Melbourne Paediatric Specialists

One Day Workshop Series.

Saturday 12 August 2017

8:30am – 6pm (registration from 8am)

Melbourne Paediatric Specialists invites all General Practitioners to attend our annual education event:

Paediatrics in Practice
for the busy GP
Paediatrics in Practice Update For GPs 2017


Melbourne Paediatric Specialists

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.


The Larwill Studio

(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)



Early Bird^: $220
after 18 July: $260

Note: ^Early Bird Registration until 18 July 2017 
Includes: Lunch, morning & afternoon tea

*PENDING APPROVAL for: 40 Category One RACGP CPD points



2017 Workshop / Program Overview: PDF

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.


Program Overview

Saturday 12 August 2017

8:30am – 6pm (registration from 8am)

0800: Arrival & Welcome

1030: Morning Tea

  • 1100: Bored, Bad or Lacking boundaries: what GPs need to know about Identifying, differentiating and managing ADHD behaviours

    Dr Cinzia De Luca, Dr Esther Hutchinson and Dr Carolyn Van Heerden

  • 1130: Headaches in children

    Dr Gabriel Dabscheck

  • 1200: Child Protection – Survival Guide for Tricky Cases

    Dr Liam Tjia

  • 1230: New NHMRC recommendations for baby formula

    Ms Michele Meehan

1300: Lunch

  • 1400: Paediatric Plastic Surgical Conditions – practical advice for GPs

    Prof Anthony Pennington

  • 1430: Plagiocephaly, torticollis and talipes

    Mr Richard Wu

  • 1500: New insights in paediatric cardiology

    Dr Geoff Lane

1530: Afternoon Tea

  • 1600: Adolescent Depression and Anxiety

    Mr Ivan Mathieson and Dr Rick Jarman

  • 1630: Bruises and recurrent nose bleeds – how to investigate

    Dr Chris Barnes

  • 1700: Skin conditions in babies

    Dr Daniel Golshevski

1730: Reinforcing Activity MCQ QUIZ

1800: End


Paediatrics in Practice for the Busy GP

Saturday 12 August 2017 The Larwill Studio, Parkville


Managing Common Paediatric Problems: Developmental Dysplasia of the Hip, Constipation, Nocturnal Enuresis

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.


  • Differential diagnoses especially in infants
  • Role of investigations
  • Medical and behavioural approaches to management
  • Tips for refractory cases

Nocturnal enuresis

  • Natural history
  • Importance of managing associated constipation and daytime wetting
  • When to treat
  • Use of enuresis alarms and Desmopressin
  • Management options for relapse

Developmental dysplasia of the hip

  • Risk factors
  • Tips for examination
  • Investigations
  • When to refer

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


Dr Katherine Chen


General Paediatrician
Developmental and Behavioural Paediatrician
Dr Katherine Chen, General Paediatrician, Developmental & Behavioural Paediatrician
In Developmental & Behavioural Paediatrician / General Paediatrician

Dr Katherine Chen

Dr Shaamini Lokuge-Hayes, Consultant Paediatrician Specialising in General, Developmental & Behavioural Paediatrics
In Developmental & Behavioural Paediatrician / Fussy Baby Clinic / General Paediatrician

Dr Shaamini Lokuge-Hayes

In Occupational Therapist

Ms Catherine Horder


Dr Shaamini Lokuge-Hayes






Occupational Therapist


Autism Spectrum Disorder – After the Diagnosis:
– Interventions and Funding

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:

  1. What intervention has the best evidence?
  2. Who is the best therapist?
  3. How often and for how long?

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:

  1. Behavioural models – Applied Behavioural Analysis (ABA)
  2. Combined approach – Early Start Denver Model (ESDM), TEACCH
  3. Developmental, Social and Relational models – RDI, DIR Floortime

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. ​


Feeding Issues, Tongue Tie and Lip Tie

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.


