© 2006 Otway Division of General Practice
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Otway Division of General Practice |
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“Promoting Better Healthcare and Lifestyle" |
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Medical Practices
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Yes...we are a QIC Accredited Organisation! |
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Practice Address:
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Jamieson Medical Clinic Shop 2 Centro Shopping Centre 70-80 Hopkins Highway WARRNAMBOOL VIC 3280 |
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Telephone: |
(03) 5562 6533 |
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Fax: |
(03) 5561 2714 |
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Email: | |
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Practice Doctors: |
Dr Wei Ping Fung Dr Emma Greenwood Dr Brendan Kay Dr Selby King Dr Peter Oliver Dr Paul Viney |
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Practice Manager: |
Mr Damien Bishop |
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Annex: |
Koroit Clinic: High Street KOROIT VIC 3282
Telephone: (03) 5565 8786 Monday - Friday 8:00am - 12 Noon |
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Visiting Doctors:
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Gps from Jamieson Street Medical Clinic |
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Annex: |
Mortlake Clinic in Mortlake |
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Practice Profile: |
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Warrnambool is a rural provincial city of 28,000 residents with a large surrounding rural population. The regional economy is based on medium sized light manufacturing of textiles eg. Fletcher Jones and Staff. The Smith Family industries and Food Processing Industries eg. Nestle, Warrnambool Cheese and Butter, Bonlac, Murray Goulburn and Midfield Meats, which supply to domestic and international markets. Dairy, beef and wool production are the main primary production enterprises in addition to Warrnambool's active fishing fleet and tourism industry catering for whale watchers and holidaymakers.
The town is well served with a full range of schooling options from pre-school, private and state primary school and four well highly regarded secondary schooling options. Warrnambool is also fortunate to have a campus of Deakin University and houses the South West College of TAFE. Sporting facilities are numerous within the city, allowing a full range of sporting options including three large tennis complexes, Olympic and indoor swimming pools, athletics track, netball and basketball stadiums, YMCA, Towing and angling clubs.
Cultural events are well catered for within the city of Warrnambool which holds regular international and national acts at the Performing Arts Centre. The annual Wunta festival held over a three day weekend in February and of course the Port Fairy Folk Festival which attracts 20,000 visitors each year. There is a strong Koori population in the Warrnambool region, with two main tribal groups based in and around Warrnambool.
The Mortlake township is 50 kms north of Warrnambool and is the service town of a large wool and dairying district, but also has its own industry. The town boasts both a parish primary school and a P-12 Secondary College, a nationally famous Abbeyfield hostel with planned expansion, an outpatient health service, a thriving shopping centre and business district and an active community which creates the annual Mortlake Buskers Festival.
Koroit is a small town approximately 20 kms west of Warrnambool. It has a rich Irish tradition and is centred in a primarily dairy farming area. The town is fortunate to have a large industry namely Murray Goulburn milk processing factory which is a major employer within the town, in addition to tourist activities, craft shops and the 30 bed Koroit Nursing Home which also creates jobs within the town. The Koroit residents are very community minded and celebrate their Irish heritage with the annual Koroit Irish Festival.
Description of the Practice: A: Physical Profile The Jamieson Street Clinic operates on four sites: 39 Jamieson Street, Warrnambool This is the main practice location and is based in the heart of Warrnambool. It is a substantial Victorian sandstone building with heritage listing. Wheelchair access ramps are provided to both front and rear of the building. The premises have been extensively enlarged and renovated to provide five comfortable consulting rooms, treatment room, a sterilising/setup room and a large, bright and comfortable waiting area. The office area is directly linked to the waiting area and has high/low benches to allow for wheelchair patients and privacy of documents and transactions. The clinic also provides a staff tearoom, bathroom, file storage area (the college system), patient toilet and wheelchair access toilet facilities, Clinic Managers office and large storage area for equipment, inactive files and library. All consulting rooms and offices are provided with desktop computers linked to a main server with on-line pathology and internet access with the promise of radiology and direct hospital access in the near future. The software provided is Medical Director 2 and rooms are fitted with up-to-date telephone and intercom systems. New Clinic at Centro Shopping Centre, Mortlake Road, North Warrnambool with 3 consulting rooms and wheelchair access. High Street, Koroit The Koroit branch of the clinic is ten minutes drive from Warrnambool and is set in the grounds of the Koroit Hospital. It is the sole practice in town. The building is of modem brick construction and incorporates two very well appointed consulting suites, a comfortable waiting area, office, kitchenette and toilet facilities. The clinic is well equipped and has access to the hospital theatre for more complex surgical procedures if required. The Koroit Maternal and Child Health Centre and Day Centre for the Elderly, has recently been located adjacent to the consulting rooms to provide a health precinct for the town. Proximity of the various health agencies within the town allows easy communication and co-operation between these groups. The filing systems, patient histories, equipment and booking procedures are standardised across the three practice locations. 25 Boundary Road, Mortlake This branch of the practice had been operating independently for fifteen years until its incorporation with Jamieson Street Clinic in 1997. The clinic provides two fully equipped consulting rooms, large waiting room office/reception area, staff tearoom, preparation and clean-up room and toilet facilities for staff and patients. The office is equipped with computerised accounting, fax and commander telephone/intercom system. With recent approval of funding by the Terang and Mortlake health authority, the clinic has been relocated to new purpose built-rooms at the Mortlake Health Service. This will improve efficiencies in management of acute health problems currently undertaken in part by nurse practitioners at that site. Dr Kay has been instrumental in the planning and development of our new premises to enhance and ensure the co-ordination and delivery of acute medical care at the hospital site.
