s wonder is, you will never forget your first cherry blossom viewing season.

Kyoto’s Rosy Charm

Kyoto offers plenty of daytime as well as night-time “Hanami” or cherry blossom viewing locations.

• Nijo Castle: this historical castle looks all the more mesmerizing with 430 cherry trees decked up with pretty pinkish blossoms in the stunningly lit backdrop. Shopping for traditional Japanese apparel is also arranged for at the Nijo Castle area.

• Sagano and Arashiyama Area: The Nakanoshima Park in this area at the foot of Kyoto’s western mountains is flocked by tourists and locals alike for hanami. Many blossoming cherry trees hang low along the river and the nearby area which is lit up in the evenings during the hanami season. Head to the Togetsukyo Bridge for a great view.

• Shirakawa Stream: this beautiful stream provides magical scenery with a splash of what looks like pink candy floss everywhere and, you might even catch a glimpse of geiko or maiko shuffling along the cobbled lanes. Visit the stream at night to witness its beauty amidst beautiful lighting.

• Ohara Village: the beautiful valley where the historically rich village of Ohara is located, with its attractive gardens, temples and scenic countryside walking trails is a delightful way to spend your day. Gaze at the magnificence of nature and take in the sheer splendour of the sakura season to your heart’s content.

• The enchanting Higashiyama area is home to the Zen temple Kodai-ji which was the first temple to have after-dusk illumination to let the sakura viewers enjoy the beauty of the season even at night.

• Ginkaku-ji temple area is located away from the crowd and noise of the other cherry blossom sites and is ideal for serene long walks and mindful exploration.

What have we planned for you?

A comprehensive itinerary has been prepared to seize all the opportunities to cherish the splendid cherry blossoms in Kyoto.

• Tea ceremony at Kan-o-chakai, the exquisite garden teahouse of Heian Shrine, along with enchanting performances and elegant ikebana on display

• Trip to the old village of Ohara which is renowned for its ancient temples and beautiful gardens with many old cherry trees. Overnight stay at Ohara no Sato, a traditional Japanese-style ryokan, on special demand

• Visit to the splendid Shoren-in Temple along with its 800-year old majestic cryptomeria trees and light-up display

• Trip to the Nijo Castle and the Castle-area shopping

• Trip to the Arashiyama Area for hanami

www.123Travelconferences.com.au



IT'S TIME TO SWITCH OUR MINDSET

using Process Communication Model (PCM)

PCM Seminar 1 - Core topics (3 days)

February 26th–28th, 2020

Venue: Alex Surf Club,Alexandra Headland, Qld. Registration closing date: 15th February, 2020Registration FEE: $2000

Training facilitated byDr Calum Campbell andDr Tania Morris

Are you communicating orjust talking?

CONTACT US TO REGISTER:

Dr Tania Morris [email protected]

Dr Calum Campbell

[email protected]

Page 1 of 1

MEDIA RELEASE

13 December 2019

Regional Queenslanders write script for future health care

Regional Queenslanders rely on their GPs as the first port of call for health care, according to a new survey that quizzed more than 1000 people across the state. The AMA Queensland survey measured community attitudes to primary health care and found 84 per cent of regional Queenslanders had a regular GP they consulted each time they needed medical advice or treatment. Confidentiality and expert advice were the most highly valued attributes of having a regular GP, according to the survey. “People want consistent, expert medical advice and a private conversation with a trusted confidante,” said AMA Queensland President Dr Dilip Dhupelia. “The survey also found that regional Queenslanders, like their city counterparts, are most likely to turn to a GP in the first instance, rather than a physiotherapist, pharmacist or other practitioner, for help with common health care needs such as contraception, infections, back pain and headaches.” While 29 per cent of regional Queenslanders want their GP clinics to remain stand-alone doctor’s practices, most respondents (71 per cent) want a broader range of on-site services offered in the future. “This includes services such as x-rays, scans and other imaging, physiotherapy, pharmacy, psychologists or counsellors,” Dr Dhupelia said. “The survey confirms not only where GPs add value to their community during their consultations, but also how they can improve the delivery of healthcare in the future. Regional Queenslanders clearly value the skill of GPs in their local areas.” Dr Dhupelia said AMA had been urging the Federal Government to lift the ban that currently prevented pharmacists from co-locating in GP clinics as part of stringent pharmacy ownership and location laws. “Relaxing these rules will improve access and delivery of health care for patients and improve convenience, especially for regional and rural Queenslanders who often travel long see their GP,” he said. Dr Dhupelia said AMA Queensland also supported the Commonwealth Government’s and Pharmacy Board of Australia’s preference for supervised prescribing within primary health care services, a model that would allow pharmacists to work closely with doctors in GP practices for improved patient care. MEDIA CONTACTS: Chiara Lesevre, AMA Queensland – 0419 735 641; Fran Metcalf, Sequel PR – 0417 627 867



As part of our ongoing training to assist practices to understand their employment obligations and opportunities, we are introducing our next Private Practice Series topic of managing the risks relating to termination of employment.

