Doctor Who – A Global Phenomenon: Part 1 Australia

Doctors are pocketing up to $12,000-a-week by making out-of-hours house calls

Today, I invite you all for a good old fashioned Aussie BBQ as we explore what Doctor Who means to Australia, by investigating the Australian roots present in the history of Doctor Who, the celebrations planned for the 50th Anniversary and finally how Australians share an amazing passion with Whovians all over the world. An Unearthly Aussie In many understated ways Australians have had many links to the series from its origins. One extremely major link into the heart of the TARDIS lies directly behind the scenes of the first episode. The golden legacy of Doctor Who started on the 23rd of November 1963 when An Unearthly Child aired on the British television channel BBC1. This, the first ever Doctor Who story, was written by Australian-born writer Anthony Coburn. Aside from writing the first episode, it is also believed to have been Coburns idea for the TARDIS to externally resemble a police box, the thought apparently having come to him after taking a walk near his office and spotting such a box on the street. It was also his idea for the Doctors travelling companion, Susan, to be his granddaughter, as he was disturbed by the possible sexual connotations of an old man travelling with an unrelated teenager. WOW indeed! What an Unearthly Aussie! Aside from Anthony, many other Australians have had major roles in the upbringing of Doctor Who. It wasnt only An Unearthly Child that debuted on the 23rd of November, but also the famous music that would accompany every Doctor Who episode for the next 50 years and beyond the Doctor Who theme song, which in its most original version was written by Australian musician Ron Grainer. His music has gone on to inspire the likes of Who legends Courtney Pine and Murray Gold.

see post http://www.doctorwhotv.co.uk/doctor-who-a-global-phenomenon-part-1-australia-54916.htm

doctor-who-strax-australia

Windy. Partly cloudy. Cookies must be enabled. Enabling Cookies in Internet Explorer 7, 8, 9 + Open the Internet Browser Click Tools (or “gear” icon at top right hand corner) > Internet Options > Privacy > Advanced Check Override automatic cookie handling For First-party Cookies and Third-party Cookies click Accept Click OK and OK Click Tools > Options > Privacy Select Privacy > Content settings Check ‘Allow local data to be set (recommended)’ Click ‘Done’ Under ‘History’ select Firefox will: ‘Use custom settings for history’ Check ‘Accept cookies from sites’ and then check ‘Accept third-party cookies’ Click OK Enabling Cookies in Google Chrome Open the Google Chrome browser Chrome > Preferences Click ‘Show advanced settings’ at the bottom. Under Privacy select ‘Content settings’ Under ‘Cookies’ select ‘Allow local data to be set (recommended)’ Click ‘OK’ Under ‘Block cookies’ check ‘Never’ Enabling Cookies in Mobile Safari (iPhone, iPad) Go to the Home screen by pressing the Home button or by unlocking your phone/iPad Select the Settings icon. Select Safari from the settings menu. Select ‘accept cookies’ from the safari menu. Select ‘from visited’ from the accept cookies menu. Press the home button to return the the iPhone home screen. Select the Safari icon to return to Safari. Before the cookie settings change will take effect, Safari must restart.

more good stuff http://www.theaustralian.com.au/news/doctors-are-pocketing-up-to-12000aweek-by-making-outofhours-house-calls/story-e6frg6n6-1226791142533

