Monday Mail Friday, 6 March 2015 [email protected] – www.gvml.com.au – (03) 5831 5399 ALERTS Chief Health Officer Advisory – Frozen Berries Associated with Hepatitis A – Update Issued to: Health professionals Key Messages: Update: This alert has been updated to reflect increased case numbers, and to include further guidance on laboratory testing for hepatitis A virus infection. Note: This alert is for health professionals. Consumers should be directed to Berries products recall and Hepatitis A – Information for Consumers. The consumption of Nanna’s Fresh Frozen Mixed Berry 1kg packet has been linked with hepatitis A infection in 18 cases Australia wide with three confirmed in Victoria. This product has been recalled. As a precaution, three further products have also been recalled – Nanna’s Fresh Frozen Raspberries 1kg, Creative Gourmet Frozen Mixed Berries 300 gram and 500 gram packets. Advise your patients not to consume any recalled product, and to discard or return the product to the point of sale for a refund. Do not test well patients for hepatitis A virus infection, as tests are not useful until symptoms have developed. Do not vaccinate for hepatitis A because of berry exposure, as the absolute risk from this exposure is extremely low, and vaccine must be given within 14 days of an exposure to have any protective effect. Check if your patient has a routine indication for hepatitis A vaccine, such as chronic liver disease, chronic hepatitis C infection, or planned travel to a country with endemic hepatitis A transmission. See the Australian Immunisation Handbook for details. Take blood for hepatitis A total antibody and hepatitis A IgM antibody in patients who have symptoms compatible with hepatitis A virus infection in the 15-50 days after consumption of berries from a recalled product line. Compatible symptoms are two or more fevers, malaise, abdominal discomfort, loss of appetite, and nausea. Only take blood for liver function tests and hepatitis A virus PCR testing if there is hepatitis serology consistent with acute infection OR clinical evidence of hepatitis, such as jaundice. The cost of PCR will be borne by the patient unless these criteria are met. Notify any suspected case of hepatitis A infection to the Department of Health immediately by calling 1300 651 160 so that timely prophylaxis of contact can be provided. See the Chief Health Officer Alert for further information. GVML CONTINUOUS PROFESSIONAL DEVELOPMENT The Practice Manager’s Toolkit: Preparing for Health Reform Health reform is high on the Government’s agenda. So how can Practice Managers utilize their tools to prepare for these changes? Regardless of what changes are finally implemented, there are some basic steps you can take to ensure you are prepared to assess any impact on your practice. This event will equip practice managers with the skills they need to face these changes. Date: 24 March 2015 Time: 11:00 am – 1:00 pm Venue: Wallan GP Super Clinic 7-11 High Street, Wallan RSVP: [email protected] Treatment of Parkinson’s Disease Parkinson’s is second only to dementia as the most common chronic neurological condition. This evening will focus on the importance of balancing pharmacological treatment with the symptoms that effect the patient’s quality of life. It will also discuss the side effects that people suffering Parkinson’s are afraid to discuss like sexual dysfunction. Date: 26 March 2015 Time: 6:00 am – 9:00 pm Venue: Cellar 47 170 High Street, Shepparton RSVP: 23 March 2015 [email protected] For further information view the flyer or contact Emma Knapp on 03 5831 5399 or via email [email protected]. Prescribing Opioid Replacement Therapy - Module 2 A full day face-to-face skills based workshop on prescribing Methadone and Buprenorphine. Completion of Module 1 – Safe and Effective Opioid Prescribing (either face-to-face or online) is a pre-requisite to attend the full day workshop. Date: 29 March 2015 Time: 8:45 am – 4:30 pm Venue: Networking Health Victoria Level 4, 458 Swanston Street, Carlton RSVP: [email protected] See the flyer for further information. Child Immunisation Rates at Risky Levels Ice Training for GPs ACIR data just received by GVML indicates that immunisation rates for children aged 12 to 15 months is below that required for community protection. Immunisation rates for DTP, HIB, polio, Hep B and pneumococcal are all below 90% in the 12 to 15 month age group. The MMR rate across the GVML catchment for children aged 24 to 27 months is also below 90%. It is essential that practices take a proactive approach regarding immunisation. Information about immunisations, including how to access the ACIR to establish if a child is up to date with immunisations is available on the GVML website. In light of the recent measles outbreak, The Conversation recently published an article that discusses herd immunity and measles. An