B: Organisational Structure Partners are: Dr Selby King M.B., B.S., F.R.A.C.G.P., F.A.C.R.R.M Selby has had nine years of general practice experience in Warrnambool and first attended this practice as a registrar with the training program. He has special interests of travel medicine and sports medicine, having been a local league footballer himself. He has an affiliation with the local sporting clubs and manages to update his travel medicine knowledge with seminars and occasional field trips abroad. Selby has been involved with registrar training himself within the last five years and the process of achieving F.R.A.C.G.P. These attributes make him well placed to assist rural trainees both in their training of general practice in a rural setting and the transition from the registrar to rural practitioner. Selby serves on several committees with the local hospitals and he is part-time relieving medical administrator for the Warrnambool District Base Hospital. Dr Brendan Kay M.B., B.S., Dip Obst., R.A.C.O.G., F.R.A.C.G.P., F.A.C.R.R.M Brendan has been running a successful busy medical practice in Mortlake for ten years prior to joining the Jamieson Street Clinic in 1991. The nature of his workload has by necessity been extremely varied as he has been in a relatively isolated rural practice, where until recently he was still practicing obstetrics. Brendan practices a wide range of medicine and has a keen interest in sports medicine. He has been club doctor for Mortlake Football and Netball club. Geriatrics is a strong special interest through his involvement with residents at the Mortlake hostel, in addition to his role as convenor of the R.A.C.G.P. Older Persons Committee. Brendan has extensive involvement and commitment to the training of both undergraduate and post-graduate trainees and his list of input to college programs and training seminars at a high level is quite daunting. Brendan has had extensive involvement at committee level with hospital and medical administration and is currently the secretary of the Warrnambool Base Hospital Medical Staff Group. Dr Peter Oliver M.B., B.S., F.A.C.R.R.M. Peter has been a general practitioner for nearly twenty years. He initially followed his hospital training, with training under the FMP program until 1981. Then for the next seventeen years ran general practices in isolated country towns, for four years as a solo general practitioner in Murrayville, Victoria. For nine years (1986-94), in Timboon in Victoria with one partner and a trainee and from 1995-99 in Crystalbrook in South Australia also with a partner and a trainee. During this time he has built up a wide and varied experience in many of the problems that face isolated rural practice. His particular interest during this time has been obstetrics, anaesthetics and diabetes. Necessarily over this time, he has been heavily involved in the running of the local health services as member of hospital boards and various hospital committees, as well as serving as the local medical officer on a number of local sporting clubs in those areas. Since 1986 he has been involved in the training of registrars, firstly at Timboon and subsequently at Crystalbrook he has also done much teaching of undergraduate students during this time. He has moved to Warrnambool this year to continue his practice in a larger location for family reasons and is keen to continue sharing his clinical experience with undergraduates and trainees. Dr Paul Viney M.B., BCh., DRANZCOG Graduated from the University of Birmingham (UK) in 1996. The following four years were spent in general practice and oriented hospital posts including Paediatrics, Obstetrics/Gynaecology and Psychiatry. In 1990 he commenced a one-year General Practice post in Strathford-Upon Avon, since 1991 he has been in General Practice in Warrnambool and with the Jamieson Street Medical Clinic since August 2001.
Associates: Dr Wei Ping Fung Practice Manager: Mr Damien Bishop Practice Nurses: Denise Toke, Shona Chadwick, Andrea Waddington and Carolyn Fleming.
C: Patient Profile Patient profile within the three practices is very broad. The spread of clinical exposure includes paediatrics, obstetrics, anaesthetics, minor surgery, women's health, drug and alcohol medicine, emergency medicine, general medicine, sports medicine, travel medicine, industrial health, hypnosis, acupuncture, Koori health and gerontology. It would not be uncommon to deal with all of these areas within the one day and the registrar would certainly be encouraged to gain exposure to any of these areas during their term.
The mix of patients ranges from all sections of the community. Involvement in obstetrics provides regular exposure to neonates and infants. Our roles at the Koroit Nursing Home and Mortlake Hostel, in addition to visiting Lyndoch and Warrnambool Nursing Homes ensures a broad exposure to gerontology. The mix of general practice interests amongst the medical staff at the clinic ensures a very wide exposure to all sections of the community from farmers to business people, academics, schoolchildren to sports men and women.
