GPCE Workshop SynopsesWA
STROKE – changed therapeutic guidelines & implications for Mx of patients
The large independent international ESPRIT trial has changed current practice in recurrent stroke prevention significantly. These changes are now reflected in revised Australian stroke guidelines. It is important all prescribers familiarise themselves with and implement these guidelines to ensure all eligible recurrent stroke patients benefit from best practice. Sessions 2,3,8,9,11,12 Boehringer Ingelheim WA
ADVANCES IN MODERN PATHOLOGY
1. Personalised medicine & pharmacogenetic testing – avoiding adverse drug reactions, removing trial & error from medication prescribing in gp Pharmacogenetics is the study of how individuals’ genetic makeup affects their response to drugs. Environment, diet, age, lifestyle, co–medication etc can all influence a person’s medication response. Doctors have relied on ‘trial and error’ to optimise the individual’s dosage regimen. From the human genome project, we are now aiming to more personalise medicine through pharmacogenomics. E.g. the Rx of depression is well–suited to pharmacogenetic testing as Rx response requires approx 4–8 weeks of daily medication. Moreover, only 60–70% of patients have a positive response. How do we match patients to their most appropriate anti–depressant prior to initiation of therapy and avoid exposing them to long periods of trial and error and possible side effects, resulting in poor compliance? This workshop will help GPs understand the basics of how and why pharmacogenetics works; the benefits of pharmacogenetic testing in improving patient care; the genes & enzymes known to metabolise certain medications; which tests are currently available, and how to order and respond to pharmacogenetic tests. Dr Keith Byron Sessions 4,6,13 Gribbles Pathology
2. Autoantibody tests: the latest pathology test for autoimmune diseases Autoimmune diseases (ADs) comprise the third largest clinical burden after cancer & heart disease. Circulating autoantibodies are useful ‘blood tests’ for these ADs – which fall into 2 broad categories, organ–specific and systemic diseases. Organ–specific ADs comprise autoimmune endocrinopathy, anti–receptor autoimmunity and a miscellaneous set of diseases that include coeliac disease, ANCA–associated vasculitis, autoimmune hepatitis, primary biliary cirrhosis, pemphigus, pemphiboid and the paraneoplastic neuropathies. These diseases are typically associated with autoantibodies directed against the target organ. The systemic ADs include SLE. RA, scleroderma, polymyositis and mixed connective tissue disease. In contrast to the organ–specificADs , these diseases are characterised by circulating anti–nuclear autoantibodies (ANA), itself a heterogenous set of autoantibodies that segregate with a
particular systemic AD. Prof Ban–Hock Toh Sessions 5,7,14 Gribbles Pathology
WB
KIDNEY HEALTH – CKD (Chronic kidney disease)
1. eGFR and the diagnosis of early chronic kidney disease (CKD)
This presentation focuses on the detection of chronic kidney disease through the use of estimated Glomerular Filtration Rate (eGFR). Find out the latest information and changes to eGFR reporting, as well as a discussion of its benefits and limitations. Other issues covered will include high risk groups, significance of proteinuria and appropriate management for early stage CKD. Sessions 2,6,12
2. Managing Stage 3 CKD in general practice
General practice has an important role in managing CKD to slow or even halt its progression. This workshop covers a range of areas relevant to the management of Stage 3 CKD in general practice. These include proteinuria, pharmaceutical control of kidney disease, blood pressure targets, calcium/phosphate disturbance, anaemia, and referral to a nephrologist. Sessions 3,7,11
3. Issues in CKD for GPs – Mx of diabetic kidney disease and hyperkalemia, heavy proteinuria, difficult hypertension
This workshop discusses some of the more difficult areas in CKD that general practitioners may encounter. Diabetic kidney disease and hyperkalemia, heavy proteinuria and difficult hypertension are explored in 3 separate case studies. Sessions 1,8,13 Kidney Health Australia WB
COMPLEMENTARY MEDICINE
1. Effects of coenzyme Q10 on the cardiovascular system in health and disease
There is accumulating laboratory and clinical evidence of the efficacy of coenzyme Q10 in a variety of cardiovascular disorders. A leading cardiologist will present the latest research into the significance of coenzyme Q10 as a complementary therapy to statin medications, and its relevance to hypertension, cardiac arrhythmias, heart failure and cardiac surgery. Prof Frank Rosenfeldt Sessions 4,10,14