Australian ‘Doctor Who’ Fans Gear up for 50th Anniversary Special

our editor recommends BBC Plans Live ‘Doctor Who’ Afterparty Show for Anniversary After a raft of events in recent months, fans’ excitement is set to culminate on Sunday when the BBC will offer a global simulcast of The Day of the Doctor, the anniversary special that will air here on the national broadcaster’s flagship channel, ABC 1. The show is set for 6:50 a.m. Australian Eastern standard time. VIDEO: ‘Doctor Who’ Anniversary Special Releases Two Trailers (Video) Sundays live broadcast of the 50th anniversary special — which will be simulcast in around 75 countries worldwide — will be augmented by 3D screenings at over 90 cinemas nationally, a repeat of the special in Sunday primetime on ABC followed by historical special Doctor Who: An Adventure in Space and Time. BBC Worldwide said that demand for the cinema screenings of the special at some Aussie cinemas is outstripping demand for The Hunger Games: Catching Fire tickets, which opened on Thursday and has the second-largest opening day figure for this year behind Iron Man 3. PHOTOS: ‘Doctor Who’ at 50: Peter Capaldi and the 12 Men Who’ve Played the Doctor Meanwhile, a Doctor Who marathon will air over the weekend on BBC Worldwides Australian general entertainment pay TV channel UKTV. The Australian Broadcasting Corp (ABC) has been the BBCs partner, broadcasting Doctor Who for all of its 50 years here, and the iconic series has a significant fan base of Whovians” of all generations down under. Tapping into that fan base, BBC Worldwide has run a number of off-air activities around the anniversary this year, including pop-up shops in Sydney and Brisbane selling exclusive Doctor Who merchandise, as well as an online store, symphony concerts in early 2014 in Melbourne and Queensland based on recent Doctor Who 50th concerts in the U.K., an AUS$2 Doctor Who coin minted at the New Zealand Mint and the Perth Mint, which are legal tender in the South Pacific island nation of Nuie, as well as an exhibition at the ABCs headquarters in Sydney running since August and until January. There is even a pop-up digital radio station on ABC Radio, which will operate on Sunday straight after The Day of the Doctor and continue until midnight on Saturday, Nov. 30. It will feature fan reactions to the special, interviews, profiles, panel discussions and Doctor Who-inspired comedy and music.

my sources http://www.hollywoodreporter.com/news/australian-doctor-who-fans-gear-659061

Australia Top Doc: Physician Assistant Use Too Risky

A plan to introduce some physician assistants to the country’s health system has Australian Medical Association president Rosanna Capolingua very upsetabout patient safety, of course. THE head of Australia’s peak medical body has criticised a plan to introduce US-style physicians’ assistants who would carry out less complex medical procedures, saying it puts patients at greater risk and could deny junior doctors training opportunities. Queensland Health Minister Stephen Robertson yesterday released the five sites for a pilot program to train doctors’ assistants, who would perform the procedures under the guidance of a qualified doctor. The pilot is based on a scheme developed in the US and has been trialled in countries including Canada and Britain. Australian Medical Association president Rosanna Capolingua said that, although assistants would work under a doctor’s supervision at all times, their use in surgical procedures could compromise patient safety. “The physician’s assistant understands how to do the task and they may be useful as a ‘tool’ but, for our own junior doctors, they need to have that holistic training and experience as well,” she said. “Patient safety must always be our first priority, not just the delivery of a service to a patient.” Doesn’t sound like Dr. Capolingua is going tomake a great teammate. The nurses aren’t thrilled, either. Beth Mohle from the Queensland Nurses Union said the Government should spend the money expanding the role of existing nursing staff. “They’re not actually testing physicians’ assistants against positions like nurse practitioners,” she said. “If you’re going to have a trial, you should actually at least test those positions against currently existing positions such as nurse practitioners.” Sounds like the beginning of a major turf war.

official statement http://community.advanceweb.com/blogs/pa_1/archive/2008/08/18/australia-top-doc-physician-assistant-use-too-risky.aspx

Australia needs physician assistants. So why aren’t we getting them?

But interestingly it didnt! Why the nurses are so actively against it is interesting but one would have to ask all opposing groups are they interested in opposing for oppositions sake, are they interested in providing health services to patients who currently find it difficult to access them because the workforce is not there, or are they interested in preserving the status quo with siloed health professional practice? The health service and its constituent parts is a very complex organism but every part of it should work together to improve patient care and not work only in the interests of the health professional or have I got that wrong ? The health and social welfare workforce is currently the largest in Australia 1.4 million and like the rest of the population, it is ageing. We will need to recruit about half a million new workers at least to this sector over the next decade a significant challenge that policy makers and politicians do not seem to be fully accepting at present. Where are these new workers to come from? Current recruitment will not achieve these targets so perhaps some innovation is required. Trials of new models of care have been carried out by Queensland Health and the South Australian Health Commission in respect to PAs. These trials, albeit small, did suggest that these new health professionals would be useful across a variety of health care situations. They actually assisted doctors in care delivery, worked together with Nurse Practitioners as part of the care team, and value added to teaching of students rather than impairing it. So why the opposition? Sad to say but may I suggest pure self interest as always wrapped up in cries that the introduction will impact negatively on patient safety and quality, reduce learning opportunities for medical and nursing students and generally speed the dumbing down of health care delivery none of which can be supported by the many trials of PAs in Australia and overseas . Now I have to declare my bias, having introduced the PA program at the University of Queensland in 2009. One of the reasons was that of recruitment, the fact that in the US those joining PA programs do not want to be doctors or nurses. So it adds to the health workforce, and that is what we have to do.

