Monthly Archives: September 2012

SA Country Footy Barometer

***Update 4/10/2012***

So it turns out that the SA Country Footy Barometer was indeed correct in predicting the 2012 AFL Premiers, Sydney. Unfortunately, it did not help the SANFL red and white team North Adelaide get to the very end. The Roosters were knocked out in the preliminary final by West Adelaide (like Sydney, also nicknamed ‘the Bloods’). So time will tell whether that part holds true!

But I have realised, as had the Sydney Morning Herald in an article published in early September, that the Swannies success was not only due to the goings on of SA country leagues. In fact my old secondary school Xavier College has provided five of their team this year, above. Those on the list being Matt Spangher, Alex Johnson, Dan Hannebery, Josh Kennedy and of course, Ted Richards. And there is form for this Swans-Xavier link as past captain Andrew Schauble was a past pupil. With Jobe Watson winning the Brownlow medal last week, it will be interesting to see how many other football stars Xavier pumps out in the next few years. (For the record, old Xaverian Gerry Considine, right, only managed 6 games for Wudinna United B-grade in 2012  including one best on, one goal and one dislocated finger. He was perhaps better known for looking a bit like Stevey J)

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Like most of Australia (well the intelligent half that follow AFL codes rather than NRL) I’m looking forward to the big game between the Swans and the Hawks this Saturday. At the time of writing, Thursday lunchtime, the Swans were out to $2.90. Pretty good value if you ask me. And I’ve put some money of the bloods to get over the line too.

“Cheer, cheer, the red and the white”

But the clincher for me was not to do with a paucity of Meatloaf entertainment, possible line ups, or the even weather in Melbourne in two days. Its all about colours. Here in country South Australia, more than a handful of the red and white teams in each league have clinched the flag. Here is the list so far (not all of the photos are from 2012):

Elliston – Mid West League

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Crystal Brook – Northern Areas League

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Tasman – Port Lincoln League

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South Augusta – Spencer Gulf League

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Two Wells – Adelaide Plains League

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Konibba – Far West League

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Parndana – KI League

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Bordertown – Kowree, Naracoorte & Tatirara League

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Will it also mean that North Adelaide are set for a win in the SANFL grand final also?

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If SA country footy is the bellweather for the AFL Grand Final, as a Collingwood supporter, Im waiting for Wudinna, Paskeville, Jamestown/Peterborough et al to get up next  year. Go the Magpies!! But for this year, it seems the odds are stacked for the red and the white. So do yourself a favour, pop a tenner on the Swans…even just to keep Tim Bastian quiet for a few more days.

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Bogan Medical Terms

Benign – What you be, after you be eight.

Artery – The study of paintings

Bacteria – Back door to cafeteria

Barium – what doctors do when patients die

Cesarean section – a neighborhood in Rome

Cat scan – searching for kitty

Cauterize – made eye contact with her

Colic – a sheep dog

coma- a punctuation mark

D & C – Where Washington is

Dilate – to live long

Enema – Not a friend

Fester – quicker than someone else

Fibula – a small lie

Genital – a non-Jewish person

GI series – world series of military baseball

Hangnail – what you hang your coat on

Impotent – distinguished, well-known

Labor pain – getting hurt at work

medical staff – a doctor’s cane

Morbid – a higher offer

Nitrates – cheaper than day rates

Node – I knew it

Outpatient – a person who has fainted

Pap Smear – A fatherhood test

Pelvis – second cousin to Elvis

Post Operative – a letter carrier

Recovery room – place to do upholstery

Rectum – darn near killed him

Secretion – hiding something

Seizure – a Roman emperor

Tablet – a small table

Terminal Illness – getting sick at the airport

Tumor – one plus one more

Urine – opposite of you’re out

Varicose – nearby / close by

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Over regulation of social media in medicine: stifiling progress?

Dr. Google will tweet you now. Like?