interesting read! ICE or Methamphetamine use is a growing concern for GPs in the Goulburn Valley area. This evening aims to provide GPs with the confidence and knowledge to recognise signs of amphetamine use, look at harm minimisation, recognise amphetamine induced psychosis and practical support and treatment options. Date: 16 April 2015 Time: 6:00 pm – 8:30 pm Venue: Seymour Medical Centre 30-31 Anzac Parade, Seymour RSVP: [email protected] For further information see the flyer or contact Emma Knapp on 03 5831 5399 or via email [email protected]. Aboriginal Cultural Competency Training EXTERNAL NEWSLETTERS Latest Newsletter from Healthed Now Available The latest newsletter from Healthed is now available online. GP Liaison News from The Royal Victorian Eye and Ear Hospital Now Available The latest edition of the GP Liaison News from the Royal Victorian Eye and Ear Hospital is now available online. REFERRALS AND SERVICES Referring to St Vincent’s Referrals to St Vincent’s specialist clinics should be completed using their referral template or your letterhead. Templates can be downloaded to your clinical software from www.svhm.org.au/gp. Please ensure that all relevant patient information, pathology / imaging results are included along with your practice details. Outpatient referrals should be faxed to 03 9231 3489. GP Hotline 03 9231 2898. Moving Mums Wallan Moving Mums Wallan is a newly established physical activity group that supports mothers with children under 6 years of age, to be active together in the community. The group is supported by Nexus Primary Health, is FREE and provides an opportunity for mothers of all fitness levels to socialise, connect with new families and be motivated to include physical activity into their day. By joining the Moving Mums Wallan group, mums receive a: Private assessment with an Exercise Physiologist Free exercise start up pack Involvement in the Moving Mums Wallan Facebook page Chance to win exercise equipment and free fitness sessions For more information about Moving Mums, visit www.nexusprimaryhealth.org.au or contact Kimberly Lyford on 1300 77 33 52. Moving Mums Wallan is funded by GVML through Physical Activity Project funding. Once again the Goulburn Valley Medicare Local Closing the Gap team are offering GPs and other practice staff Aboriginal Cultural Competency Training. This training will be delivered by Robynne Nelson, a Yorta Yorta and Dja Dja Wurrung woman and the facilitator of the Healing the Spirit Consultancy. This training is aimed at providing knowledge of the local Aboriginal community and culture with a wide range of other comprehensive, historical, and contemporary information including: Cultural, Spiritual and Healing activities as appropriate and how it relates to the work you do Knowledge of current barriers regarding access to mainstream health services Aboriginal concept of health and wellbeing Communication skills Date: 23 April 2015 Time: 9:00 am to 9:30 am Registration 9:30 am to 4:00 pm close Morning tea, lunch and afternoon tea provided Venue: Rumbalara Aboriginal Cooperative – Harmony Room Rumbalara Road (off Toolamba Road), Mooroopna RSVP: [email protected] For more information see the flyer or contact Nicole Atkinson on 03 5831 5399 To register, email [email protected] with your name, organisation, RACGP number, contact number and any accessibility or dietary requests or phone 03 5831 5399. Expanded Allied Health Services Available at Murchison Medical Centre Expanded allied health services are now available at Murchison Medical Clinic. These services include an exercise physiologist and a dietician. Below are the first few session dates: Exercise Physiologist – Cameron Philips Dates: 13 March 2015 10 April 2015 Available one Friday a month. Dietician – Charli Livesay Dates: 27 March 2015 24 April 2015 Available one Friday a month. For further information on services and referrals, contact Murchison Medical Centre on 03 5826 2575. Aboriginal and Torres Strait Islander Dental Health Visits – Seymour Children’s Dental Health Assessment Day Date: 16 April 2015 Venue: Goranwarrabul House Corner of Callen & Bretonneux Streets, Seymour Cost: Free For more information on both days, including a flyer, please contact Rebecca Welsh on 0459 802 873, 03 5793 6341, or via email on [email protected]. STUDIES AND QUESTIONNAIRES Enrolment Open for New Prostrate Cancer Study at GV Health GV Health oncology unit is participating in an international multicentre prostate cancer study which aims to determine the effectiveness of the study drug Enzalutamide versus current standard treatment when combined with a Luteinizing Hormone Releasing Hormone Analogue (LHRHa) or surgical castration, as first line androgen deprivation therapy. GV Health is one of 24 sites in Australian participating in this clinical trial. Globally there are more than 200 centres participating