click here http://blogs.crikey.com.au/croakey/2011/04/12/australia-needs-physician-assistants-so-why-arent-we-getting-them/

General Practitioner (family Physician) Workforce In Australia: Comparing Geographic Data From Surveys, A Mailing List And Medicare

The researchers then attached two quality scores, sensitivity and predictive value positive with each GP dataset. While this is a valid approach to ascertaining the accuracy of a dataset, it also requires names and addresses to be present in multiple databases, a difficult proposition in a restrictive data access environment. Moreover, researchers are often interested in the quality of a dataset insofar as it affects the outcome of their analyses. Aims and objectives Health researchers across jurisdictions are interested in investigating the relationship of GP access and availability to various health outcomes [ 33 , 34 ]. While there are a number of approaches to quantifying GP availability, GP density in a geographical area is a commonly used metric [ 33 , 34 ]. In Australia GP densities by geography have been used as a metric of GP demand and supply [ 22 ]. A relevant research question in this context is whether the choice of one GP dataset over another affects the results of an analysis. If the same outcome were being studied, this would be equivalent to studying the level of agreement between the various datasets. The aim of the analysis presented in this paper thus, is to explore how the various GP datasets in Australia compare across different geographies. More specifically, we are interested in evaluating the correlation of GP headcounts and total FTE/FWE GPs at different geographic scales, and in observing how these correlations vary with rurality or remoteness. We also compare total headcounts and FTEs/FWEs from the various datasets across states and territories. This is intended to be an exploratory analysis of GP datasets, and it is anticipated that the results of our analyses will assist health services researchers in Australia to make informed choices about GP datasets.

breaking news http://www.biomedcentral.com/1472-6963/13/343

The Doctor: His Name. His Day. His Time

doctor-trilogy-2013-name-day-time

They have him a call box, so you can call him. They didnt give him pointy ears, or lasers. They gave him two hearts, so that he would care for the universe. This was who the Doctor is. His companions define him too. He needs them, they bring out the humany-wumany love. Without Clara or Rose (or the Bad Wolf) he would have burned Gallifrey. He would have sent many to their doom. This brings to mind The Fires of Pompeii, an episode I just finished watching (at the time of writing) Donna yelled and yelled and yelled at the Doctor, to save one, just to save anyone. The Doctor sees things as fixed, or opened, or still. He sees things because hes a Time Lord. Without his companions, he is dark. Darker than the universes most darkest foes.

a total noob http://www.doctorwhotv.co.uk/the-doctor-his-name-his-day-his-time-56560.htm

Doctor who

Review of Doctor Who ‘School Reunion’ (Series 28), Arts

There are Weeping Angels, Daleks and Cybermen and lots of explosions (naturally). By Neela Debnath | Arts | Wednesday, 11 December 2013 at 11:32 pm Doctor Who 50th anniversary: The Day of the Doctor Lets get one thing straight before we go any further, John Hurt is not the name of the Doctor. Im referring to all those people who tweeted that John Hurt was the Doctors name at the end of The Name of the Doctor. Phew, now weve got that out of the way we can carry on. By Neela Debnath | Arts | Saturday, 23 November 2013 at 9:40 pm After waiting nearly six months since the last instalment of Doctor Who, the BBC has released a trailer marking 50 years of the show. By Neela Debnath | Arts | Sunday, 20 October 2013 at 4:35 pm So hurrah! Several more lost episodes of Doctor Who have been recovered, this time from a disused television relay station in Nigeria. It hasnt come a moment too soon considering the 50th anniversary is only around the corner. By Neela Debnath | Arts | Friday, 11 October 2013 at 1:16 am Between 2008-2009 Doctor Who had a hiatus of sorts. Instead of a full series there were several specials that saw the Doctor (David Tennant) travelling without a regular companion. By Neela Debnath | Arts | Saturday, 5 October 2013 at 4:00 am This is David Tennants last full series as the Doctor before he decided to leave and become a hard-bitten cop on Broadchurch and play Hamlet alongside Patrick Stewart a.ka. Star Treks Captain Jean-Luc Picard.

