RACGP - Dermatology

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id="list-title-80972">Supervisors and practice managers</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-80972"> <li class="list-item"> <a href="/education/gp-training/supervisors-and-practice-managers/overview" class="list-link"> Overview </a> </li><li class="list-item"> <a href="/education/gp-training/gp-practice-and-supervisors/resources-for-supervisors-and-practice-managers" class="list-link"> Resources </a> </li><li class="list-item"> <a href="/education/gp-training/gp-practice-and-supervisors/supervisor-professional-development" class="list-link"> Supervisor Professional Development </a> </li><li class="list-item"> <a href="/education/gp-training/gp-practice-and-supervisors/payments" class="list-link"> Training practice and supervisor payments </a> </li><li class="list-item"> <a href="/education/gp-training/gp-practice-and-supervisors/accreditation" class="list-link"> Accreditation </a> </li><li class="list-item"> <a 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class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-86841" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-87429">RACGP Exams</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-87429"> <li class="list-item"> <a href="/education/fracgp-exams/racgp-exams/clinical-competency-exam" class="list-link"> Clinical Competency Exam </a> </li><li class="list-item"> <a href="/education/fracgp-exams/racgp-exams/exam-enrolment-instructions" class="list-link"> Exam enrolment </a> </li><li class="list-item"> <a 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<a href="/education/fracgp-exams/preparing-for-exams/exam-planning-start-here" class="list-link"> Exam planning: start here! </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11828" id="nav-link-11828" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> CPD Home </a> <div class="nav-flyout collapse" id="nav-flyout-11828" data-parent="#nav-tabs-flyout-11752" aria-labelledby="nav-link-11828" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11828" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11878">CPD at the RACGP</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11878"> <li class="list-item"> <a href="/education/professional-development/cpd/mycpd-home-member-resources" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> MyCPD home member resources </a> </li><li class="list-item"> <a href="/education/professional-development/cpd/2023-triennium" class="list-link"> 2023-25 Triennium </a> </li><li class="list-item"> <a href="/education/professional-development/cpd/cpd-for-education-providers" class="list-link"> CPD providers </a> </li><li class="list-item"> <a href="/education/professional-development/cpd/continuing-professional-development-cpd-standards/introduction" class="list-link"> Continuing professional development (CPD) Standards </a> </li><li class="list-item"> <a href="/education/professional-development/cpd/cpd-program-level-requirements" class="list-link"> CPD program-level requirements </a> </li><li class="list-item"> <a href="/education/professional-development/cpd/faqs-for-gps" class="list-link"> Frequently Asked Questions for GPs </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11904">Courses and events</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11904"> <li class="list-item"> <a href="/alcohol-and-other-drugs" class="list-link"> Alcohol & Other Drugs GP Education Program </a> </li><li class="list-item"> <a href="https://mycpd.racgp.org.au/browse" class="list-link"> Browse Activities </a> </li><li class="list-item"> <a href="/education/professional-development/courses/delegate-conditions-and-cancellation-policy" class="list-link"> Delegate conditions and cancellation policy </a> </li><li class="list-item"> <a href="/education/professional-development/courses/pre-fellowship-program" class="list-link"> Pre-Fellowship Program (PFP) </a> </li><li class="list-item"> <a href="/online-events/home" class="list-link"> RACGP Events </a> </li><li class="list-item"> <a href="/education/professional-development/courses/certificate-of-primary-care-dermatology" class="list-link"> Certificate of Primary Care Dermatology </a> </li><li class="list-item"> <a href="/education/professional-development/courses/racgp-faculty-events" class="list-link"> RACGP Faculty Events </a> </li><li class="list-item"> <a href="/the-racgp/faculties/rural/education-and-training" class="list-link"> Rural education and training </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11929">Online learning</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11929"> <li class="list-item"> <a href="/education/professional-development/online-learning/gplearning" class="list-link"> gplearning </a> </li><li class="list-item"> <a href="/education/professional-development/online-learning/check" class="list-link"> check </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/online-events/search-events?searchmode=anyword&searchtext=&type=1&careerstage=0&faculty=8&category=&searchorder=0&series=" class="list-link"> Upcoming and past webinars </a> </li><li class="list-item"> <a href="/education/professional-development/online-learning/resources-and-webinar-series" class="list-link"> Resources </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/familyviolence/index.htm" class="list-link"> Family violence </a> </li><li class="list-item"> <a href="http://www.racgp.org.au/the-racgp/faculties/wa/supporting-residential-and-aged-care-patients" class="list-link"> Supporting residential and aged care patients in WA </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11982">Conferences</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11982"> <li class="list-item"> <a href="http://www.racgp.org.au/gp24/home" class="list-link"> RACGP GP24 Conference </a> </li><li class="list-item"> <a href="https://woncasar2024.com/" class="list-link"> WONCA South Asia Region Conference </a> </li><li class="list-item"> <a href="https://hackathon25.au/" class="list-link"> RACGP Hackathon 2025 </a> </li><li class="list-item"> <a href="/pracowners/home" class="list-link"> RACGP Practice Owners Conference </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-32132">Leadership Development Programs</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-32132"> <li class="list-item"> <a href="/education/professional-development/programs/racgp-mentoring-program" class="list-link"> Mentoring Program </a> </li><li class="list-item"> <a href="/education/professional-development/programs/future-leaders-program" class="list-link"> Future Leaders Program </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11810" id="nav-link-11810" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> IMGs </a> <div class="nav-flyout collapse" id="nav-flyout-11810" data-parent="#nav-tabs-flyout-11752" aria-labelledby="nav-link-11810" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11810" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-49013">RACGP International</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-49013"> <li class="list-item"> <a href="/education/imgs/racgp-international" class="list-link"> Join RACGP International </a> </li><li class="list-item"> <a href="/education/imgs/live-and-practice-medicine-in-australia" class="list-link"> Live and practice medicine in Australia </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11963">Fellowship</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11963"> <li class="list-item"> <a href="/the-racgp/faculties/rural/fellowship-in-advanced-rural-general-practice/about-the-fargp" class="list-link"> Rural Generalist Fellowship </a> </li><li class="list-item"> <a href="/education/imgs/fellowship-pathways/fellowship-programs-for-imgs" class="list-link"> Fellowship programs for IMGs </a> </li><li class="list-item"> <a href="/education/imgs/fellowship-pathways/the-general-practice-experience-pathway" class="list-link"> General Practice Experience Pathway </a> </li><li class="list-item"> <a href="/education/registrars/fellowship-pathways/education-framework/overview-of-the-racgp-educational-framework" class="list-link"> RACGP educational framework </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/education/education-providers/curriculum/curriculum-and-syllabus/home" class="list-link"> 2022 RACGP curriculum and syllabus for Australian general practice </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11967">International graduates</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11967"> <li class="list-item"> <a href="/education/imgs/international-graduates/pesci" class="list-link"> PESCI (Pre-Employment Structured Clinical Interview) </a> </li><li class="list-item"> <a href="/education/imgs/international-graduates/pesci-applicant-technical-guide/introduction" class="list-link"> PESCI - Applicant technical guide </a> </li><li class="list-item"> <a href="/education/imgs/international-graduates/pre-employment-structured-clinical-interview-pesci" class="list-link"> PESCI Collection Notice </a> </li><li class="list-item"> <a href="/education/imgs/international-graduates/letters-of-status" class="list-link"> Letters of status </a> </li><li class="list-item"> <a href="/education/imgs/fellowship-pathways/the-general-practice-experience-pathway/new-application" class="list-link"> GPE Assessment Application </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11829" id="nav-link-11829" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> GPs </a> <div class="nav-flyout collapse" id="nav-flyout-11829" data-parent="#nav-tabs-flyout-11752" aria-labelledby="nav-link-11829" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11829" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-12347">Managing mental health</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-12347"> <li class="list-item"> <a href="/education/gps/managing-mental-health/general-practice-mental-health-standards-collabora" class="list-link"> General Practice Mental Health Standards Collaboration </a> </li><li class="list-item"> <a href="/education/gps/managing-mental-health/better-access-initiative" class="list-link"> Better Access Initiative </a> </li><li class="list-item"> <a href="/education/gps/managing-mental-health/the-mental-health-professionals-association" class="list-link"> The Mental Health Professionals' Association </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11863" id="nav-link-11863" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Education