2. Complementary medicine interactions
Over 30% of the Australian population now use vitamin & mineral supplements, many of these through self initiation. This important workshop examines commonly used substances and their potential interaction with commonly prescribed medications. Professor Stephen Myers, a leading medical professional with experience in both orthodox & complementary medicine will present a balanced view to equip you with guidelines for daily practice. Prof Stephen Myers Sessions 5,9,15 Blackmores WC A & E: BASIC & ADVANCED LIFE SUPPORT
Theoretical & practical updates on BLS and ALS, based on the most recent Australian Resuscitation Guidelines. An initial didactic component will be presented regarding the BLS and ALS algorithms. Candidates will then have the opportunity to practise resuscitation techniques (CPR, defibrillation and airway management skills) on a simulator mannequin. Emergency Physicians from the Northern Hospital Sessions 2-5,7-10 Laerdal
WD
DERMOSCOPY for GPs
Skin cancer diagnosis is a crucial aspect of general practice. Dermoscopy training has been demonstrated to increase detection rates. Sensitivity of about 90% is achievable with proper training. This workshop will focus on dermoscopy using various algorithms: three point checklist, ABCD and Menzies technique. The clinical application of each algorithm will be discussed. Newer aspects of serial digital dermoscopy will also be presented. Participants will also have the opportunity to review a variety of dermatoscopes. Sessions 4,8,11 Molescan
WD
EPILEPSY Mx in general practice
Prof Mark Cook, Director of Neurology at St Vincent’s Hospital, Melbourne,
will present these workshop sessions on epilepsy in general practice.
Prof Mark Cook Sessions 3,6,12 UCB Pharma
WD
PERIPHERAL ARTERIAL DISEASE – detecting undiagnosed PAD & managing it within the community
Peripheral arterial disease is a hidden problem and patients are at major risk for thrombotic events. This workshop will present an evidence–based update on what it is, the risk factors and prevalence in the community. A practical element will include how to diagnose PAD by measuring ankle–brachial pressure using Doppler technology. The ongoing management of patients with symptomatic PAD will also be reviewed. Sessions 1,2,9,10,13,14, Sanofi Aventis WE
SURGICAL SUTURING SUTURING 1: Basic suture techniques
A brief look at the principles of suturing and wound repair with an interactive practical session using pigs trotters which will include all the basic suturing stitches - interrupted, mattress, continuous, subcuticular and corner stitches. Sessions 4,7,14
SUTURING 2: Advanced suture techniques
An interactive practical session using pigs' trotters. Includes planning for flaps and grafts, corner stitch, repair of deep laxerations & jagged lacerations, biopsy techniques & closing large broad wounds. Suturing 2 attendees must have either attended Suturing 1 or be competent proceduralists. Sessions 5,8,15 Dynek & Australasian College of Cosmetic Surgeons
WE
ADVANCEMENT & ROTATION FLAPS for skin cancer
Principles of flap repairs - how to do simple, transpositional and advancement flaps and angle sutures. How to overcome the difficulties the angles have it. This workshop will give you a good opportunity to practise flaps using pigs trotters. Sessions 2,6,12 Australasian College of Skin Cancer Medicine
WF
ENT 1: Mx of the blocked ear and habilitation of deafness
Demonstration will include the opportunity for all GPs to experience the value of the Lumiview in cleaning the ear. From there we will discuss training and equipping GPs and nurses in these skills with a view to making the ear syringe obsolete. Sessions 2,7,9,12,14
ENT 2: Primary care management of disturbed balance
Primary care management of the continuum of presentations from nose obstruction, to throat discomfort, to hoarseness. Sessions 3,8,13 WG
PRACTICE MANAGEMENT
1. Embracing future opportunities
The workshop will explore ways in which practices can adapt their operations to meet the needs in the constantly changing health care environment. The division of work between the various practice staff will be analysed so as to enable practices to effectively provide competitive quality services in the years ahead. Sessions 2,7
2. Staffing – creating a remarkable team