love it http://blogs.independent.co.uk/tag/doctor-who/

Why We Have Too Many Medical Specialists: Our System’s An Uncoordinated Mess

‘Surplus’ of medical specialists in Canada no surprise

Morris-Barer

It is difficult to imagine the recommendations that might emerge from such a meeting being worse than the current uncoordinated mess. At present, policy decisions, or often the lack thereof, are failing to meet the needs of new trainees or of patients. For example, there are no national (and few provincial) mechanisms in place to channel new graduates into the specialties where they are likely to be most needed rather than into the specialties most needed by teaching hospitals or most favoured by students. And despite the fact that we live in a hyper-active era of tweets and blogs in which the new generation seems to be constantly connected, there is no structured electronic meeting place for job hunters and job seekers. New graduates are somehow failing to figure out where the jobs are (and there are, in fact, plenty of communities desperately seeking specialists). In some cases, at least, the new specialists are simply the victims of the completely predictable fallout from that earlier medical school expansion. When those ministers of health agreed to fund an approximate doubling of medical school places, what did they think would happen when those students started graduating? Was there a plan in place to ensure that the complementary resources that are required for their practices would also be funded and in place? In a word, no. For example, operating room capacity or at least working capacity, meaning an available operating suite plus the funds, supplies and complementary staff to operate it has not kept pace. To make matters worse, the capacity is not used efficiently, and some of those who control that capacity are not all that keen to share with their younger brethren. The consequences in our future many more new physicians looking for practice opportunities each year, than old physicians retiring are as predictable as what we are seeing in the Royal College findings today.

visit homepage http://www.theglobeandmail.com/globe-debate/surplus-of-medical-specialists-should-come-as-no-surprise/article15136241/

The result was an almost doubling of first-year entry numbers, from about 1,575, to around 3,000 per year. Once you consider this fact, the startle factor disappears. Canada now has at least 85 per cent more new physicians ready to enter practice each year, on average, than physicians retiring. And this is before considering those Canadians who have gone to medical schools abroad and then returned hoping to practice in Canada, or the influx of medical graduates from other countries. Their numbers have also increased dramatically over the past decade, and there is considerable pressure, particularly from Canadians who have gone abroad for training (currently about 3,500, with more joining every year) and organizations representing them, to increase numbers even further. It is not that the one in six implies that Canada now has an overall surplus of specialists, any more than the widespread claims of shortage in the mid-1990s meant we then had an overall shortage of physicians. Both then, and now, we have, rather, an inability or unwillingness as a country to develop plans and policies designed to train and deploy physicians in a sensible manner. The report was, however, correct in noting that there is no quick fix here. The Royal Colleges plan to convene a meeting early next year to discuss a nationally coordinated approach to health system workforce planning may be a useful start. It is difficult to imagine the recommendations that might emerge from such a meeting being worse than the current uncoordinated mess. At present, policy decisions, or often the lack thereof, are failing to meet the needs of new trainees or of patients. For example, there are no national (and few provincial) mechanisms in place to channel new graduates into the specialties where they are likely to be most needed rather than into the specialties most needed by teaching hospitals or most favoured by students. And despite the fact that we live in a hyper-active era of tweets and blogs in which the new generation seems to be constantly connected, there is no structured electronic meeting place for job hunters and job seekers. New graduates are somehow failing to figure out where the jobs are (and there are, in fact, plenty of communities desperately seeking specialists). In some cases, at least, the new specialists are simply the victims of the completely predictable fallout from that earlier medical school expansion. When those Ministers of Health agreed to fund an approximate doubling of medical school places, what did they think would happen when those students started graduating?