providers </a> <div class="nav-flyout collapse" id="nav-flyout-11863" data-parent="#nav-tabs-flyout-11752" aria-labelledby="nav-link-11863" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11863" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11909">RACGP Educational Framework</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11909"> <li class="list-item"> <a href="/education/registrars/fellowship-pathways/education-framework/overview-of-the-racgp-educational-framework" class="list-link"> RACGP Educational Framework </a> </li><li class="list-item"> <a href="http://www.racgp.org.au/cultural-and-health-training-framework/home" class="list-link"> The Aboriginal and Torres Strait Islander Cultural and Health Training Framework </a> </li><li class="list-item"> <a href="/profile-of-a-gp" class="list-link"> Progressive capability profile of the general practitioner </a> </li><li class="list-item"> <a href="/education/education-providers/curriculum/curriculum-and-syllabus/home" class="list-link"> 2022 RACGP curriculum and syllabus for Australian general practice (6th edition) </a> </li><li class="list-item"> <a href="/education/education-providers/curriculum/standards-for-general-practice" class="list-link"> Standards for general practice training </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11911">Programs for educators</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11911"> <li class="list-item"> <a href="/education/education-providers/programs-for-educators/medical-educators" class="list-link"> Medical educators </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-86830" id="nav-link-86830" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Research </a> <div class="nav-flyout collapse" id="nav-flyout-86830" data-parent="#nav-tabs-flyout-11752" aria-labelledby="nav-link-86830" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-86830" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-86998">Australian General Practice Research Foundation</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-86998"> <li class="list-item"> <a href="/education/research-grants-and-programs/research-grants-and-programs/racgp-gp-research-project-noticeboard-1" class="list-link"> RACGP GP Research Project Noticeboard </a> </li><li class="list-item"> <a href="/education/research-grants-and-programs/research-grants-and-programs/ajgp-longitudinal-research-series" class="list-link"> AJGP longitudinal research series </a> </li><li class="list-item"> <a href="/education/research-grants-and-programs/research-grants-and-programs/research-1" class="list-link"> RACGP Expert Committee-Research </a> </li><li class="list-item"> <a href="https://trophi.org.au/" class="list-link"> TROPHI </a> </li><li class="list-item"> <a href="/education/research-grants-and-programs/research-grants-and-programs/ethics-committee" class="list-link"> RACGP National Research and Evaluation Ethics Committee (NREEC) </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/online-events/search-events?series=GPResearchWebinarSeries" class="list-link"> Research webinar series </a> </li><li class="list-item"> <a href="/education/research-grants-and-programs/research-grants-and-programs/research-grant-partnerships" class="list-link"> Research Grant Partnerships </a> </li><li class="list-item"> <a href="/education/research-grants-and-programs/research-grants-and-programs/education-research-grant-program" class="list-link"> Education Research Grant Program </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/education/registrars/research/racgp-research/research-strategy" class="list-link"> RACGP Research Strategy </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/racgp-research/practice-based-research-networks-pbrns" class="list-link"> Practice-Based Research Networks (PBRNs) </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/racgp-research/university-departments-disciplines-of-general-prac" class="list-link"> University Departments of General Practice </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/ajgp/search?articleType=Research" class="list-link"> AJGP research articles </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/education/gp-training/gps-in-training/academic-posts" class="list-link"> AGPT Academic Post Program </a> </li><li class="list-item"> <a href="/education/research-grants-and-programs/research-grants-and-programs/research-webinar-series/other-research-funding" class="list-link"> Other research funding </a> </li> </ul> </li> </ul> </div> </div> </li> </ul> </div> </li> <li class="nav-item" role="tab">  <a class="nav-link collapsed" href="#nav-flyout-11751" id="nav-link-11751" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Clinical resources </a> <div class="nav-flyout container-fluid collapse" id="nav-flyout-11751" data-parent="#top-menu" aria-labelledby="nav-link-11751"> <ul class="nav navbar-nav nav-tabs-flyout nav-flyout-absolute-lg nav-tabs-flyout-dark nav-tabs-flyout-alt container container-racgp" id="nav-tabs-flyout-11751" role="tablist"> <li class="nav-item" role="tab"> <a class="nav-link collapsed" href="/clinical-resources/john-murtagh-library"> John Murtagh Library </a> <div class="nav-flyout collapse" id="nav-flyout-31623" data-parent="#nav-tabs-flyout-11751" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-31623" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-31624">Databases and resources</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-31624"> <li class="list-item"> <a href="/clinical-resources/john-murtagh-library/databases-and-resources/point-of-care-resources" class="list-link"> <span class="fa-li-out"><i class='fa 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<span class="llwt-title" id="list-title-65174">New resources</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-65174"> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-76959">Library user guidance videos</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-76959"> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-31632">Audio digest medical lectures - archives</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-31632"> <li class="list-item"> <a href="/clinical-resources/john-murtagh-library/audio-digest-medical-lectures/pediatrics" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Pediatrics </a> </li><li class="list-item"> <a href="/clinical-resources/john-murtagh-library/audio-digest-medical-lectures/obstetrics-and-gynecology" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Obstetrics and gynecology </a> </li><li class="list-item"> <a href="/clinical-resources/john-murtagh-library/audio-digest-medical-lectures/family-medicine-and-family-practice" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Family Medicine and Family Practice </a> </li><li class="list-item"> <a href="/clinical-resources/john-murtagh-library/audio-digest-medical-lectures/emergency-medicine" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Emergency Medicine </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11834" id="nav-link-11834" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Clinical guidelines </a> <div class="nav-flyout collapse" id="nav-flyout-11834" data-parent="#nav-tabs-flyout-11751" aria-labelledby="nav-link-11834" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11834" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11964">Guidelines by topic</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11964"> <li class="list-item"> <a href="/clinical-resources/clinical-guidelines/guidelines-by-topic/aboriginal-and-torres-strait-islander-health" class="list-link"> Aboriginal and Torres Strait Islander health </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/guidelines-by-topic/aged-care" class="list-link"> Aged care </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/guidelines-by-topic/chronic-disease" class="list-link"> Chronic disease </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/guidelines-by-topic/mental-health-1" class="list-link"> Mental health </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/guidelines-by-topic/preventive-health" class="list-link"> Preventive health </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/guidelines-by-topic/reducing-patient-harms" class="list-link"> Reducing patient harms </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/guidelines-by-topic/view-all-guidelines-by-topic" class="list-link"> View all guidelines by topic </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11946">Key RACGP guidelines</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11946"> <li class="list-item"> <a href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/preventive-activities-in-general-practice/about-the-red-book" class="list-link"> Guidelines for preventive activities in general practice </a> </li><li class="list-item"> <a href="http://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/management-of-type-2-diabetes/introduction" class="list-link"> Management of type 2 diabetes: A handbook for general practice </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines" class="list-link"> View all RACGP guidelines </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-28704">Handbook of Non-Drug Interventions (HANDI)</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-28704"> <li class="list-item"> <a href="/Clinical-Resources/Clinical-guidelines/HANDI/About-HANDI/about-handi" class="list-link"> About HANDI </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/handi/handi-interventions" class="list-link"> Interventions </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/handi/patient-resources" class="list-link"> Patient Resources </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/handi/stay-connected" class="list-link"> Stay connected </a> </li><li class="list-item"> <a href="/clinical-resources/clinical-guidelines/handi/submit-a-proposal" class="list-link"> Submit a proposal </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-79908">First do no harm: a guide to choosing wisely in general practice</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-79908"> <li class="list-item"> <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/first-do-no-harm/about-first-do-no-harm/introduction" class="list-link"> About First do no harm </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/first-do-no-harm/gp-resources" class="list-link"> GP resources </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/first-do-no-harm/patient-resources" class="list-link"> Patient