8:30am – 6pm (registration from 8am)
Melbourne Paediatric Specialists invites all General Practitioners to attend our annual education event:
is a group of expert Paediatricians, Paediatric Subspecialists and Allied Health practitioners focused on delivering the best child-focused and family-centred care. We are a large practice covering a broad spectrum of children’s health care and wellbeing.
(adjoining The Royal Children’s Hospital)
48 Flemington Rd
Parkville, VIC 3052
The Larwill Studio* – ARTSERIES HOTELS
(Make a night of it: *Discount Code is available for Attendees Booking Accomodation at the boutique hotel – The Larwill Studio)
Note: ^Early Bird Registration until 18 July 2017
Includes: Lunch, morning & afternoon tea
*PENDING APPROVAL for: 40 Category One RACGP CPD points
This Clinical Paediatric Update will represent an opportunity for GPs to update their knowledge and skills with interactive workshops delivered by Melbourne’s leading paediatric practitioners across many areas relevant to general practice.
8:30am – 6pm (registration from 8am)
Dr Katherine Chen
Dr Shaamini Lokuge-Hayes and Ms Cathy Horder
Ms Katherine Ong
Dr Cinzia De Luca, Dr Esther Hutchinson and Dr Carolyn Van Heerden
Dr Liam Tjia
Dr Liam Tjia
Ms Michele Meehan
[Program Last Updated 6 August 2017]
Prof Anthony Pennington
Mr Richard Wu
Dr Katherine Chen
Mr Ivan Mathieson and Dr Rick Jarman
Dr Chris Barnes
Dr Gabriel Dabscheck
Saturday 12 August 2017 The Larwill Studio, Parkville
Through case-based discussions we will discuss the management of three common paediatric conditions- constipation, nocturnal enuresis, and developmental dysplasia of the hip. We will cover key issues listed below, in addition to questions raised by participants.
Developmental dysplasia of the hip
The Royal Children’s Hospital developmental dysplasia of the hip educational resources and the latest American Academy of Paediatrics guidelines will be shared with participants
After a child is diagnosed as having an autism spectrum disorder, navigating the multitude of possible interventions can be challenging for families.
Families often ask:
In addition, currently, there are many different possible packages for funding, that families will look to their GP to direct them to.
In this workshop we will explain the range of early intervention therapies that have good evidence for improvement in symptoms including:
We will also discuss funding through the Helping Children with Autism Package, National Disability Insurance Scheme, and other funding plans that the child may be eligible for.
Is tongue tie the latest fad? What is a posterior (or submucosal) tongue tie? How does a tongue tie affect feeding (breast, bottle and solids)? What are the different intervention options?
These questions, and more, will be discussed during this workshop. We will also address: the role of normal tongue anatomy in the development of orofacial structures, tongue function during feeding, the importance of a thorough oral examination and functional assessment when a baby presents with feeding problems, and the role of the speech pathologist in managing babies with tongue tie.
Despite being described as a syndrome as early as the 1700s, ADHD remains a somewhat controversial diagnosis. Some of the difficulty surrounding the classification, diagnosis and treatment of this condition relates to the heterogeneity in terms of purported underlying mechanisms, extensive co-morbidity with other psychiatric conditions, as well as impairment in multiple neurocognitive domains. Given these complexities, the recognition of symptoms, when and who to refer to for specialist assessment, management with behavioural and pharmacological interventions, and the intricacies surrounding discussions with parents and individuals will form the focus of this workshop.
Headaches cause significant morbidity in children and adolescents. Occasionally headaches are a symptom of intracranial pathology including tumors, thromboses and hemorrhage. Often there is no intracranial pathology and the diagnosis is chronic daily headache or migraine, or a more self-limiting benign headache disorder.
This headache education session will discuss common presentations of childhood and adolescent headaches, red flags in history that require urgent attention, and evidence based management advice. It will be an interactive case based session.
You are seeing a baby at 2 weeks age for a routine check, and you notice a small purple area on her left cheek. You think it might be a bruise but can’t be sure. What do you do?
A 3yo girl is brought in by her mother, with concern over redness in the girl’s vulval area. The girl’s mother says that the night before, while being bathed, the girl said “Daddy touched my wee-wee and it really hurt”. What do you do?