The processes that enable the development of a remarkable practice team will be explored. Practices must have an effective plan to analyse the tasks required, recruit & train the best people and manage their performance. A carefully nurtured culture of personal growth and development will enable practice members to deliver their best. Sessions 3,13
3. Marketing to your market
This workshop will explore what patients really want. How well do we sell our services? What products can we develop? Can we set up a Cycle of Quality Care for patients, utilising the new EPC items? Practices must have a system to ensure they provide appropriate care that always remains current in the changing marketplace. Sessions 4,9
4. Practice systems – growth & development
This workshop will look at ways to set up systems in your practice to ensure it remains a vibrant, growing and developing organization. Practices must change constantly to keep up with the ever–changing marketplace. Techniques will be explored that can assist you to manage this work without distraction from your clinical commitments. Dr Tony Andrew & Di Adamson Sessions 8,11 GPA Accreditation plus
WG
STIs – update on sexually transmissible infections
Interactive session covering: bacterial STIs, including chlamydia, syphilis and gonorrhoea, natural history, treatment and prevention; viral STIs including HPV and HSV, natural history, treatment and prevention strategies, including vaccines . Learning objectives are: increase knowledge of natural history & treatment of STIs; increase the ability of clinicians to provide supportive and effective shared care of patients with STIs by increasing clinician knowledge of this condition. Sessions 1,10,15 Australasian Society for HIV Medicine
WG
HIV CLINICAL Mx – update, including drug therapy
HIV natural history and management in primary care; presentation and case study covering diagnosis in the primary care setting; natural history of HIV; monitoring the HIV positive patient; antiretroviral therapy for HIV; treatment of HIV complications, and brief overview of post exposure prophylaxis. The seminar will increase your ability to provide supportive and effective shared care of patients with HIV. Sessions 5,6,12 Australasian Society for HIV Medicine WH
SELF–MANAGEMENT – when you can’t always give good news....
The emphasis in modern medicine is on cure, so accepting death, or bad news, for a particular patient usually invokes a sense of failure. Our view of success/failure as a GP increases the risk of depression/suicide. How we manage difficult situations effectively can fit into strategies to avoid depression and suicide in both patients and GPs. These sessions offer GPs an opportunity to learn how to manage this often difficult situation. It also offers strategies for increasing our connectivity with our patients, as well as a broader perspective on a role that involves more than "curing".Joel Nathan, psychotherapist Sessions 2,7,13 Can–Survive
WH
PAINFUL DIABETIC NEUROPATHY – interactive
Painful diabetic neuropathy is common but often under–treated. The cause is not clear and no one treatment works in all cases, making the management frustrating for the patient & clinician alike. This workshop will provide information on the pathophysiology, diagnosis and current trends in the clinical management of pain in diabetes. The workshop will be interactive, with the inclusion of case studies and discussions involving participants and presenters. Sessions 5,8,12 Pfizer WH
CHRONIC BACK PAIN
Chronic back is best understood using the biopsychosocial model. According to this model, suffering in people with chronic pain arises from the complex interaction of medical, psychological,social, behavioural and functional factors. This workshop will outline the model then present medical, psychological and functional perspectives on its application. These will be demonstrated through case studies, and participants will be invited to discuss their own cases with the panel. Sessions 3,6,15 Pfizer WH
OSTEOPOROSIS – new approaches to assessing risk
The workshop will be an interactive discussion of case studies focusing on the interpretation of Spinal Xrays and DEXA – correct interpretation of results and what to look for including the impact of osteoarthritis on results, the latest developments in Vitamin D and its role in maintaining normal neuromuscular function as well as the new World Health Organisation Guidelines on osteoporosis risk assessment (in anticipation that these new guidelines have been released). Sessions 4,9,11 Merck Sharp Dohme
WI
WOUND MANAGEMENT
1. Infected and chronic wound management