Despite your best efforts, the day will come when you have to dismiss an employee, whether it’s because of performance issues or organisational changes. It can be a harrowing experience, regardless of how many years you’ve been managing people. A misstep in the process can lead to stressful and expensive legal claims.

We will look at the various reasons for terminating the employment of staff and the range of issues that arise during the termination process. This is a not to be missed event. Understanding the risks will help you to implement good practices and reduce the impact of adverse outcomes if you ever have to terminate someone’s employment.

COSTAMA Queensland Members, Award Subscription Members or Practice Manager Affiliate:(Includes practice staff employed by AMAQ members)

Early bird*: $120 Standard: $150

WRAP Members: Standard: FREE

Non-Member: Standard: $200*Early bird rates only apply to those who register and pay one full month prior to the chosen seminar date.

Register now to secure your place. Practice support staff permanently employed by AMA Queensland Members and Award Subscription Members are eligible for AMA Queensland Member rates.

SEMINAR INCLUSIONS Tea and coffee on arrival Morning tea Course notes Certificate of attendance (if requested)

REGISTER NOW ONLINE AT WWW.AMAQ.COM.AU

TRAINERJaaden Morrall, Workplace Relations Advisor, AMA Queensland

TOURING QUEENSLAND 26 FEBRUARY - 13 MAYLOCATIONS & DATES OVERLEAF

Termination of employment Managing the risks

2020 REGIONAL PRIVATE PRACTICE SEMINAR SERIES ONE

Register and savebook one month before your

chosen location date

CONTACT USFor any enquiries, please contact the Events Team on (07) 3872 2222 or email [email protected].

The Sunshine Coast Local Medical Association has Public Liability Insurance

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]

NAME Surname: First Name:

EMAIL: _________________________________________________________________

THE SCLMA PREFERS TO CONTACT MEMBERS VIA EMAIL WHEREVER POSSIBLE.

PRACTICE ADDRESS: For members who wish to receive hard copies (instead of by email) of the monthly invitation & newsletter by Sullivan Nicolaides Pathology Couriers to avoid postage costs.

Practice/Building

Street:

Suburb: Postcode:

Phone: Mobile: PRACTITIONER DETAILS: Qualifications:

Date of Birth: Year of Graduation:

Hospital employed / Private Practice (cross out one)

General Practice / Specialist (cross out one)

Area of Speciality: PLEASE NOTE: Retired doctors who wish to join the Association are required to attach a letter of good standing from their respective College. PROPOSERS: (to comply with the Queensland Associations Incorporation Act, two financial members of the Association are required to nominate each applicant for new membership. Members renewing their membership do not need proposers).

1. NAME: Signature:

2. NAME: Signature:

ANNUAL SUBSCRIPTION (GST included): (Please tick) PLEASE COMPLETE:

Full-time ordinary members - GP and Specialist $ 110 Your Monthly Invitation?

Doctor spouse of full-time ordinary member $ 55 By Email?

Absentee or non-resident doctors $ 55 By Courier?

Part-time ordinary members (less than 10 hours per week) $ 55 By Post?

Non-practising ordinary members, under 60 years old $ 55 Your Monthly Newsletter?

Residents & Doctors in Training Free By Email?

Non-practising ordinary members, over 60 years old Free By Courier?

Patron and honorary members Free By Post?

Payment can be made by cheque payable to SCLMA or by direct debit to: SCLMA Westpac Account. BSB: 034-243 ACCOUNT NUMBER: 11-9298

Please return this form either by email (scanned) or Fax or Post with details of your E.F.T. to:

Email: [email protected] Post: SCLMA PO BOX 549 COTTON TREE 4558 Fax: 5479 3995

Please note: Membership applications will be considered at the next Management Committee meeting.



The Sunshine Coast Local Medical Association has Public Liability Insurance

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]

NAME Surname: First Name:

EMAIL: _________________________________________________________________

THE SCLMA PREFERS TO CONTACT MEMBERS VIA EMAIL WHEREVER POSSIBLE.