resources </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/first-do-no-harm/associated-topics" class="list-link"> Associated topics </a> </li><li class="list-item"> <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/first-do-no-harm/suggest-a-topic" class="list-link"> Suggest a topic </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-36058" id="nav-link-36058" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> COVID-19 resources </a> <div class="nav-flyout collapse" id="nav-flyout-36058" data-parent="#nav-tabs-flyout-11751" aria-labelledby="nav-link-36058" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-36058" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-36064">Clinical care</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-36064"> <li class="list-item"> <a href="/clinical-resources/covid-19-resources/clinical-care/covid-19-home-care-guidelines/background" class="list-link"> Home-care guidelines for patients with COVID-19 </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/clinical-care/caring-for-patients-with-post-covid-19-conditions/introduction" class="list-link"> Caring for patients with post–COVID-19 conditions </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/clinical-care/oral-antiviral-treatments-for-covid-19-br-prescrib/introduction" class="list-link"> Oral treatments for COVID-19 – Prescribing information for GPs </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/clinical-care/covid-19-and-family-violence-support" class="list-link"> COVID-19 and family violence support </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-36062">Patient resources</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-36062"> <li class="list-item"> <a href="/clinical-resources/covid-19-resources/patient-resources/managing-mild-covid-19-at-home/about-this-guide" class="list-link"> Managing COVID-19 at home </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/patient-resources/patient-resource-managing-post-covid-19-symptoms/introduction" class="list-link"> Patient resource: Managing post–COVID-19 symptoms </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/patient-resources/how-can-i-get-proof-of-my-covid-19-vaccinations" class="list-link"> How can I get proof of my COVID-19 vaccinations? </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/patient-resources/having-a-phone-or-video-consultation-with-gp" class="list-link"> Having a phone or video consultation with your regular GP: Information and support for patients </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-36061">Infection control</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-36061"> <li class="list-item"> <a href="/clinical-resources/covid-19-resources/infection-control/covid-19-infection-control-principles" class="list-link"> COVID-19 infection control principles </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/infection-control/covid-safety-plan-template" class="list-link"> COVID Safety Plan template </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/infection-control/management-of-pandemics" class="list-link"> Patient Alert Posters </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-36065">News and updates</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-36065"> <li class="list-item"> <a href="/coronavirus" class="list-link"> Coronavirus (COVID-19) information for GPs </a> </li><li class="list-item"> <a href="/clinical-resources/covid-19-resources/news/covid-19-vaccine-information-for-gps" class="list-link"> COVID-19 vaccine information for GPs </a> </li><li class="list-item"> <a href="/the-racgp/faculties/vic/post-covid-19-community-of-practice/resources" class="list-link"> Post COVID-19 Resources </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link collapsed" href="/clinical-resources/immunisation-resources"> Immunisation resources </a> <div class="nav-flyout collapse" id="nav-flyout-119530" data-parent="#nav-tabs-flyout-11751" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-119530" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> </ul> </div> </div> </li> </ul> </div> </li> <li class="nav-item" role="tab">  <a class="nav-link collapsed" href="#nav-flyout-11755" id="nav-link-11755" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Running a practice </a> <div class="nav-flyout container-fluid collapse" id="nav-flyout-11755" data-parent="#top-menu" aria-labelledby="nav-link-11755"> <ul class="nav navbar-nav nav-tabs-flyout nav-flyout-absolute-lg nav-tabs-flyout-dark nav-tabs-flyout-alt container container-racgp" id="nav-tabs-flyout-11755" role="tablist"> <li class="nav-item" role="tab"> <a class="nav-link collapsed" href="/running-a-practice/optimising-your-billing-strategy"> Optimising your billing strategy </a> <div class="nav-flyout collapse" id="nav-flyout-119000" data-parent="#nav-tabs-flyout-11755" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-119000" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11831" id="nav-link-11831" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Practice management </a> <div class="nav-flyout collapse" id="nav-flyout-11831" data-parent="#nav-tabs-flyout-11755" aria-labelledby="nav-link-11831" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11831" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11917">Business operations</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11917"> <li class="list-item"> <a href="/running-a-practice/practice-management/business-operations/staff-management" class="list-link"> Staff management </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/business-operations/medicare-benefits-schedule-online-tool" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Medicare Benefits Schedule online tool </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/business-operations/racgp-resources-to-help-you-manage-your-billing" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> RACGP resources to help you manage your billing </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/business-operations/ventilation-and-air-circulating-strategies-in-gene" class="list-link"> Ventilation and air-circulating strategies in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/business-operations/climate-change-and-health" class="list-link"> Climate Change and Health </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-12413">GP wellbeing</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-12413"> <li class="list-item"> <a href="/running-a-practice/practice-management/gp-wellbeing/self-care-and-mental-health-resources" class="list-link"> Self-care and mental health resources </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/gp-wellbeing/the-gp-support-program" class="list-link"> The GP support program </a> </li><li class="list-item"> <a href="/patientaggression" class="list-link"> Preventing and managing patient aggression and violence </a> </li><li class="list-item"> <a href="/sexualharassment" class="list-link"> Responding to sexual harassment by patients </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11918">Practice Toolkits</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11918"> <li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/general-practice-business-toolkit" class="list-link"> General Practice Business Toolkit </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/practice-toolkits/education-toolkits" class="list-link"> Education Toolkits </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11916">Emergencies and pandemics</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11916"> <li class="list-item"> <a href="/running-a-practice/practice-management/managing-emergencies-and-pandemics/naturaldisasters" class="list-link"> Information for GPs in disaster-affected areas </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/managing-emergencies-and-pandemics/managing-emergencies-in-general-practice" class="list-link"> Managing emergencies in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/managing-emergencies-and-pandemics/evacuation-centre-resources" class="list-link"> Evacuation centre resources </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/managing-emergencies-and-pandemics/fact-sheets" class="list-link"> Emergency planning and response factsheets </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/managing-emergencies-and-pandemics/managing-pandemics" class="list-link"> Managing pandemics </a> </li><li class="list-item"> <a href="/running-a-practice/practice-management/managing-emergencies-and-pandemics/emergency-response-planning-tool" class="list-link"> Emergency Response Planning Tool </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11833" id="nav-link-11833" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Practice resources </a> <div class="nav-flyout collapse" id="nav-flyout-11833" data-parent="#nav-tabs-flyout-11755" aria-labelledby="nav-link-11833" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11833" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11913">General practice guides</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11913"> <li class="list-item"> <a href="/running-a-practice/practice-resources/general-practice-guides/supporting-patients-affected-by-workplace-injury" class="list-link"> Supporting patients affected by workplace injury </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/general-practice-guides/drugs-of-dependence-responding-to-requests" class="list-link"> Drugs of dependence: Responding to requests </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/general-practice-guides/referring-to-other-medical-specialists" class="list-link"> A guide for ensuring good referral outcomes for your patients </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/general-practice-guides/preparing-medical-reports" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Preparing medical reports </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/general-practice-guides/improving-health-record-quality/introduction" class="list-link"> Improving health record quality in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/general-practice-guides/ndis-information-for-general-practitioners" class="list-link"> National Disability Insurance Scheme: Information for general practitioners </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/general-practice-guides/medical-management-and-supply" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Medication management