Advancements in wound management have identified that wounds that are not healing may be the result of bacterial load. The use of topical antimicrobials is redefining how chronic wounds are treated. This workshop explores the use of topical antimicrobials to efficiently and effectively treat chronic wounds. Sessions 1,11
2. Minor burns
With the introduction of new products, the treatment and management of burns has been redefined. The advances in managing burns have significantly improved patient outcomes and patients with burns can now expect to experience reduced healing time, scarring, and incidence of infection. Utilising the knowledge from surgeons in Australia’s major hospital burns units, this workshop explores the advances in assessing, diagnosis, and treatment of burns in the community setting. Sessions 2,6
3. DVT & travelling – Mx & compression bandaging
A look at the diagnosis, prevention & practical Mx of DVT when travelling, a hands–on workshop whereby delegates are taught and can practice principles of compression bandaging. Sessions 7,12 Smith & Nephew WI
COMMON LOWER LIMB BIOMECHANICAL CONDITIONS
(assessment, diagnosis & treatment)
World renowned Australian podiatrist, Phillip Vasyli, inventor of VASYLI Medical Orthotics & the Orthaheel Orthotics range, will explain the common biomechanical factors that can cause many of the common conditions (e.g. plantar fasciitis, pes planus, metatarsalgia, hallux valgus, shin splints, knee & back pain). These are the most commonly seen biomechanical conditions and Phillip will explain modern treatment options & simple orthotic treatment modalities that GPs can dispense or prescribe directly to their patients. Phillip Vasyli Sessions 3,5,8,10,13,15 Orthaheel
WJ
Sports Medicine
1. Acute knee injuries
A relatively common problem in both contact & non–contact sports, the more acute injuries in sports such as football, AFL, basketball & netball will be outlined in this workshop. Appropriate examination, findings and Mx options will be discussed. Sessions 4,7,12
2. Groin and hip injuries in sport
Often difficult to manage, this workshop will give a thorough overview of groin and hip injuries in sports, such as hip pathology, osteitis pubis, sportsman’s hernia and adductor problems. A practical hands–on approach. Dr Tim Barbour Sessions 5,8,11 Australian College of Sports Physicians WJ
TAPING & SPORTS INJURIES procedures
A highly interactive and hands–on workshop, demonstrating the common problems which face GPs where taping procedures can assist with, and improve, management and outcomes. This was one of our most popular workshops in Melbourne 2006. Paul Visentini, Australian Physiotherapy Association Sessions 2,3,9,10,13,14 Beirsdorf
WK
AGE STRONG: how to maintain strength as we age – sound mind...sound body
Everybody is different. Your physical condition, disease management, and exercise prescription needs are unique. Most people with normal ageing will have an element of joint stiffness and muscle wasting because their muscles have been or become inactive. This can lead to poor balance. Good balance is essential to help maintain proper joint function and reduce the risk of falling. Good balance is also easier to achieve once you can improve your strength. We will take a comprehensive look at the different exercise regimes for your patients and provide the GP with expert advice regarding screening protocols, safe exercises, the best footwear solution and healthy lifestyle tips to complement your medications Rx. This workshop is highly interactive, draws on current research and literature, and will provide you with numerous examples of exercise templates.... no matter what their age, gender or ability level. Jason McLaren and Paul Hedger and Sarath Wejesinghe Sessions 2,8,12 ASICS WK
ANTI–AGEING MEDICINE
1. PROBIOTICS and prebiotics – the evidence for clinical practice
The bacteria colonising the human intestinal tract exhibit a high phylogenetic diversity that reflects their immense metabolic potential. The scientific understanding of the interaction between the intestine and its microflora, the development of the intestinal innate immune system, and their relation to nutritional environment cross communications is mostly still in its infancy. Probiotics and prebiotics – functional foods for the gastrointestinal tract – are important participants for the health and normal function of the human intestinal epithelium and its complex ecosystem. Functional foods may provide a sustainable balanced and healthy gut ecosystem, affording humans with enhanced immunity, hormonal function and a distinct survival advantage in later life. Sessions 3,9 BioCeuticals and Unit of Health Integration, School of Medicine, University of Queensland