in the United States, Canada, Europe, New Zealand, and the UK regions. The trial is now open for enrolment with a total of 400 patients from Australian & New Zealand needed for the trial. To take part in this study, men must not have received any other anti-cancer treatment for advanced disease. For more information about this study or if you have a potential patient who may qualify, please phone Dr Zee Wan Wong, Consultant Medical Oncologist, on 03 5832 3777 or Vicki Clowes, Research Coordinator, on 03 5832 3778. APNA’s Management of Medical Emergencies in General Practices Workshop for Practice Nurses in Shepparton GVML is glad to announce that APNA, in conjunction with the Cynergex Group Pty Ltd, will be organising Management of Medical Emergencies in General Practices Workshop in Shepparton on 10 July. Date: 10 July 2015 RSVP: Online For further information visit www.apna.asn.au or contact Alice Houghton on 1300 303 184 or on [email protected]. GVML OTHER INFORMATION GVML Advance Care Planning Webpage GVMLs website now has pages designed to give consumers and GPs information and resources about Advance care planning. On the web pages you can find Advance care plan templates, legal information, tips on how to start talking about Advance care planning and links to other relevant websites. Some of the presentations from CPD events can also be found under the health professionals tab. We hope to have the website continually growing and will strive to provide as many educational presentations as possible. Further information on can be found at www.gvml.com.au/advance-care-planning and www.gvml.com.au/advance-care-planning-for-consumers. State Health Emergency Response – A Call to GPs and Practices to Assist GVML would like to identify GPs and practices who may be willing to provide assistance during emergency events in their area. This may involve being contacted to provide care where local services are unable to meet demand, accepting additional patients for a short period of time, or staffing a field clinic where local infrastructure is not available. Typical emergency events in our region are fire and flood. To register your interest please contact Kirsten Green via email at [email protected] or by calling the office on 03 5831 5399. OTHER CONFERENCES AND SEMINARS Implanon Training – Update Implanon training is no longer offered as face-to-face training. All Implanon training is now online. To register for training, contact Suzanne with your full name and clinic address on [email protected]. Healing Our Generations Public Forum and Webinar Commemorating the anniversary of the national Apology, the Health Foundation hosted a public forum on 12 February 2015 about healing and the Stolen Generations. The full video of this important public forum about healing and the Stolen Generations is available for viewing on the Healing Foundation website. RESOURCES Electronic Outpatient Letters Are you receiving outpatient letters in the mail and then having to scan and file them? You too can save time and receive letters electronically via secure messaging from St Vincent’s Hospital. All you need to do is fill in the online form at www.argusconnect.com.au: Click on “New to Argus” You will then need to phone Argus to complete the installation on 03 9037 1000 In group GP practices, it is easier to register all providers at the one time You do not need to set this up if you already receive secure messages from The Royal Children’s Hospital, The Royal Melbourne Hospital, Northern Health, or Monash Health. For details instructions, visit www.svhm.or.au. Update Now Available for Best Practice Software Updates for Best Practice software is now available online at www.bpsoftware.com.au. To download, select Update / Data Update from the top menu. Enter your BPS Site ID and your email address to login. You will then be provided with a download link. Emergency Response Planning Tool (ERPT) – Limited Free Registration Available The Emergency Response Planning Tool (ERPT) has been developed to assist general practices to better prepare for, respond to, and recover from the impacts of emergences and pandemics. The ERPT is a practical tool that guides you through a series of planning templates, where critical information about your practice can be entered and saved. This information will be used to create an emergency response plan which is individually tailored to your general practice. General practices are urged to take advantage of the limited free registrations available. For further information see the information sheet or visit erpt.racgp.org.au. OTHER INFORMATION NAIDOC Week – 5 - 12 July 2015 NAIDOC Week is a time to celebrate Aboriginal and Torres Strait Islander history, culture and achievements. It’s a time to acknowledge our Aboriginal and Torres Strait Islander artists, scholars, sportspeople, Elders, community members