and supply </a> </li><li class="list-item"> <a href="/FSDEDEV/media/documents/PLT/RACGP-Placement-Process-Guide-for-Practices.pdf" class="list-link"> 2024.2 Placements Process </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11940">Ordering publications</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11940"> <li class="list-item"> <a href="/running-a-practice/practice-resources/ordering-publications/college-approved-publications" class="list-link"> College approved publications </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/ordering-publications/guidelines-for-general-practice" class="list-link"> Guidelines for general practice </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/ordering-publications/health-records" class="list-link"> Health records - templates </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/ordering-publications/record-keeping-in-general-practice" class="list-link"> RACGP Steriliser Record System - logbook and templates </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/ordering-publications/reference" class="list-link"> Reference </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/ordering-publications/tools-for-general-practice" class="list-link"> Tools for general practice </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11914">Practice tools</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11914"> <li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/how-technology-can-help-you-look-after-health" class="list-link"> How technology can help you look after your health </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/general-practice-policy-and-procedure-templates" class="list-link"> General practice policy and procedure templates </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/advance-care-planning" class="list-link"> Advance care planning </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/financial-assistance-for-practices" class="list-link"> Financial assistance for practices </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/information-sheets" class="list-link"> Information sheets </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/resources-for-gps-support-patients-to-access-ndis" class="list-link"> Resources to help GPs support patients to access the NDIS </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/general-practice-grants-and-commissioning" class="list-link"> General practice grants and commissioning </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/alternative-funding-sources-for-general-practice" class="list-link"> Alternative funding sources for general practice </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/climate-change-and-health-practice-posters" class="list-link"> Climate change and health – Practice posters </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/faq-on-changes-to-consent-and-release-of-patient" class="list-link"> FAQ on changes to consent and release of patient information to life insurers </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/practice-tools/improving-general-practice-workflows" class="list-link"> Improving general practice workflows in your practice </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11931">Medicare</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11931"> <li class="list-item"> <a href="/running-a-practice/practice-resources/medicare/medicare-benefits-schedule-fee-summary" class="list-link"> Medicare Benefits Schedule online tool </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/medicare/medicare-benefits-schedule" class="list-link"> Medicare Benefits Schedule updates </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/medicare/medicare-interpretation-and-compliance" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> RACGP statement on Medicare interpretation and compliance </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/medicare/medicare-benefits-schedule-medicare-compliance" class="list-link"> Medicare Benefits Schedule / Medicare compliance - Summary of useful links </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/medicare/preventive-healthcare" class="list-link"> Preventive healthcare and the Medicare Benefits Schedule </a> </li><li class="list-item"> <a href="/running-a-practice/practice-resources/medicare/the-value-of-general-practice-nurses" class="list-link"> The value of general practice nurses </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11851" id="nav-link-11851" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Practice Standards </a> <div class="nav-flyout collapse" id="nav-flyout-11851" data-parent="#nav-tabs-flyout-11755" aria-labelledby="nav-link-11851" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11851" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-46074">Standards 5th edition Suite</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-46074"> <li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/standards-for-general-practices-5th-ed/table-of-contents" class="list-link"> Standards for general practices (5th edition) </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/after-hours-and-medical-deputising-services" class="list-link"> Standards for after-hours and medical deputising services </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/racgp-infection-prevention-and-control-guidelines/table-of-contents" class="list-link"> Infection prevention and control guidelines </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/standards-for-point-of-care-testing/introduction" class="list-link"> Standards for point-of-care testing </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/patient-feedback-requirements" class="list-link"> Patient feedback requirements </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/patient-feedback-guide" class="list-link"> Patient feedback guide </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/resource-guide" class="list-link"> Resource guide </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/factsheets" class="list-link"> Factsheets and position statements </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-5th-edition/accreditation" class="list-link"> Accreditation </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-46086">Interpretive guides</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-46086"> <li class="list-item"> <a href="/running-a-practice/practice-standards/interpretive-guide-1/interpretative-guide-for-non-traditional-general-p" class="list-link"> Interpretative guide for non-traditional general practices for the purposes of accreditation </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/interpretive-guide-1/interpretative-guide-for-aboriginal-community-cont" class="list-link"> Interpretative guide for Aboriginal community controlled health services </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-46088">Other health care standards</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-46088"> <li class="list-item"> <a href="/running-a-practice/practice-standards/standards-for-other-health-care-settings/patient-centred-medical-homes-1" class="list-link"> Standards for Patient-Centred Medical Homes </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-for-other-health-care-settings/australian-immigration-detention-facilities" class="list-link"> Standards for health services in Australian immigration detention facilities </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-for-other-health-care-settings/health-services-in-australian-prisons" class="list-link"> Standards for health services in Australian prisons </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-for-other-health-care-settings/garrison-health-facilities" class="list-link"> Standards for Garrison Health Facilities in the Australian Defence Force </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-for-other-health-care-settings/peer-audits-for-quality-and-safety" class="list-link"> Peer audits for quality and safety </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-for-other-health-care-settings/standards-for-gp-residential-aged-care" class="list-link"> Standards for general practice residential aged care </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-35833">Standards News</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-35833"> <li class="list-item"> <a href="/running-a-practice/practice-standards/standards-newsletter/reports" class="list-link"> Reports </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-newsletter/view-latest" class="list-link"> View latest newsletter </a> </li><li class="list-item"> <a href="/Running-A-Practice/Practice-Standards/Standards-newsletter" class="list-link"> View all newsletters </a> </li><li class="list-item"> <a href="/running-a-practice/practice-standards/standards-newsletter/expression-of-interest-rec-sgp" class="list-link"> Expression of Interest – REC-SGP </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11854" id="nav-link-11854" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Information security </a> <div class="nav-flyout collapse" id="nav-flyout-11854" data-parent="#nav-tabs-flyout-11755" aria-labelledby="nav-link-11854" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11854" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11885">Information and cyber security in general practice</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11885"> <li class="list-item"> <a href="/running-a-practice/security/protecting-your-practice-information/information-security-in-general-practice" class="list-link"> Information security in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/security/protecting-your-practice-information/responding-to-a-cybersecurity-incident" class="list-link"> Responding to a cybersecurity incident </a> </li><li class="list-item"> <a href="/running-a-practice/security/protecting-your-practice-information/update-medisecure-cyber-security-incident" class="list-link"> An update on the MediSecure cyber security incident </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11894">Privacy and managing health information in general practice</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11894"> <li class="list-item"> <a href="/running-a-practice/security/managing-practice-information/privacy-of-health-information" class="list-link"> Privacy and managing health information in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/security/managing-practice-information/privacy-policy-template" class="list-link"> Privacy