browse around this site http://www.troymedia.com/2013/10/31/surplus-of-medical-specialists-in-canada-no-surprise/

Canadian Doctors Made $307,482 On Average

Canadian Car of the Year finalists

Text size: Save to mystar BERNARD WEIL / TORONTO STAR file photo Doctors in Alberta made the most $349,655 with Ontario physicians a close second with a gross average salary of $340,020, according to the Canadian Institute for Health Research. On average, doctors made $307,482 in 2010-11, according to a report by the Canadian Institute for Health Research (CIHI). Thats a 3.1 per cent increase over the previous year, but down from a 5 per cent increase in 2009-10 and a high of 6.9 per cent the year before. Doctors in Alberta made the most $349,655 with Ontario physicians a close second with a gross average salary of $340,020. (The amount doesnt take into account administration or overhead costs.) The latest numbers are the result of a first ever calculation by CIHI and provide the most complete up-to-date picture on what doctors make annually. Previously, the institute calculated averages based on fee-for-service billing, which is the amount paid to a doctor for direct services such as a check-up or vaccination and are based strictly on the volume of services provided. The growth of those fees has been slowing down. In 2010-11 in Ontario, they increased by 2.5 per cent, down from 4 and 5 per cent in previous two years. We have seen a decrease, or slowing growth, in the increase in fee for service payments, says Walter Feeney, who manages the national physician database for physician claims at CIHI. But that figure didnt account for alternative fees received by some doctors who work in emergency departments or on-call, or for payments made to physicians as incentives to take on more patients or work in rural areas. Nor did they include doctors who have negotiated to work on salary instead of fee-for-service. CIHI has now included alternative fees in its calculations. In the last decade, those fees have been growing steadily and now account for more than 25 per cent of what the provinces pay to doctors. Overall in 2010-11, the provinces paid physicians more than $20 billion for clinical services, according to the CIHI report, which put them third in health-care spending, behind hospitals and drugs.

visit the site http://www.thestar.com/news/canada/2013/01/22/canadian_doctors_made_307482_on_average.html

Canadian doctors say fee cuts, pay inequalities will spur exodus

NP

At age 36, Dr. Ashamalla is only now starting his career as a full-fledged specialist in minimally invasive cancer surgery. Ive spent my entire adult life becoming what I am, he said. You watch your friends who go into other professions lawyers, teachers, accountants, business folks and theyre all done, theyre driving nice cars, theyve bought their first homes and theyre working away You do everything you can to not put the pause button on your life, but thats an effort. Related Canadian doctors still make dramatically less than U.S. counterparts: study From the Ferrari pilot to econo-car dad, physicians receive $19-billion from Canadian governments each year. It has been the fastest-growing chunk of health spending in recent years, due both to the swelling ranks of physicians, and fees that climbed an average of nearly 4% a year in the last decade after slipping below inflation earlier. Deb Matthews, Ontarios health minister, this week suggested some doctors are overpaid, and ordered reductions in 37 specific fees. Physicians complain the reductions were poorly selected, will undermine patients access to good care and lead to something Canadians have not witnessed for years an exodus of doctors to the United States. Their dispute revives the question of how well doctors should be remunerated, and underlines dramatic variation in compensation between province and medical speciality. Despite repeated, expensive attempts to more logically divvy up fees, ophthalmologists earn almost 70% more on average than brain surgeons, who take in almost double the income of psychiatrists, according to Canadian Institute for Health Information (CIHI) figures. There are terrible inequities within medicine, said Michael Rachlis, a Toronto physician and health policy analyst. And this has really almost nothing to do with the actual value of services.

full report http://news.nationalpost.com/2012/05/12/canadian-doctors-warn-fee-cuts-pay-inequalities-will-spur-exodus/

Gps Under Pressure Not To Refer Patients To Specialists, Doctors Warn

The Stroke Association said the finding was “deeply worrying”