and more. The 2015 National NAIDOC theme is We all Stand on Sacred Ground: Learn, Respect and Celebrate. The theme highlights the Aboriginal and Torres Strait Islander peoples’ strong spiritual and cultural connection to land and sea and how their living culture is intrinsically linked with significant sites and sacred places. Specifically chosen to also highlight and celebrate the 30th anniversary of the ‘Handback’ of Uluru to its traditional owners on 26 October, the theme provides an opportunity to pay our respects to country; honour those who work tirelessly on Wound Care Products Trade Display & Education Smith & Nephew will be displaying their latest wound care products and providing education on indications for use and application and change management. Date: 11 March 2015 Time: 5:00 pm – 7:00 pm Venue: Room 1, Elsie Jones Education Centre Goulburn Valley Health Graham Street, Shepparton RSVP: Online For further information, see the flyer or contact Nadine Holzheimer on 03 5823 6517. Coeliac Awareness Week Coeliac Australia have released two new media releases to coincide with Coeliac Awareness Week. Is Coeliac Disease Causing 300,000 Wasted GP Appointments? Could Anaemia Unlock More Diagnosis of Coeliac Disease? Date: 13 – 20 March 2015 For further information visit www.coeliac.org.au/caw. National Close the Gap Day Support Aboriginal and Torres Strait Islander health equality. Date: 19 March 2015 Register now to join National Close the Gap Day on 19 March 2015 at www.oxfam.org.au/closethegapday. MedicalDirector Training – Shepparton Workshop Training in MedicalDirector and PracSoft is being offered in Shepparton. Date: 19 March 2015 Time: 1:00 pm – 4:00 pm Venue: Parklake 481 Wyndham Street, Shepparton RSVP: 16 March 2015 Cost: Free For further information visit www.medicaldirector.com. Shepparton Aged Care Show Case Conference 2015 Annual 2015 Aged Care Service Sector Conference for the Hume Region Victoria. Date: 19 March 2015 Time: 9:00 am – 4:00 pm Venue: University of Melbourne, Rural Health Academic Centre Graham Street, Shepparton Cost: $55.00 RSVP: Online For further information, view the flyer or contact [email protected]. preserving land and culture; and to share the stories of many of our sites of significance with the nation. For further information on NAIDOC Week, visit www.naidoc.org.au. National NAIDOC Poster Competition now open, closing on Friday 27 March 2015. For further information on the National NAIDOC Poster Competition, visit www.naidoc.org.au. Choosing Wisely About to Hit Australian Shores The NPS MedicineWise Choosing Wisely Australia initiative is set to commence in April. The Choosing Wisely Australia initiative imports the 2012 US Choosing Wisely concept, where medical colleges are invited to highlight tests and treatments that are used widely despite evidence to the contrary. The primary concern of the initiative is patient safety with the Choosing Wisely initiative consciously seeking situations where the safer direction might not be usually considered. For this reason, the RACGP is playing a key role in the initiative, writing guidelines for medical practitioners. Dr Justin Coleman, chair of the RACGP component of the CWA initiative states that “… bureaucrats and bean counters are denied access…” to the development of medical guidelines. National Bowel Cancer Screening Program in Victoria – Update for GPs and Nurses Bowel cancer is the third most common cancer in people living in Victoria, and the second most common cause of cancer death. Bowel cancer screening, using a faecal occult blood test every two years from the age of 50, has the potential to reduce deaths from bowel cancer by up to one third of the screened population. The NBCSP and the Victorian Department of Health and Human Services recognise the key role that general practice plays in the program. Click here to the see the letter from Dr Rosemary Lester to Victorian GPs and Practice Nurses. Other Health Professional resources can also be accessed from the Department of Health and Human Services bowel cancer screening webpage. Exploration of Aboriginal and Torres Strait Islander Perspectives of Home Medicines Review Rural and Remote Health have published a new article titled Exploration of Aboriginal and Torres Strait Islander perspectives of Home Medicines Review. Indigenous Australians suffer a high burden of chronic disease and hospitalisation. This study explored reasons for their low level of access to an important medication safety tool. To view the report, visit www.rrh.org.au. Primary and Secondary Prevention of Chronic Disease Seminar The program for the Primary and Secondary Prevention of Chronic Disease Seminar is now available online at www.adma.org.au. Date: 20 March 2015 Time: 9:00 am – option Tai Chi session 9:30 am – 4:30 pm Venue: Alfred Medical Research & Education Precinct (AMREP) Lecture Theatre