policy template </a> </li><li class="list-item"> <a href="/running-a-practice/security/managing-practice-information/secondary-use-of-general-practice-data" class="list-link"> Secondary use of general practice data </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11852" id="nav-link-11852" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Technology </a> <div class="nav-flyout collapse" id="nav-flyout-11852" data-parent="#nav-tabs-flyout-11755" aria-labelledby="nav-link-11852" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11852" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-17797">Clinical Technology</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-17797"> <li class="list-item"> <a href="/running-a-practice/technology/clinical-technology/my-health-record-in-general-practice" class="list-link"> My Health Record in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/technology/clinical-technology/telehealth" class="list-link"> Telehealth </a> </li><li class="list-item"> <a href="/running-a-practice/technology/clinical-technology/managing-external-requests-for-patient-information" class="list-link"> Managing external requests for patient information </a> </li><li class="list-item"> <a href="/running-a-practice/technology/clinical-technology/electronic-prescribing" class="list-link"> Electronic prescribing </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11912">Business technology</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11912"> <li class="list-item"> <a href="/running-a-practice/technology/business-technology/provider-connect-australia" class="list-link"> Provider Connect Australia </a> </li><li class="list-item"> <a href="/running-a-practice/technology/business-technology/using-email-in-general-practice" class="list-link"> Using email in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/technology/business-technology/social-media-in-general-practice/about-this-guide" class="list-link"> Social media in general practice </a> </li><li class="list-item"> <a href="/running-a-practice/technology/business-technology/responding-to-online-reviews-factsheet" class="list-link"> Responding to online reviews </a> </li><li class="list-item"> <a href="/running-a-practice/technology/business-technology/online-appointment-technology" class="list-link"> Online appointment technology </a> </li><li class="list-item"> <a href="/running-a-practice/technology/business-technology/artificial-intelligence-ai-scribes" class="list-link"> Artificial intelligence (AI) scribes </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-34428">Mobile devices to support care</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-34428"> <li class="list-item"> <a href="/running-a-practice/technology/mobile-devices-to-support-care/recommending-health-apps" class="list-link"> Recommending health apps </a> </li><li class="list-item"> <a href="/running-a-practice/technology/mobile-devices-to-support-care/using-personal-mobile-devices-for-clinical-photos" class="list-link"> Using personal mobile devices for clinical photos </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-65022">Reports</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-65022"> <li class="list-item"> <a href="/running-a-practice/technology/reports/minimum-requirements-for-cis" class="list-link"> Minimum requirements for clinical information systems </a> </li> </ul> </li> </ul> </div> </div> </li> </ul> </div> </li> <li class="nav-item" role="tab">  <a class="nav-link collapsed" href="#nav-flyout-11766" id="nav-link-11766" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Advocacy </a> <div class="nav-flyout container-fluid collapse" id="nav-flyout-11766" data-parent="#top-menu" aria-labelledby="nav-link-11766"> <ul class="nav navbar-nav nav-tabs-flyout nav-flyout-absolute-lg nav-tabs-flyout-dark nav-tabs-flyout-alt container container-racgp" id="nav-tabs-flyout-11766" role="tablist"> <li class="nav-item" role="tab"> <a class="nav-link collapsed" href="/advocacy/racgp-2024-25-advocacy-plan"> RACGP 2024-25 Advocacy Plan </a> <div class="nav-flyout collapse" id="nav-flyout-111118" data-parent="#nav-tabs-flyout-11766" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-111118" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11844" id="nav-link-11844" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Reports and submissions </a> <div class="nav-flyout collapse" id="nav-flyout-11844" data-parent="#nav-tabs-flyout-11766" aria-labelledby="nav-link-11844" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11844" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-104573">2024 reports and submissions</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-104573"> <li class="list-item"> <a href="/advocacy/reports-and-submissions/2024-reports-and-submissions/racgp-submission-msac-1785-dexcom-one" class="list-link"> RACGP submission – MSAC 1785 – Dexcom ONE continuous glucose monitoring </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2024-reports-and-submissions/racgp-submission-msac-1786-freestyle-libre-2" class="list-link"> RACGP submission – MSAC 1786 – FreeStyle Libre 2 continuous glucose monitoring system </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2024-reports-and-submissions/racgp-response-to-the-medicare-safety-net-reform" class="list-link"> RACGP response to the Medicare Safety Net Reform Consultation </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2024-reports-and-submissions/submission-to-nras-complexity-review-consultation" class="list-link"> Submission to NRAS Complexity Review – Consultation Paper 1 </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2024-reports-and-submissions/response-to-ahpra-proposed-health-checks-for-late" class="list-link"> Response to AHPRA proposed health checks for late career doctors </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2024-reports-and-submissions/racgp-submission-australia-s-ninth-periodic-cedaw" class="list-link"> RACGP submission - Australia's ninth periodic CEDAW report </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2024-reports-and-submissions/submission-to-review-of-mbs-health-assessment-item" class="list-link"> Submission to review of MBS health assessment items </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-83352">2023 reports and submissions</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-83352"> <li class="list-item"> <a href="/advocacy/reports-and-submissions/2023-reports-and-submissions/racgp-submission-to-the-effectiveness-review-of-ge" class="list-link"> RACGP submission to the Effectiveness Review of General Practice Incentives </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2023-reports-and-submissions/submission-assignment-of-benefit" class="list-link"> Submission on the assignment of benefit process for bulk billed services </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2023-reports-and-submissions/australian-government-s-covid-19-response-inquiry" class="list-link"> RACGP response to the Australian Government’s COVID-19 Response Inquiry Panel </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2023-reports-and-submissions/chronic-obstructive-pulmonary-disease" class="list-link"> RACGP submission - Chronic Obstructive Pulmonary Disease Clinical Care Standard </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2023-reports-and-submissions/racgp-submission-to-anzsco-comprehensive-review" class="list-link"> RACGP submission to ANZSCO Comprehensive Review </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2023-reports-and-submissions/racgp-tasmanian-budget-submission" class="list-link"> RACGP Tasmanian Budget Submission </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-63312">2022 reports and submissions</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-63312"> <li class="list-item"> <a href="/advocacy/reports-and-submissions/2022-reports-and-submissions/submission-to-the-national-health-practitioner-omb" class="list-link"> Submission to the National Health Practitioner Ombudsman – Review of Ahpra’s vexatious notifications </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2022-reports-and-submissions/racgp-submission-to-the-senate-inquiry-into-un-1" class="list-link"> RACGP submission to the senate inquiry into universal access to reproductive healthcare </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2022-reports-and-submissions/racgp-submission-audit-of-the-community-health-and" class="list-link"> RACGP submission – Audit of the Community Health and Hospitals Program </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2022-reports-and-submissions/submission-to-the-department-of-health-and-age-2" class="list-link"> Submission to the Department of Health and Aged Care – Revised PBS Post-market Review Framework </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2022-reports-and-submissions/racgp-response-department-of-health-and-aged-care" class="list-link"> RACGP response: Department of Health and Aged Care consultation on the establishment of a Centre for </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2022-reports-and-submissions/submission-to-the-department-of-health-and-age-1" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Submission to the Department of Health and Aged Care – Review of MBS heart health assessments </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-43995">2021 reports and submissions</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-43995"> <li class="list-item"> <a href="/advocacy/reports-and-submissions/2021-reports-and-submissions/response-to-the-acsqhc" class="list-link"> Response to the ACSQHC - Draft Sepsis Clinical Care Standard </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2021-reports-and-submissions/ending-imaged-based-prescribing" class="list-link"> National Health (COVID-19 Supply of Pharmaceutical Benefits) Special Arrangement 2020 </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2021-reports-and-submissions/national-healthcare-interoperability-plan" class="list-link"> RACGP response to the National Healthcare Interoperability Plan (the Plan) </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2021-reports-and-submissions/national-cervical-screening-program-guidelines" class="list-link"> Submission on the National Cervical Screening Program guidelines changes </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2021-reports-and-submissions/mental-health-initial-assessment-referral-project" class="list-link"> Submission