2. CHEMICAL POLLUTION
Human health and longevity have long been known to depend on a complex interplay between hereditary and nonhereditary factors. Epidemiological data associates various lifestyle factors, as well as physical and chemical agents encountered in air, food, water, consumer products, the workplace, and the environment at large as determinants of the development of chronic diseases. Knowledge of these determinants is becoming increasingly important to the clinician in the maintenance of human health and in the diagnosis and treatment of the diseases of modern life. Sessions 5,7 BioCeuticals and Unit of Health Integration, School of Medicine, University of Queensland
3. WORKING LIFE & AGEING
Lifestyle patterns and ageing affect mental health. Promotion of a good working environment is conducive to positive mental health as is a community awareness and improve workforce knowledge of older people. Individuals in midlife may experience both physical and psychological changes, including changing physical appearance, decreased stamina, loss of family or friends, and altered vision. Annual assessments can include evaluations to address normal changes, personal expectations, their psychological effects (e.g. depression, anxiety, suicide risk) and needed support, counselling, or referrals. Middle-aged men and women are at a predictable turning point in life that offers an opportunity for growth. General practice is uniquely placed to offer health/lifestyle advice to the community in order to assist with the prevention of chronic diseases and mental health problems and thus maximise mean life expectancy. A/Professor Luis Vitetta
Sessions 10,11 BioCeuticals and Unit of Health Integration, School of Medicine, University of Queensland
4. HORMONE REPLACEMENT for the anti–ageing GP
The andropause syndrome, and how to achieve optimal men’s health by fine tuning hormonal profiles in later life for men. Sessions 1,13 BioCeuticals and Unit of Health Integration, School of Medicine, University of Queensland
WL MEDICO–LEGAL
1. The expert witness
All practitioners are medical ‘experts’ in the eyes of the law. This session covers the role and responsibilities of the medical expert, whether the practitioner is giving an opinion as a treating practitioner or as an independent expert. Some of the questions to be covered are as follows: What makes a good medico–legal report? What is a subpoena and how should I respond? What are the court procedures and etiquette? What expenses am I entitled to? What is the role of an expert witness? Sessions 2,6,13
2. E–Medicine
Information Technology (IT) has the potential to enhance both the quality and the safety of health care. In Australia, IT has become the cornerstone of government strategies to reduce the incidence of medical error. However, embracing IT is complex, costly and challenges many fundamental paradigms of healthcare delivery. It has risks as well as benefits. This session examines the medico–legal risks IT may bring, and strategies to minimise those risks. Sessions 3,7,12
3. Medication management
This session investigates the factors contributing to medication error and explores preventable actions to reduce the likelihood of error. It will cover specific medico–legal areas of concern, such as prescribing unlicensed drugs, prescribing drugs of dependency and the implications of shared care. Participants will develop an understanding of the common pitfalls in prescribing systems and ways in which they can identify and manage these within their own areas of practice. Sessions 4,8
4. Emerging risk
The medico–legal climate changes for GPs every year and to minimise exposure to risk, doctors need to be aware of what is happening in the health industry to cause patients to make claims against them. New risks start to emerge as technology and practices change and this session will consider some of these emerging trends. Sessions 10,14 Avant
WM PRACTICAL OPHTHALMOLOGY
Ophthalmology 1: Update on common ocular problems & emergencies & their practical management including appropriate examination (incl. use of fluorescein strips). Topics will include the red eye, F.B., ocular trauma, lid lesions, acute glaucoma and misdiagnosed irritable eyes. Sessions 3,8,13
Ophthalmology 2:
Part 1 – Retinopathy – a practical approach to retinopathy – diabetic, hypertensive, age–related macular degeneration. Includes the use of the direct ophthalmoscope.