The Alfred Hospital, Commercial Road, Melbourne RSVP: 16 March 2015 [email protected] or fax the registration form to 03 9076 6901 Hormones and Female Cancers – Clinical Controversies Monash Partners Comprehensive Cancer Consortium (MPCCC) would like to welcome you to the Hormones and Female Cancers- Clinical Controversies conference. They have endeavoured to put together a stimulating program with speakers who are renowned in Australia and internationally in their field. Date: 21 March, 2015 Time: 8:30 am – 6:00 pm Venue: The Rydges 701 Swanston Street, Melbourne For further information download the flyer or visit the Southern Melbourne Integrated Cancer Service website. Cognitive Behaviour Therapy and Pain Webinar Provided by Arthritis and Osteoporosis Victoria, this webinar will provide an overview to Cognitive Behavioural Therapy (CBT), including specific examples of how CBT can be applied to a client with persistent pain. Date: 24 March 2015 Time: 7:00 pm – 8:00 pm Register: Online For further information, see the flyer or visit www.arthritisvic.org.au. OTHER CONFERENCES AND SEMINARS CONTINUED B-Informed – Hepatitis B Workshop In collaboration with St Vincent’s and Hepatitis Victoria, the Centre for Culture, Ethnicity & Health will be holding workshops for the B-Informed – Addressing Hepatitis B Within a Community Context. Date: 24 March 2015 26 May 2015 25 August 2015 Time: 9:30 am – 12:30 pm Venue: Training Room – North Richmond Community Health 23 Lennox Street, Richmond, 3121 For further information about the workshop or to book a place in one of the sessions, visit the Centre for Culture, Ethnicity & Health website. How to Help your Patients with Psychological Work Related Injury Webinar Networking Health Victoria are holding a webinar titled How to Help your Patients with Psychosocial Work Related Injury. The purpose of this webinar is to provide information to support general practitioners in assessing and managing patients with psychological injury. This will include providing practical tools and strategies to assist GPs with assessment of work capacity, certification, and return to work for patients with psychological injury. Date: 25 March 2015 Time: 6:30 pm – 7:45 pm This webinar has been accredited for 3 Category 2 RACGP QI&CPD points for the 2014-2016 triennium. For further information or to register for this event go to www.racgp.org.au. Advance Care Planning and End of Life Issues for Aboriginal Clients Are you an Aboriginal or Community Worker or work with Aboriginal clients? Then this workshop is for you. Date: 26 March 2015 Time: 9:00 am – 3:00 pm (lunch included) Venue: Seymour Health Bretonneux Street, Seymour RSVP: 20 March 2015 [email protected] or on 02 6057 5208 See the flyer for further information. Decision Assist Workshops This workshop is part of a training package which aims to improve palliative care and advance care planning services offered to older Australians covering the range of processes involved in meeting end of life care needs – from how best to initiate the important conversations that need to be had, to developing an appropriate advance care plan, understanding legal frameworks, and implementing a comprehensive model of palliative care. Aged Care Nurses Session: Workshop 2 Date: 7 April 2015 Venue: Kilmore District Hospital Rutledge Street, Kilmore Home Care Package – Community Staff Only Session: Workshop 1 Date: 15 April 2015 Venue: Seymour Hospital Education Centre, Seymour Session: Workshop 2 Date: 17 June 2015 Venue: Seymour Hospital Education Centre, Seymour Aged Care Workshop Date: 19 May 2015 21 July 2015 Decision assist deliver workshops that focus on a palliative care approach to advance care planning and case conferencing. For further information or to register contact Andrea Davy at Austin Hospital on (03) 9496 6876 or via email at [email protected]. AHSRI Short Courses 2015 2015 will see the reinvigoration of the AHSRI Education Program, a comprehensive series of short courses available to the professional community with the aim of developing skills in a health services research context. Courses Include: Innovative Tools and Techniques for Qualitative Research Date: 20 April 2015 Introduction to the Australian Health Care System Date: 1 May 2015 For further information on available courses, visit www.ahsri.uow.edu.au. Save the Date – Improving School Attendance – A Forum for Teachers and Community Service Providers This forum will feature expert presenters with the focus of the day being on practical and concrete strategies to improving school attendance. Date: 22 April 2015 Time: 9:30 am – 4:00 pm Venue: 481 Wyndham Street, Shepparton For further information, view the flyer or contact Helen Consta on 03 8401 0100 or email [email protected]. Telling Your Story for Quality Improvement: Training Workshop This workshop is aimed at consumers. Every person