to the Australian Government Department of Health Mental Health Initial Assessment and Re </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2021-reports-and-submissions/mandatory-reporting-medical-device-adverse-events" class="list-link"> Submission to the TGA on the Potential for Mandatory Reporting of Medical Device Adverse Events by H </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-29847">2020 reports and submissions</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-29847"> <li class="list-item"> <a href="/advocacy/reports-and-submissions/2020-reports-and-submissions/submission-on-the-national-bowel-cancer-screening" class="list-link"> Submission on the National Bowel Cancer Screening Program Review </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2020-reports-and-submissions/mbs-heart-health-assessment-items" class="list-link"> Submission to the Department of Health on MBS Heart Health Assessment items </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2020-reports-and-submissions/national-pancreatic-cancer-roadmap" class="list-link"> Submission on the National Pancreatic Cancer Roadmap </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2020-reports-and-submissions/submission-on-the-health-insurance-amendment" class="list-link"> Submission on the Health Insurance Amendment (Compliance Administration) Bill 2020 </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2020-reports-and-submissions/submission-on-renewing-the-natsisps" class="list-link"> National Aboriginal and Torres Strait Islander Suicide Prevention Strategy </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/2020-reports-and-submissions/submission-to-the-acqs-on-its-draft-nsqphs" class="list-link"> Submission to the Australian Commission on Quality and Safety in Health Care on its draft National S </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11965">View all reports and submissions</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11965"> <li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2024-reports-and-submissions" class="list-link"> 2024 reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2023-reports-and-submissions" class="list-link"> 2023 reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2022-reports-and-submissions" class="list-link"> 2022 reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2021-reports-and-submissions" class="list-link"> 2021 reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2020-reports-and-submissions" class="list-link"> 2020 reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2018-reports-and-submissions" class="list-link"> 2018 Reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2017-reports-and-submissions" class="list-link"> 2017 Reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2016-reports-and-submissions" class="list-link"> 2016 Reports and submissions </a> </li><li class="list-item"> <a href="/advocacy/reports-and-submissions/view-all-reports-and-submissions/2015-reports-and-submissions" class="list-link"> 2015 Reports and submissions </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11838" id="nav-link-11838" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Position statements </a> <div class="nav-flyout collapse" id="nav-flyout-11838" data-parent="#nav-tabs-flyout-11766" aria-labelledby="nav-link-11838" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11838" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-15456">Clinical and practice management</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-15456"> <li class="list-item"> <a href="/advocacy/position-statements/clinical-and-practice-management/safe-and-effective-electronic-transfer" class="list-link"> Safe and effective electronic transfer of information to and from general practice </a> </li><li class="list-item"> <a href="/advocacy/position-statements/clinical-and-practice-management/cancer-shared-care" class="list-link"> Cancer Survivorship Shared Care </a> </li><li class="list-item"> <a href="/advocacy/position-statements/clinical-and-practice-management/useability-requirements-for-gpclinic-info-system" class="list-link"> Interoperability and useability requirements for general practice CISs </a> </li><li class="list-item"> <a href="/advocacy/position-statements/clinical-and-practice-management/racgp-position-telehealth-general-practice" class="list-link"> The RACGP position on the use of telehealth in general practice </a> </li><li class="list-item"> <a href="/advocacy/position-statements/clinical-and-practice-management/shared-care-model-between-gp-and-non-gp-specialist" class="list-link"> Shared Care Model between GP and non-GP specialists for complex chronic conditions </a> </li><li class="list-item"> <a href="/advocacy/position-statements/clinical-and-practice-management/seamless-exchange-of-information" class="list-link"> Seamless exchange of information between aged care and general practice </a> </li><li class="list-item"> <a href="/advocacy/position-statements/clinical-and-practice-management/electronic-clinical-decision-support" class="list-link"> Electronic clinical decision support in general practice </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-15453">Health systems and environmental</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-15453"> <li class="list-item"> <a href="/advocacy/position-statements/health-systems-and-environmental/single-employer-model" class="list-link"> Single Employer Model </a> </li><li class="list-item"> <a href="/advocacy/position-statements/health-systems-and-environmental/payroll-tax-for-independent-practitioners" class="list-link"> Payroll tax for independent practitioners </a> </li><li class="list-item"> <a href="/advocacy/position-statements/health-systems-and-environmental/care-and-support-for-people-with-disability" class="list-link"> Care and support for people with disability </a> </li><li class="list-item"> <a href="/advocacy/position-statements/health-systems-and-environmental/healthcare-for-refugees-and-asylum-seekers" class="list-link"> Healthcare for people from refugee backgrounds and people seeking asylum </a> </li><li class="list-item"> <a href="/advocacy/position-statements/health-systems-and-environmental/disease-specific-mbs-items" class="list-link"> Disease-specific MBS items </a> </li><li class="list-item"> <a href="/advocacy/position-statements/health-systems-and-environmental/the-role-of-private-health-insurance-in-healthcare" class="list-link"> The role of private health insurance in primary healthcare </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link nav-link-dropdown collapsed" href="#nav-flyout-11826" id="nav-link-11826" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> Member consultations </a> <div class="nav-flyout collapse" id="nav-flyout-11826" data-parent="#nav-tabs-flyout-11766" aria-labelledby="nav-link-11826" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-11826" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11927">Open consultations</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11927"> <li class="list-item"> <a href="/advocacy/member-consultations/open-consultations/mbs-time-tiered-items-for-primary-care" class="list-link"> MBS time-tiered items for primary care </a> </li> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-11960">Past consultations</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-11960"> <li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/feedback-on-draft-standards-for-general-practices" class="list-link"> Standards for general practices (6th edition) </a> </li><li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/member-survey-health-practitioner-complaints" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> Member survey: Health practitioner complaints/notifications processes </a> </li><li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/the-role-and-inclusion-of-general-practitioners" class="list-link"> The role and inclusion of general practitioners in evacuation centres </a> </li><li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/scope-of-practice-review-3rd-round" class="list-link"> Scope of Practice Review (3rd round of consultation) </a> </li><li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/scope-of-practice-review-2" class="list-link"> Scope of Practice Review (2nd round of consultation) </a> </li><li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/scope-of-practice-review" class="list-link"> Scope of Practice Review </a> </li><li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/accreditation-standards-for-pharmacist-prescriber" class="list-link"> Accreditation standards for pharmacist prescriber education programs </a> </li><li class="list-item"> <a href="/advocacy/member-consultations/past-consultations/view-all-past-consultations" class="list-link"> <span class="fa-li-out"><i class='fa fa-lock'></i></span> View all past consultations </a> </li> </ul> </li> </ul> </div> </div> </li> <li class="nav-item" role="tab"> <a class="nav-link collapsed" href="/advocacy/advocacy-resources"> Advocacy resources </a> <div class="nav-flyout collapse" id="nav-flyout-26130" data-parent="#nav-tabs-flyout-11766" > <div class="container container-racgp d-flex flex-column "> <div class="row pt-lg-4 pb-lg-3 justify-content-lg-end order-lg-1 text-white"> <div class="col-lg-8"> <hr class="dark-grey"> <div class="d-sm-flex justify-content-between"> </div> </div> <div class="col-lg-2 mt-4 align-items-lg-end justify-content-lg-end d-none d-lg-block"> <a class="btn sc btn-icon-text-below" href="#nav-flyout-26130" role="button" data-toggle="collapse" aria-haspopup="true" aria-expanded="false"> <i class="fa fa-close"></i> Close </a> </div> </div> <ul class=" navbar-nav list-unstyled row flex-nowrap" role="tablist"> <li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-110798">RACGP Budget Summary 2024-25</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-110798"> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-101505">MyMedicare</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-101505"> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-82784">Payroll tax</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-82784"> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-97852">Assignment of benefit and signature requirements for MBS telehealth services</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" aria-labelledby="list-title-97852"> </ul> </li><li class="col-auto col-lg link-list-with-title"> <span