PRACTICE ADDRESS: For members who wish to receive hard copies (instead of by email) of the monthly invitation & newsletter by Sullivan Nicolaides Pathology Couriers to avoid postage costs.

Practice/Building

Street:

Suburb: Postcode:

Phone: Mobile: PRACTITIONER DETAILS: Qualifications:

Date of Birth: Year of Graduation:

Hospital employed / Private Practice (cross out one)

General Practice / Specialist (cross out one)

Area of Speciality: PLEASE NOTE: Retired doctors who wish to join the Association are required to attach a letter of good standing from their respective College. PROPOSERS: (to comply with the Queensland Associations Incorporation Act, two financial members of the Association are required to nominate each applicant for new membership. Members renewing their membership do not need proposers).

1. NAME: Signature:

2. NAME: Signature:

ANNUAL SUBSCRIPTION (GST included): (Please tick) PLEASE COMPLETE:

Full-time ordinary members - GP and Specialist $ 110 Your Monthly Invitation?

Doctor spouse of full-time ordinary member $ 55 By Email?

Absentee or non-resident doctors $ 55 By Courier?

Part-time ordinary members (less than 10 hours per week) $ 55 By Post?

Non-practising ordinary members, under 60 years old $ 55 Your Monthly Newsletter?

Residents & Doctors in Training Free By Email?

Non-practising ordinary members, over 60 years old Free By Courier?

Patron and honorary members Free By Post?

Payment can be made by cheque payable to SCLMA or by direct debit to: SCLMA Westpac Account. BSB: 034-243 ACCOUNT NUMBER: 11-9298

Please return this form either by email (scanned) or Fax or Post with details of your E.F.T. to:

Email: [email protected] Post: SCLMA PO BOX 549 COTTON TREE 4558 Fax: 5479 3995

Please note: Membership applications will be considered at the next Management Committee meeting.



CLASSIFIEDS MAUD STREET MEDICAL CENTRE – POSITIONS VACANT• EEN @ Maud Street Medical Centre• Experience in General Practice, award wages paidPlease send CV to:[email protected]

• Medical Receptionist required for Maud Street Medical Centre

• GP experience essential Medical director and Pracsoft experience preferred but not essential. Award wages apply

Please send CV to: [email protected] 2020

COAST JOINT CARE WELCOMES TWO NEW SPECIALIST RHEUMATOLOGISTS TO THE TEAM • Dr Steve Truong BSc MBBS (Qld) MPhil FRACP

and Dr Sarina Kempe BM (Soton) FRACP have commenced clinics

• Appointments are available immediately for both doctors.

Contact details for appointments: Phone 5443 1033 Fax 53578718.February 2020

GENERAL PRACTITIONER VR - CALOUNDRA• We are looking for a FT or PT VR General

Practitioner with Partnership opportunity to join our well established, and privately owned family practice.

• This practice provides ongoing quality care to a large number of patients and visitors in the area. Currently the practice consists of four doctors supported by one practice manager, three registered nurses, three receptionists and one book-keeper.

• We are a mixed billing practice with well-established operating systems and very loyal patient base.

Please email resume to:[email protected] or contact Nadine Ware on 07 5491 9888February 2020

GENERAL PRACTITIONER (VR) - SUNSHINE COAST QUEENSLANDTo find out more, please email your resume to [email protected] or ring Rowena for an informal chat 0412 292 666. Continuing as per request.

GOLDEN BEACH MEDICAL CENTRE / PELICAN WATERS FAMILY DOCTORS - FT/PT VR GPAre you passionate about patient care?Do you want be part of a team who is more like a family? Would you like to be rewarded both financially and personally?Have you answered YES? ….. then have we got the General Practice family for you!!!!Two sites – one great team of dedicated doctors and committed nursing, reception and administration staff all supporting each other and our patients. If you like the sound of us and believe you could bring something positive to our already awesome team then please forward your application and resume to:[email protected] 2019

NORTH BUDERIM RETAIL SPACE - SUIT FAMILY DOCTORRetail space available at The Hub North Buderim, first available in excess of 10 years. Suitable for medical use up to 96m². Busy North Buderim location with established Chemist at the Centre.Contact Trish, Phone 0428 088 348 Email: [email protected] 2019