Over the past three days, over 600 people involved in general practice education and training converged on Melbourne for the annual GPET conference. Peppered throughout the gathering were sessions relating to the current and more excitingly, possible future use of social media in the medical field. Some areas that have already started down this track and will in the future include:

  • National e-Health Record (PCEHR)
  • Registrar and medical student training
  • Connection of doctors, nurses and allied health
  • Patient education and FAQ videos or sites
  • Medical Practice information, booking and contact details
  • Videoconferencing between rural patients, GPs and specialists

At the afore mentioned GPET2012 conference, one notable session was run by noted internet savvy practitioner Dr. George Forgan-Smith (The Healthy Bear). He highlighted to the standing room only session the different uses of internet based systems. It was inspiring to hear about the use of exciting and ever-changing web-based tools. For example:

  • YouTube: for the production of medical themed videos
  • Facebook: for your own advice site and medical practice information
  • Yahoo Answers: providing common sense answers to those too scared to ask
  • Google: Patients being able to find you and your practice

It was especially heartening to listen to this doctor who has seen lots of misinformation on the internet trying to provide his own considered (and safer) information. As a GP registrar, I am both excited and wary of the prospect of this brave new world. Already after the conference and session run by Dr. Forgan-Smith, I am newly motivated to explore the role of producing amongst others: online teaching videos, patient consent videos and education snippets.

“why don’t they just get another cup?”

Recently, the national board AHPRA has released a consultation paper to help “to clarify…the expected standards relating to social media use.” Some blogs have already highlighted the lack of clarity offered by this statement. They have punctuated the areas (below) with related examples. I won’t delve into these myself, but please visit Impacted NurseCroakey and Phillip Darbyshire as all have summarised this very nicely.

  • Professional boundaries
  • Professional behaviour
  • Confidentiality and privacy

Interestingly, Impacted Nurse has observed that already their social media activity (along with mine and many others!) would already be in breach of the proposed policy. The whole tone of the AHPRA statement is restrictive and casts a dim view of social media in medicine. In fact it highlights a lack of knowledge and experience in the very area that they look to place boundaries around.

But AHPRA is not the first group to try to address professionalism relating to social media.  The Royal College of Nurses have already released useful and supportive guidelines. Medical peak representation bodies have also been proactive and drafted guidelines addressing these issues. The AMA DiT, NZMA DiT, NZMSA and AMSA released a joint initiative way back in 2010. They identified that there was the potential for legal and professional risks. As such, many medical defence organisations have drafted and published case studies, guidelines and recommendations for their members. In the age of an increasingly connected society and the further blurring of professional and social boundaries, an increase in medico legal cases with a social media focus is inevitable. Although I agree that there is a need for nationally regulated guidelines or policy regarding online conduct and behaviour, they need to be permissive enough to allow innovation and progress while maintaining professional standards. We must not let a nanny-state approach stifle this form of interaction that has to potential to do so much for a great number of patients in an increasingly fast paced online world.

Given that AHPRA is calling for feedback on the issue of social media in medicine, the lack of Twitter/Facebook*/YouTube presence is notable. Therefore, AHPRA is asking for feedback by regular old email (socialmediaconsult@ahpra.gov.au) by COB on 14 September 2012.

*The only AHPRA site to be found on Facebook is “Asociación Hondureña Protectora de los Animales y su Ambiente”

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A copy of the letter that I help GPRA co-author as a submission to AHPRA, sent on Friday 14th September 2012:

AHPRA SM Policy Response

 

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The story is picked up by Medical Observer on the 17th September 2012:

 

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Response from AHPRA on Wednesday 19th September 2012:

“Thank you for your submission to the preliminary consultation process on the National Boards’ draft Social Media Policy.

Your feedback will be considered by National Boards but as this was a preliminary consultation process, your feedback will not be published.

There will also be a public consultation process in which you are also welcome to participate, and information will be available on the Board’s website about this soon.

Thank you again for your interest in this issue.”

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Filed under AHPRA, e-Health, General Practice, Health Policy, Rural GP