class="llwt-title" id="list-title-96129">60-day prescribing</span> <hr class="dark-grey m-0"> <ul class="llwt-list link-list" 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href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/foreword">Foreword</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26222" class="list-item"> <a class="list-link collapsed" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/multimorbidity">Multimorbidity</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26225" class="list-item"> <a class="list-link collapsed" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/palliative-care">Palliative and end-of-life care</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26214" class="list-item"> <a class="list-link collapsed" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/deprescribing">Deprescribing</a> <ol style="display:none;"> </ol> </li> <li 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href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/pain">Pain</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26215" class="list-item"> <a class="list-link active" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/dermatology">Dermatology</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26221" class="list-item"> <a class="list-link collapsed" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/mental-health">Mental health</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26219" class="list-item"> <a class="list-link collapsed" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/infection-and-sepsis">Infection and sepsis</a> <ol style="display:none;"> </ol> </li> <li 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href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/faecal-incontinence">Faecal incontinence</a> <ol style="display:none;"> </ol> </li> </ol> </li></ol> </div><div id="table-of-contents" class="list-nav mb-3 border-top border-bottom border-2 border-primary"> <ol id="table-of-contents-root-7" class=""> <li id="table-of-contents-26231" class="list-item"> <a class="list-link collapsed collapse-control" data-toggle="collapse" href="#list-item-26231" aria-controls="list-item-26231" aria-expanded="false" >Supplementary material</a> <ol class="collapse " id="list-item-26231" data-parent="#table-of-contents-root-7"> <li id="table-of-contents-26235" class="list-item"> <a class="list-link collapsed" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/supplementary-material/disclaimer">Disclaimer</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26234" class="list-item"> <a class="list-link collapsed" href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/supplementary-material/reviewers">Reviewers</a> <ol style="display:none;"> </ol> </li> </ol> </li> <li id="table-of-contents-26232" class="list-item"> <a class="list-link " href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/recommendations">Practice points</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26230" class="list-item"> <a class="list-link " href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/figures-and-tables">Figures and tables</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26233" class="list-item"> <a class="list-link " href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/silver-book-expert-advisory-group">Silver Book Expert Advisory Group</a> <ol style="display:none;"> </ol> </li> <li id="table-of-contents-26228" class="list-item"> <a class="list-link " href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/part-a/provided-under-licence">Provided under licence</a> <ol style="display:none;"> </ol> </li></ol> </div><div id="table-of-contents-2" class="list-nav list-nav-alt list-nav-btn my-3"> <ul class=""> <li class="list-item "> <a class="list-link " href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/silver-book-part-b">Silver Book - Part B</a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link " href="/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/silver-book/silver-book-part-c">Silver Book - Part C</a> <ol style="display:none;"> </ol> </li> </ul> </div> </div> <div class="col-md-8 col-lg-9"> <div class="row mb-4"> <div class="col-md-6 mb-2 order-last order-md-first"> <div id="p_lt_ctl03_pageplaceholder_p_lt_WebPartZone3_zoneUtilitySearch_RACGP_SmartSearchBox_pnlSearch" class="racgp-searchbox" onkeypress="javascript:return WebForm_FireDefaultButton(event, 'p_lt_ctl03_pageplaceholder_p_lt_WebPartZone3_zoneUtilitySearch_RACGP_SmartSearchBox_btnSearch')"> <label for="p_lt_ctl03_pageplaceholder_p_lt_WebPartZone3_zoneUtilitySearch_RACGP_SmartSearchBox_txtWord" id="p_lt_ctl03_pageplaceholder_p_lt_WebPartZone3_zoneUtilitySearch_RACGP_SmartSearchBox_lblSearch" class="sr-only">Search:</label> <div class="input-group"> <input name="p$lt$ctl03$pageplaceholder$p$lt$WebPartZone3$zoneUtilitySearch$RACGP_SmartSearchBox$txtWord" type="text" 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type="button"><i aria-hidden="true" class="fal fa-print"></i></button> <button class="btn btn-primary ml-2 mt-1" id="btn-enlarge-text" onclick="enlargeText();" type="button"><i aria-hidden="true" class="fal fa-font"></i> </button> <div class="container container-racgp my-1 d-flex justify-content-end" data-hidden=""> <p class="m-0">Last revised: 30 Oct 2019</p> </div> </div> </div> </div>  <div class="container container-racgp"> <div> </div> <div class="accordion accordion-chevron-left" id="accordion-guidelines-detail"> <div class="card"> <div class="card-header" id="accordion-heading-Title1"> <h2> <a class="collapsed" data-toggle="collapse" href="#accordion-heading-Content1" aria-expanded="false" aria-controls="accordion-heading-Content1"> General principles </a> </h2> </div> <div id="accordion-heading-Content1" class="collapse " aria-labelledby="accordion-heading-Title1"> <div class="card-body"> <div class=""> <ul> <li>Ensure and maintain skin integrity wherever possible.</li> <li>Avoid contact with skin irritants and prolonged localised pressure.</li> <li>Encourage a good diet, including zinc, vitamins C and D and adequate protein, for support of skin barrier function and connective tissue health and cell repair.</li> <li>Maintain skin moisturisation with emollients.</li> <li>Systemic disease and medication reactions can first present with skin signs.</li> <li>Actinic (solar) damage is cumulative, so sun protection and skin cancer surveillance is important at all ages.</li> </ul> </div> </div> </div> </div> <div class="card"> <div class="card-header" id="accordion-heading-Title2"> <h2> <a class="collapsed" data-toggle="collapse" href="#accordion-heading-Content2" aria-expanded="false" aria-controls="accordion-heading-Content2"> Introduction </a> </h2> </div> <div id="accordion-heading-Content2" class="collapse " aria-labelledby="accordion-heading-Title2"> <div class="card-body"> <div class=""> <p>The skin is the largest organ of the body. Its function is critical as a barrier to trauma, external irritants and infection, and also as an indicator of internal illness through symptoms and signs related to the skin.<sup>1</sup></p> <p>The skin has multiple functioning components, and the effects of ageing can affect the skin’s functioning and structural resilience. Changes through exposure to environmental damage and the effects of time and genetic makeup occur as an individual ages. The dermis and epidermis thin, elasticity and oils (sebum) are reduced, and sensation falls due to reduction in nerve endings.</p> </div> </div> </div> </div> <div class="card"> <div class="card-header" id="accordion-heading-Title3"> <h2> <a class="collapsed" data-toggle="collapse" href="#accordion-heading-Content3" aria-expanded="false" aria-controls="accordion-heading-Content3"> Clinical context </a> </h2> </div> <div id="accordion-heading-Content3" class="collapse " aria-labelledby="accordion-heading-Title3"> <div class="card-body"> <div class=""> <p>Currently, it is commonplace for older Australians to show actinic damage effects in their skin and have an increased risk of developing skin cancers. It is hoped that as Australians reduce sun exposure via the public health measures currently in place, solar damage effects to their skin will become less prevalent in later generations of older people.<br /> <br /> Melanocytes also tend to congregate in the basement layer of the epidermis as individuals age and pigment is produced in an uneven way. Seborrhoeic keratoses and lentigines, the so-called ‘age’, ‘wisdom’ or ‘liver’ spots, occur as people age.</p> <p>Elasticity also falls with increased wrinkles and more ‘sag’ of the skin, with reduced skin return during traction. The skin appears more leathery and ‘weather worn’; this is known as elastosis due to damage of collagen and elastin fibres. It is more common in sun-prone areas of the skin.<sup>1</sup></p> <p>It is important to note that aged skin has a reduced ability to sweat and less surface area of blood vessels. This causes a problem with heat exchange, and older patients are more prone to heat intolerance (heatstroke) as a result. Conversely, older people are also more susceptible to the cold with the thinning of subcutaneous fat. This highlights the importance of environmental awareness and controls for older people.</p> <p>Women’s skin tends to start drying, with reduction in sebum and oils in thinning epidermis, from the time of menopause; for men, this is delayed, but is a significant problem for those aged >70 years.<sup>2</sup></p> <p>As individuals age, an increasing number of benign and annoying lesions such as seborrhoeic keratoses, cherry angiomata, skin tags and hyperkeratoses (ie rough thick skin spots) are all more commonly found. The skin of older people tends to repair itself more slowly than those in younger age groups, and is dependent on nutritional status,existing skin damage and vascular supply, which may be impaired. Underlying medical conditions (eg diabetes) can also contribute to this slower repair.</p> <h3>Racial groups</h3> <p>Skin damage with ageing occurs in all racial groups. Skin signs of ageing occur because of the passing of time (chronological ageing) and sun damage (actinic damage). Signs of ageing will occur even in the absence of sun exposure, and the contribution of sun damage is less obvious in racial groups with darker skin. Patients of darker complexion may manifest obvious ageing through loss of elasticity or areas of pigment variability that can be more subtle to discern. Fairer skin types (Fitzpatrick skin type 1) display more classical actinic damage and skin ageing.