EXPERIENCED MEDICAL RECEPTIONIST – PART TIME FROM 30+ HOURS PER WEEKLake Kawana General Practice is looking for an experienced Medical Receptionist available to work every weekday and occasional Saturday mornings. We are a large GP practice with up to 12 GPs working at any one time. Our reception team plays a vital role in providing excellent service to our patients and support to our Doctors.If you have the experience required for this role please submit your resume to Laura Wilkinson, Practice Manager by email [email protected] or for a confidential discussion please call 07 5314 3200.November 2019

CLASSIFIEDS GUIDELINES FOR 2020Classifieds are FREE for current SCLMA mcmbers• Classifieds usually have a placement life of 3

newsletters• Cost for non-members is $100 + gst• Maximum word count 100-120 ideally. Queries: Contact Jo 0407 037 112 Email: [email protected]

REDCLIFFE LOCAL MEDICAL ASSOCIATION NEWSLETTER Redcliffe LMA produces a similar newsletter

For full details re advertising go to their website: www.rdma.org.au

Email: [email protected]

SCLMA ADVERTISING GUIDELINES:

To comply with Section 133 of the National Law and guidelines, advertising of services must not: Paragraph (a) “Create or be likely to create unwarranted and unrealistic expectations about the effectiveness of the health services advertised”Paragraph (f) “Claim that the services provided by a particular regulated health profession are better, as safe as or safer than others”Paragraph (o) “Contain any claim, statement or implication that a practitioner provides superior services to those provided by other registered health practitioners”

PLEASE NOTE THE FOLLOWING:

The anti discrimination commission of Queensland has the following statement on job advertising:Discriminatory advertising is against the law. Job advertisements need to give the impression that all suitable applicants are welcome to apply. References to sex, relationship status, age, race, religion etc should be avoided, as should the use of words that may indicate a preference for particular groups or may discourage others from applying, eg foreman, tradesman, glamorous, well-built, mature, youthful, office girl etc. Publishers can be fined and be the subject of a complaint to the Commission for publishing discriminatory advertisements that show an intention to contravene the Anti-Discrimination Act 1991. Discriminatory advertisements will therefore often be refused or modified by publishers in order to avoid legal liability.

PortugalLISBON

Doctors, practice managers, registered nurses and other medical industry professionals from around Australia are invited to attend the Annual AMA Queensland Conference in Lisbon, Portugal from 20-26 September 2020.

The program will feature high-profile International and Australian speakers on a range of medical leadership and clinical topics in an exciting, and unique location, RACGP points will be on offer.

To find out more about the conference program or to register, please contact:

Neil Mackintosh, Conference Organiser P: (07) 3872 2222 or E: [email protected]

20 - 26 SEPTEMBER 2020AMA QUEENSLAND ANNUAL CONFERENCE

Download a conference

brochure from the events calendar at

www.amaq.com.au

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

NEWSLETTER December 201936

‘The Sixth decade, it’s okay to go slower’ After studying or working fulltime my entire life I gave myself a gap term.No patients, no emails, no checking in remotely, just spent 3 months being a regular person. It was liberating and my patients and colleagues survived, they may have learnt new skills and found ways of surviving without me. More importantly I was amazed at how easy it was to step away and how replaceable I am.

I am returning to work part time and my patients seem to be coping with the new model of my practice of medicine. Some patients have changed doctors within the practice or gone to a medical centre that better suits their needs. I see this as a positive, a way of divesting myself of work and transitioning my patients to the future when I will retire.

In the meantime, I have done somethings with my life that are not things I will regret on my death bed. I have learnt to be still, and that time doesn’t always have to be productive. I have had my second honeymoon after 4 decades of marriage, been present at the birth of my fourth grandchild and cut her umbilical cord and spent a month smelling her head and just being present with her and her parents. I have spent a month in a small Sicilian town where I could finally understand what they were saying some of the time. I have learnt to crochet, discovered the joy of yoga, I had daily swims in the Mediterranean, the Southern and the Indian ocean and mastered baking the perfect sourdough loaf.

I am no longer defined by being a doctor, I know who I am if I am not a doctor and when I go to work it is because I like work and I am not done just yet.

Dr Anne Ulcoq, President, DHASQ (Doctors Health Advisory Service Qld)

SCLMA President’s Message Dr Roger Faint2 NEWSLETTER February 2020 Telehone (07) 5443 6990 Email...

Documents

Transcript of SCLMA President’s Message Dr Roger Faint2 NEWSLETTER February 2020 Telehone (07) 5443 6990 Email...