Dealing with possible child abuse is confronting, and can elicit anxiety and uncertainty in the most experienced paediatrician. In this session, Dr Tjia will outline some practical frameworks to help a GP ensure that, when the possibility is raised, they can navigate the initial stages of assessment and response with minimum stress and conflict (for both family and doctor). Ethical and legal considerations will be reviewed (including mandatory reporting), with an emphasis on the practical implications, for GPs seeing these real-life cases.
For the first time a recommendation relating to the choice of infant formula has been included in the Updated NHMRC Infant feeding Guidelines 2013
“it is preferable to use a formula with a lower protein level”1
This recommendation was based on research that links high protein intake in infancy and later overweight and obesity.2
A powerful message for mothers struggling with maintaining full breastfeeding is that current evidence suggest that ANY amount of breastfeeding, especially if it is for a duration of > 7 months has a small protective effect on the prevalence of obesity in children, reduced risk of infections and similarly a reduction of risk of breast cancer, ovarian cancer and Type 2 diabetes in the mother.3. 4.
This presentation will cover a range of common conditions which may be referred to a Plastic Surgeon. Parents frequently request excision of melanocytic naevi, although the risk of melanoma in childhood is extremely low. Other common cutaneous lesions include naevus sebaceous and pilomatrixoma. Haemangiomas are the commonest tumour of infancy, and although most do not require treatment, there are indications for medical or surgical intervention, and they must be differentiated from vascular malformations which do not involute. Finally there will be a brief discussion of other conditions including prominent ears and trigger thumb.
Flat, misshapen heads on children is a frequent concern amongst parents. Otherwise known as plagiocephaly, its frequently seen underlying disorder is the paediatric version of wry neck, the most common form is congenital muscular torticollis (CMT). In this presentation, I will discuss head shape and the assessment of the severity of plagiocephaly, common differential diagnoses with CMT and the assessment of associated problems such as those related to ‘packaging’. Packaging problems include developmental dysplasia of the hip (DDH) and idiopathic clubfoot. We will discuss indicators for escalation, treatment and education strategies, and the role of the physiotherapist. Pre reading will be provided.
This session will focus on discussing the diagnostic challenges of Kawasaki disease especially in infants who have an increased risk of coronary artery aneurysms. Updates on treatments and areas of uncertainty will be highlighted. Lastly, in light of the recent 2017 American Heart Association guidelines for the management of Kawasaki disease, the role of the GP in the long-term management of patients post Kawasaki disease especially around surveillance and cardiovascular risk minimisation will be discussed.
Despite less than 15% of youth accessing services for depression and anxiety problem, GPs remain the most commonly accessed service providers for these problems. Mental health literacy amongst the public has certainly improved, but it certainly lags in terms of anxiety disorders. Even more concerning is that the rate of provision of evidenced-based interventions to young people continues to be unacceptably low. General practitioners play a pivotal role in engaging and triaging young people and their families so as to receive the best quality of care.
This workshop will cover the redflags and unusual presentations to look for in young people, beyond the DSM-V symptoms. It will also cover the elements of psychological interventions that are supported by empirical evidence and how to refer to those who can provide such services.
Pre-reading on the topic will be provided.
When is bruising in a child a problem? Current approaches to excluding coagulopathies…
Bruising in occurring in a child is often a normal sign of activity. Bruising usually begins as the child starts “cruising”. Bruising that is “spontaneous” or occurring in unusual locations on the body however may lead to a parent seeking medical advice. In addition, bruising that is unexplained and brought to the attention of caregivers raises the possibility of intentional injury and may require a thorough assessment and work up. The approach to the child who is bruising will be highlighted in this lecture including a review of currently available laboratory tests to exclude underlying coagulopathies.
Newborn and infant skin changes are one of the more common presentations to GPs and hospital emergency departments. In this workshop, we will explore the more common conditions and their initial management; pre-reading is available. Importantly, we will focus on variants of normal and when you should consider review and/or referral to a paediatrician or dermatologist. From HFM to Hives and Measles to Molluscum, we will also have a spot quiz at the end to test who was awake for the workshop…