All doctors in the clinic have appointments with both the Warrnambool and District Base Hospital (public) and the St John of God Hospital (private) as well as Lyndoch and Koroit Nursing Homes, Abbeyfield Hostel and the Warrnambool Nursing Centre (Warrnambool Nursing Home). Each doctor has admitting rights to all these institutions according to their qualifications and expertise. Hospital rounds are performed each morning prior to commencement of consulting hours and nursing home visits are performed each week/fortnight according to patient needs.
There are various clinica1 meetings held at the hospital earlier in the morning and these offer an excellent opportunity to discuss clinical problems with colleagues or to teach registrars in the hospital setting. The registrar would be encouraged to attend and perform hospital and nursing home ward rounds and to perform home visits. These will be closely supervised and would become solo only when it is deemed that the registrar is comfortable and capable in doing so.
The registrars are at all times encouraged to seek advice from their supervisors should they feel uncomfortable with any situation.
Registrars would have their own consulting room which is wel1 laid out, fully equipped and spacious. Room is dedicated to the use by that doctor alone and so gives the registrar a further sense of being an important part of the team as well as enhancing the credibility in the patients' eyes.
The workload of the registrar is envisaged to be in the order of 2-3 patients per hour for a basic trainee or 4 patients per hour for an advanced trainee as specified in the standards document. The registrar's workload would be provided by a tight booking procedure which streams the patients to this doctor with allowances made for patients who felt strongly that they wanted to see their usual doctor. The booking of patients to the registrar has not been a problem to date, as patients are quite happy to see the new doctor in the practice today rather than wait until tomorrow to see their usual GP. The registrar would be expected to undertake some on call workload, as do all other doctors in the practice.
The clinic hours are from 10:00am-1:00pm, from 2:00pm-6:00pm weekdays, and from 10:00am-1:00pm on weekends when on call. The on call obligations would be 1 night per week on call and 1 weekend on call per 5 weeks. The roster allows 1 afternoon off per week and the registrar would undertake ward rounds and nursing home visits on a shared basis. A backup person would be available at all times.
The registrar would be encouraged to establishing his/her own clientele during the training term to allow for review of treatment outcomes, to allow some development of patient continuity and rapport over time.
Practice Management and Accounts The day to day running of the practice is managed by the Practice Manager who is responsible for: -
Accounts Our computerised Medical accounts software package, Mediflex, enables a quick and efficient accounts process with 45% of patients being bulk billed. Discounts are given for payment on the day, and a reduced fee for Health care Cardholders. Pensioners and the needy are Bulk Billed.
Diagnostic Facilities at the Practice Diagnostic facilities are standardized across the 3 practice sites and include such things as ECG, basic spinometry and audiology, basic office urine testing, pregnancy testing, auroscopes, ophthalmoscopes, manual and electronic blood pressure monitoring. Due to the proximity of these sites to the many diagnostic facilities available within the Warrnambool area, much of the specialised testing for eyes, audiology and lung function testing is readily available in Warrnambool by specialist services.
Procedures Performed and Range of Surgery Performed at the Practice
Whilst GPs have surgical privileges at both major hospitals in Warrnambool and would be able to perform:
The likelihood is that registrars' major surgical experience would be in the form of assisting one of the various specialists eg. in an appendectomy or caesarean section for a case in which they were involved.
Regional Services Within the Warrnambool, Koroit and Mortlake region there are a considerable number of paramedical services and hospital facilities. Warrnambool has two main hospitals, the Warrnambool Base Hospital which is a 150 bed public hospital and St John of God Hospital which is a 60 bed private hospital. Both of these hospitals offer extensive medical and surgical inpatient care with obstetric and neo-natal nurseries. There are nursing home facilities in Warrnambool, including Lyndoch and Warrnambool Nursing Centre, the Koroit Nursing Home and Abbeyfield Hostel in Mortlake. Mortlake also has the outpatient Mortlake Health Service staffed by nurse practitioners for urgent after hours calls. In this situation the nurse practitioner is free to consult with the on call doctor at the time. Our paramedical services are extensive and include diabetic educators, podiatry, occupational therapy, dieticians, district nursing service, alcohol and drug rehab unit, a social work department, counselling and psychologist service, sexual assault unit and a range of self-help groups.
Continuing Education and Health Promotion All the doctors and staff of the Jamieson Street Medical Clinic are encouraged to actively: -
Other CME activities include practice audits and clinical audit meetings for obstetrics, anaesthetics and paediatrics in particular. Similarly, all doctors are involved in health promotion activities in quite diverse areas which range from involvement with the Otway Division, to regular talks at arthritis self-help groups, school groups or sun smart program, body systems review as part of their school curriculum, men's health awareness talks, sports medicine and women's health group discussions. The clinic itself provides educational and health promotion material in form of posters or specific handouts regarding smoking, pap smears, etc, video and audio material.
One of the most important aspects of health promotion within the clinic is that of regular visits to the Koori community at Framlingham which accesses elderly Koori people who have multi-system diseases and prior to 10 years ago would rarely access medical services. Our regular involvement and commitment to these people has brought about acceptance and trust in the services that we offer. This involvement has produced a marked improvement in general health and well being of all those community members over a ten year period.
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Jamieson Street Medical Clinic