is a story—and has a story to tell. For many of us, our experience of health care has become an integral part of our story. If you would like to learn how to use pieces of your own story, as a patient or carer, to improve the experience of health care for everyone, then don’t miss this workshop. In this hands-on session, we will focus on the practical art of interpreting an experience and translating it into concepts and principles which may be applied to health care improvement. Date: 23 April 2015 Time: 9:30 am – Noon Venue: Room 4, Elsie Jones Education Centre Goulburn Valley Health, Shepparton RSVP: 13 March 2015 [email protected] See the flyer for further information. See What We See: Better Health Through Patient Centered Care This workshop is aimed at medical professionals. This lively workshop will focus on the following: A first person consumer perspective on patient centred care What matters most to patients and families? Why is this important for me as a health professional or staff member? How do get there? Date: 23 April 2015 Time: 1:00 pm – 3:00 pm Venue: Room 4, Elsie Jones Education Centre Goulburn Valley Health, Shepparton RSVP: 13 March 2015 [email protected] See the flyer for further information. Immunisation Week 2015 The World Health Organization (WHO) Western Pacific Regional Office has advised that the date for the 2015 Immunisation Week is the 24 April to 3 May. The theme for the 2015 Immunisation Week is “Vaccination is everyone’s job. Protect your community. The Department is seeking information on any promotional activities you or your organisation is planning for the 2015 Immunisation Week. Date: 24 April – 3 May 2015 It would be greatly appreciated if you could respond to [email protected] by Friday 27 February 2015. Skin Cancer Workshop for GPs Skin & Cancer Foundation Inc in association with the Department of General Practice, Monash University presents a two day workshop developed and taught by specialist dermatologist educators. The workshop is suitable for all GPs and GP registrars regardless of level of experience and is a perfect opportunity to upskill. Date: 2 May 2015 – Day 1 3 May 2015 – Day 2 Register online for one or two days (including RACGP CPD & QI points). Early bird discount is available until 30 March 2015. Grampians Regional Palliative Care Conference 2015 – Sex, Drugs and Dying Well Early bird registrations for the Grampians Regional Palliative Care Conference 2015 are now available. This conference promises to be entertaining, thought provoking, and educational. The conference will focus on two taboo subjects; drug addiction and sexuality at end of life. Date: 7 – 8 May 2015 Venue: The Novotel Forest Resort, Creswick RSVP: Online For further information, visit www.grpct.com.au. APNA National Conference 2015 – Brave to Bold Registrations are now open for APNA National Conference 2015 – Brave to Bold. Date: 14 – 16 May 2015 Venue: Gold Coast – Convention & Exhibition Centre For further information or to register, visit www.apnaconference.asn.au. A Practitioner’s Guide to Care of the Dying This workshop is designed to help medical practitioners and mental health professionals incorporate theoretically sound and empirically derived principles into sensitive and effective care of dying patients and their families. Program 1 Date: 18 May 2015 Venue: Mercure Melbourne Treasury Gardens 13 Spring Street, Melbourne Program 2 Date: 19 May 2015 Venue: Mercure Melbourne Treasury Gardens 12 Spring Street, Melbourne Full workshop outlines and learning outcomes can be found at www.grief.org.au. Residential Aged Care and Disability Palliative Care Forum This forum looks at palliative and dementia care, mindfulness self-care for workers, and demonstrations from the palliative care consultancy service. Date: 22 May 2015 Time: 9:00 am – 4:30 pm Venue: Lakeside Community Centre 1 Maude Street, Benalla For further information view the flyer or contact Karen Richards on [email protected] or Heather Wickham on [email protected]. Musculoskeletal Health Webinar Series Arthritis and Osteoporosis Victoria invites you to register for their 2015 ‘Musculoskeletal (MSK) Health’ webinar series. You can register for the whole series or for individual webinars. Audience: Health professionals of various disciplines across the musculoskeletal health and other sectors. Purpose: To provide participants with clinically-meaningful skills and knowledge to deliver recommended care by focusing on issues relevant to the evidence-based treatment and management of people with arthritis and other musculoskeletal conditions. A full list of dates and topics can be found here. www.gvml.com.au 226 Wyndham Street Shepparton VIC 3630 PO Box 1074 Shepparton VIC 3632 (03) 5831 5399 – (03) 5831 5396 [email protected] Goulburn Valley Medicare Local (ABN 35 062 463 097)
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