Ms Katherine Ong

B.App.Sci. (Speech Pathology) M.A. (Applied Linguistics)
Certified Practising Member of Speech Pathology Australia

Paediatric Speech Pathologist
– Feeding, swallowing and early communication
Katherine Ong, Paediatric Speech Pathologist – Feeding, swallowing and early communication
In Paediatric Speech Pathologist

Ms Katherine Ong


Bored, Bad or Lacking Boundaries:
What GPs need to know about identifying, differentiating and managing ADHD behaviours

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.

Cinzia de Luca PhD - Paediatric Clinical Neuropsychologist
In Clinical Neuropsychologist

Dr Cinzia De Luca

Melbourne Paediatric Specialists - Dr Esther Hutchinson
In Clinical Neuropsychologist

Dr Esther Hutchinson

Dr Carolyn van Heerden, General Paediatrician, Melbourne Paediatric Specialists
In Developmental & Behavioural Paediatrician / General Paediatrician

Dr Carolyn van Heerden


Dr Cinzia De Luca

MPsych(Clin Neuro) PhD

Senior Paediatric Clinical Neuropsychologist

Dr Esther Hutchinson

BSc(Hons) DPsychClinNeuro

Senior Paediatric Clinical Neuropsychologist

Dr Carolyn Van Heerden


General Paediatrician
Developmental & Behavioural Paediatrician


Headaches in Children

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.



MB BS (Hons) FRACP MClinEpi.

Paediatric Neurologist and Epileptologist
Dr Gabriel Dabscheck - Paediatric Neurologist
In Paediatric Neurologist

Dr Gabriel Dabscheck

In Developmental & Behavioural Paediatrician / General Paediatrician

Dr Liam Tjia


Child Protection – Survival Guide for Tricky Cases

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.




General Paediatrician
Developmental and Behavioural Paediatrician


New NHMRC Recommendations for Baby Formula

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 level1

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.


Ms Michelle Meehan

R.N.R.M. MCHN M. Hlth Sc.

Clinical Nurse Consultant
– Infant feeding and settling
Michele Meehan - Clinical Nurse Consultant, Fussy Babies Clinic
In Fussy Baby Clinic / Maternal & Child Health Nurse

Ms. Michele Meehan

Prof. Tony Penington, Plastic and Reconstructive Surgeon, Melbourne Paediatric Specialists
In Plastic & Reconstructive Surgeon

Prof Anthony Penington


Paediatric Plastic Surgical Conditions
– Practical Advice for GPs

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.


Prof Anthony Pennington


Plastic & Reconstructive Surgeon
– Vascular Anomalies


Plagiocephaly, Torticollis and Talipes

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.


Mr Richard Wu

B.Applied Sc (in Physio), MPH, PGCert in Physio(Paeds) APAM

In Paediatric Physiotherapist

Mr Richard Wu

Dr Geoffrey Lane - Adult and Paediatric Cardiologist Specialising in Congenital Heart Disease
In Cardiologist

Dr Geoffrey Lane


New Insights in Paediatric Cardiology


Dr Geoff LANE


Consultant Cardiologist
Specialising in Congenital Heart Disease in Children and Adults


Adolescent Depression and Anxiety

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.

Ivan Mathieson - Paediatric Clinical Psychologist-116
In Clinical Psychologist

Ivan Mathieson

In Developmental & Behavioural Paediatrician

Dr Rick Jarman



BA/BComm PGradDipAppPsych MPsych(Clin) MAPS

Clinical Psychologist

Dr Rick Jarman


Paediatrician (Developmental & Behavioural Paediatrics)
In Paediatric Haematologist

Dr Chris Barnes


Bruises and Recurrent Nose Bleeds
– How to Investigate

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.




Paediatric Haematologist


Common Newborn Skin Conditions

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…




General Paediatrician
Dr Daniel Golshevsky - General Paediatrician, Melbourne Paediatric Specialists
In General Paediatrician

Dr Daniel Golshevsky

Paediatrics in Practice for the busy GP
Saturday 12 August 2017

8:30am – 6pm (registration from 8am)