Part 2 – ‘Paediatric pearls’ – includes a video/slide presentation on appropriate examination of children and babies including red reflex, ocular movements, strabismus and when to refer. Sessions 4,9,14 Alcon & RANZCO
WN MEDICAL DIRECTOR – teaching skills
1. PracSoft made easy Sessions 3,7
2. Introduction to letter writer/scanning documents Session 2
3. Advanced letter writer/scanning documents Session 6
4. Progress notes Sessions 8,11
5. Recalls and reminders Session 4
6. Pathology Mx Session 12
7. Care Plans Sessions 5,9
8. MD 3 features Session 13
9. MD quiz – 20 questions and answers to all those things that may have alluded you when working with MD Sessions 10,14 Health Communications Network
WO JOINT & PERIARTICULAR INJECTIONS & TECHNIQUES
This highly interactive workshop using joint models will allow you to immediately assess whether you are in the right spot or not. You will be provided with the opportunity to improve your techniques for joint aspiration and intra/periarticular injection involving the shoulder and knee. Conditions that are particularly relevant to GPs will be discussed. Sessions 1,2,9-11,13 Pfizer
WO 1. FAMILY CANCER
The issue of family history and cancer causes a great deal of anxiety for patients. This workshop will explore the genetic aspects of cancer and what constitutes a significant family history, with a particular focus on family breast and bowel cancers. An expert in familial cancers will deliver the workshop. Session 4
WO 2. NATIONAL BOWEL CANCER SCREENING PROGRAM: the role of gp
The National Bowel Cancer Screening Program will invite eligible Australians to screen for bowel cancer. General practice plays a critical role in supporting the program and GPs are well placed to encourage informed participation and support a patient’s journey through the screening pathway. Session 6
WO 3. NEW ERA IN CERVICAL CANCER PREVENTION
Cervical cancer prevention in Australia has been boosted with the inclusion of the human papilloma virus (HPV) vaccine on the National Immunisation Schedule. This workshop will examine the current screening program in Australia and discuss the potential impact of the vaccine on the cervical screening program. Session 14 The Cancer Council Victoria
WO GPs and practice nurses working together in CDM
This workshop will demonstrate practical strategies to engage practice nurses to work with GPs to better improve patient outcomes in chronic disease management in gp. Prof Doris Young/Lynne Walker Session 7 University of Melbourne
WP MENTAL HEALTH
BIPOLAR DISORDER in general practice
"Mental illness is one of the strongest and most consistent causes of suicide."
The broad aim of this educational initiative is to improve GPs' ability to diagnose, assess & manage patients with bipolar disorder. Bipolar disorder can often lead to depression and increased suicide risk. By increasing your skills & confidence in managing bipolar disorder, it is hoped to reduce the high morbidity and suicide risk, the impact of the illness on the contributing factors such as patients, patients’ friends, families and the community as a whole.
Sessions 1,2,6,7,11,12 Eli Lilly
WP MENTAL HEALTH
1. REDUCING SUICIDE RISK in men
Every year in Australia many men commit suicide and in many instances attend the GP in the months or weeks leading up to the suicide. The SIM training program, funded by the Beyondblue Victorian Centre of Excellence in Depression, aims to assist GPs with a structured approach to assessment of depression /suicide and Mx of at risk patients. We will look at the various contributing factors such as substance abuse, work stress, sleep deprivation and mental disorders a It includes DVD interviews with experts on the subject and example consultations for discussion. Dr Grant Blashki & Dr David Pierce Sessions 4,5,8,13
2. DEVELOPING PROBLEM SOLVING SKILLS (for depression)
Develop your problem solving therapy skills with the help of an 'actor'. This workshop will give participants information about using problem solving as an effective treatment for depression, substance abuse, mental disorders and other topics covered in this ALM module which can often be the prelude to suicidal ideation. With the assistance of an actor patient, you will have the opportunity to develop skills that can be applied immediately in your practice. Dr David Pierce Sessions 9,14 University of Melbourne
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