One GP called for the scrapping of schemes which sometimes pay thousands of pounds in incentives to family doctors who cut the number of patients sent to hospital. An experienced surgeon said it was unacceptable for Jeremy Hunt, the Health Secretary, to criticise GP surgeries for not referring people to consultants quickly enough when the situation was the result of the Governments changes to the structure of the NHS. They were responding to new league tables published last week which found that 59 per cent of GP practices in England referred less than half of patients who went on to be diagnosed with cancer within two weeks as set out in national guidelines. Dr Robert Walker, a GP in Cumbria, called for family doctors to be allowed to use their clinical judgment about when to make referrals instead of being forced to follow NHS guidance. Related Articles Half of GPs don’t refer cancer patients urgently, league tables show 06 Dec 2013 In a letter to the Daily Telegraph, he said: For the last five years Primary Care Trusts across the country have introduced what are called referral management schemes. These weasel words actually mean applying pressure on GPs to reduce referral of their patients to specialists to save NHS expenditure. In some cases these schemes offer a financial incentive to lower referral rates. It is the case that very early symptoms of cancer are indistinguishable from those of non-serious illness. If referral to specialist care generally is regarded as bad it is not surprising that GPs may delay until symptoms become more florid. Proposing an immediate ban on referral management schemes, he added: Experienced GPs who know their patients will often have a sixth sense about possible cancer even if the patients symptoms do not fit the referral guidelines they are given. Peter Mahaffey, a surgeon in Bedfordshire, suggested that Government reforms to put groups of GPs, known as clinical commissioning groups, in charge of NHS budgets had made the situation worse. He said in a separate letter: As a specialist who has been receiving referrals from family doctors for 20 years, I have not noticed any decline in GPs caring or clinical skills. What, however, is patently obvious to most consultants is the increasing pressure on GPs not to refer their patients to hospital. This is the inevitable consequence of asking primary care doctors to manage their own constrained budget allocations. Sean Duffy, NHS England’s national clinical director for cancer, said: “All referral decisions must be driven by clinical need. We have not seen evidence that these concerns are typical. Where there is a concern in relation to potential cancer diagnosis, the referral pathways are clear in the presence of red flag symptoms. “CCGs [clinical commissioning groups] are best placed to determine, in the new NHS, what pathways of referral are in the best interest of their population.

click here to read http://www.telegraph.co.uk/health/healthnews/10504522/GPs-under-pressure-not-to-refer-patients-to-specialists-doctors-warn.html

20 doctors hired for Pindi BHUs

However, only seven of them have so far joined the health units. As many as 30 posts of doctors in the basic pay scale (BPS) 17 remained vacant for the last one year. During this period, only eight doctors were running the health units in the rural areas on ad hoc basis. After recruiting 20 doctors through the Punjab Public Service Commission (PPSC), the government put their services at the disposal of the district health department. Furthermore, the government also regularised the services of eight doctors who were working with the department for the last one year. A senior official of the health department told Dawn on Sunday that most of the doctors were not willing to work in the rural areas. As a result, only seven have so far joined their duties. The department will wait for the doctors till next week and after that will send other names for appointment, he said. The official added that there were 78 dispensaries in the city areas and 15 posts of doctors lying vacant for the last two years. As many as 17 doctors are running 78 dispensaries and the patients have to go to government hospitals which are already crowded. He said senior laboratory in-charges were running most of the dispensaries. The issue has been brought to the notice of the government but to no avail, he said. When contacted, Executive District Officer (Health) Dr Zafar Iqbal Gondal said the provincial government had regularised services of eight doctors and appointed 20 more for the rural areas. Total 30 posts were vacant and all of the appointees came through the PPSC, so it took time for their appointment, he said and added that the new appointees would join their duties soon. Former Chairman Young Doctors Association Punjab Dr Mohammad Haroon told Dawn that there was a difference between the facilities provided to doctors in rural and urban areas. The salary is the same but the urban area doctors enjoy facilities of allowances. In city areas, there is no issue of transportation but in the rural areas doctors must have their own transport or hire taxis, he said.

find more info http://www.dawn.com/news/1061434/20-doctors-hired-for-pindi-bhus