</p> <p>The Fitzpatrick skin type of an individual is useful to consider when assessing the skin of older people (refer to Appendix 1).</p> <h3>Quality of life</h3> <p>Skin symptoms and manifestations may have a significant effect on an individual’s sense of self-worth, self-esteem and social acceptance and behaviour. As with younger individuals, skin changes may cause significant depression, anxiety and social withdrawal, and should be acknowledged and treated not only at a skin and appearance level but also from a mental health perspective for best results. An ‘effect on life’ tool such as the <a href="http://www.bad.org.uk/shared/get-file.ashx?id=1653&itemtype=document" target="_blank">Dermatology Quality of Life Index (DLQI)</a> may be beneficial, especially in the community settling.<sup>3</sup> Grading severity of specific illnesses appropriately (eg <a href="http://pasi.corti.li/">PASI scores</a> in psoriasis) helps to determine the intensity of treatments needed and the progress to recovery.<sup>4</sup></p> <h3>Bruising</h3> <p>A common complaint among older people is how easily they bruise, often without recognised trauma. This is due to a loss of connective tissue and increasing blood vessel fragility, leading to less resistance to shearing forces and less resilience of the skin to knocks and scrapes. The result is a relatively more superficial and obvious bruise in the skin of older people. This is often worsened by the use of anticoagulants, nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin.<sup>5</sup></p> <h3>Environmental factors</h3> <p class="mb-0">Environmental factors play an important role in the skin of older people, including the following:<sup>6</sup></p> <ul> <li>Cumulative actinic exposure – especially ultraviolet (UV) exposure</li> <li>Smoking</li> <li>Exposure to irritant chemicals – for example, detergents, soaps and solvents</li> <li>Exposure to toxic chemical – for example, hydrocarbons, pesticides, arsenicals</li> <li>Contact with products that cause allergy – for example, fragrances, nickel, glues, some plants</li> <li>Low humidity – especially in heated residential facilities, contributing to skin dryness</li> </ul> <p>It is therefore vital to obtain a good history of past occupation and recreation that may point to long-term or ongoing exposure to the factors listed above. Further limiting the exposure and treating with barriers is appropriate.<sup>6</sup></p> <h3>Itch</h3> <p>Most older people will have some symptoms referable to their skin, most commonly dry skin and itch. Itch is an extremely common symptom in the older age group. Often, there is a simple explanation to the itch (eg dry skin, co-existent dermatitis). Always consider scabies when diagnosing and managing itch in older people, especially in residential aged care facilities (RACFs). <sup>7</sup> Itch can be caused by medication or be a sign of a systemic condition such as iron deficiency or underlying cancer. Causes of itch should be investigated.<sup>8</sup></p> <p>Senile pruritus is itch without rash or explanation in older people.</p> <p>Moisturisers and symptom relief with cold compresses supplemented by non-sedating antihistamines, and treating underlying conditions, are the mainstay of treatment.<sup>8,9</sup></p> </div> </div> </div> </div> <div class="card"> <div class="card-header" id="accordion-heading-Title4"> <h2> <a class="collapsed" data-toggle="collapse" href="#accordion-heading-Content4" aria-expanded="false" aria-controls="accordion-heading-Content4"> In practice </a> </h2> </div> <div id="accordion-heading-Content4" class="collapse " aria-labelledby="accordion-heading-Title4"> <div class="card-body"> <div class=""> <h3>Skin cancer</h3> <p>Skin cancers are the most common cancers in Australia, and general practice is the most common place for the diagnosis and management of these tumours. Skin cancers increase in frequency as individuals age.</p> <p>Thorough skin examination is the mainstay of early prevention and detection of skin cancers, at intervals dependent on the individual’s sun-exposure history and previous skin cancers. This reduces morbidity and complications associated with treatment. Dermatoscopy, if available, is helpful in diagnosing pigmented and vascular aberration.</p> <p>Skin cancer management must be individualised to the patient, and the patient must appropriately consent if diagnostic or therapeutic procedures are to be undertaken. In all age groups, surgical treatment is the mainstay for cure; however, standard guidelines for treatment may not be appropriate for older patients. Treatment does need to be tailored to the patient’s age, general health and wishes (non-curative treatment may be considered).</p> <h4>Keratinocyte</h4> <p>Keratinocyte cancers (ie squamous and basal cell carcinomas) are the most common indicators of significant sun damage and possible precursor (solar keratosis).<sup>10 </sup>Treatment for these premalignant and malignant conditions is common in general practice, and the Cancer Council’s National Health and Medical Research Council (NHMRC)-approved <a href="https://wiki.cancer.org.au/australiawiki/images/3/31/Final_2008_Guidelines_Basal_cell_carcinoma_Squamous_cell_carcinoma.pdf" target="_blank"><em>Basal cell carcinoma, squamous cell carcinoma (and related lesions) – A guide to clinical management in Australia</em></a> is a good reference.</p> <h4>Melanoma</h4> <p>Melanoma is recognised with increasing age,<sup>11</sup> and the current treatment protocols are available through the Cancer Council’s <a href="https://wiki.cancer.org.au/australia/Guidelines:Melanoma" target="_blank"><em>Clinical practice guidelines for the diagnosis and management of melanoma</em></a>. Older individuals are especially at risk of in situ and thin melanoma in sun-damaged fields.</p> <p>Melanoma treatment has progressed markedly in the past 10 years, and many patients are using biological therapeutics to produce lasting longevity in previously rapidly fatal illness states. However, these biologic agents do cause significant skin drying and hyperkeratosis, so good emollient use must be encouraged.</p> <h3>Wounds and ulcers</h3> <p>The skin of older people is less resilient and more prone to damage as they age. Shearing force in non-elastic skin results in tears and abrasions occurring much more commonly. Skin tears are commonplace in older people given that other intercurrent illnesses may affect balance and proprioception (eg Parkinson’s disease, diabetes, cerebrovascular accident), leading to increased accidental trauma.</p> <p>Repair of tears should use the patient’s own skin flap as a ‘graft’, where practicable. After cleaning the area, where possible, the patient’s skin flap should be laid back in place and needs to be held in contact with the wound bed with a firm dressing for several days. Deeper wounds must be assessed on their merits, and treatment is dependent on depth, cause, location on wound, venous and arterial competence, infection risk and general nutritional status.<sup>12,13,14,15</sup></p> <p class="mb-0">Decubitus or pressure ulcers need alertness for prevention in residents living in RACFs. Good nutritional status should be the aim, and good nursing care is paramount by:</p> <ul> <li>frequent repositioning of the patient</li> <li>pressure alleviation techniques (eg air cushions, beds)</li> <li>appropriate dressings with elimination of infection.</li> </ul> <p>Always consider the need for biopsy of the wound edge and wound swab for microbiology if the wound or ulcer is clinically infected, using the Levine technique (refer to Appendix 2).<sup>14</sup><sup>,16 </sup>Cutaneous cancer may present as non-healing ulcers and should be considered in these circumstances.</p> <p>Barrier creams and ointments associated with reduction in causative factors are effective in the prevention of wounds and ulcers.</p> <p>Varicose or stasis changes and eczema associated with varicose veins may lead to ulceration through various mechanisms, including increased tissue pressure, fluid build-up and itch-scratch reactions with resulting trauma. The use of pressure stockings and elevation of limbs can be effective in control, prevention and assisting in healing, with varying levels of evidence for different patient groups.<sup>17</sup></p> <h3>Loss of skin barrier function</h3> <p>Dry skin is common in older people. Skin dehydration and impaired barriers cause the symptom of itch, and can bring out dermatitis and eczemas in those who are susceptible to these conditions.</p> <p>Increased allergen penetration to the dermis results in flares of contact allergies (eg nickel), but also exacerbates previous atopic or seborrhoeic eczema. These flares can require intensive treatment, and emollients are paramount and need to be applied frequently (up to every three hours in severe cases). Steroid creams and ointments need to be considered.<sup>14</sup></p> <p>Dry skin can trigger the ‘itch-and-scratch’ cycle, which predisposes to skin excoriation, abrasion and bacterial infections. Infestations with mites (eg scabies) are also possible, and specific investigation is needed to distinguish these infestations.</p> <p>It is important to be aware of the public health implications of these potentially infectious conditions to carers, family members and/or other aged-care residents.</p> <h3>Allergic reactions and the skin</h3> <p>As with any age, systemic allergies may present with skin manifestations in older people. The risks of skin allergic manifestations increases in older patients on multiple drug therapies.</p> <p>Drug allergies present with a broad range of skin manifestations ranging from non-specific morbilliform erythema or urticaria to the more severe erythema multiforme, Stevens–Johnson syndrome or toxic epidermal necrolysis.<sup>18</sup></p> <h3>Systemic illness and the skin</h3> <p>Diabetes, liver disease, thyroid disease, connective tissue disorders, and autoimmune and vasculitic illnesses may all present with skin manifestations. Deficiency states (eg iron, zinc, vitamin C or B-group vitamins) and general malnutrition may present initially with skin signs.</p> <p>Recognition of certain conditions (eg dermatomyositis, bullous pemphigoid) with their peak incidence in older people can lead to prompt diagnoses and effective treatment.</p> <p>Paraneoplastic skin syndromes and their manifestations should also be considered in older people.</p> <p>Necrobiosis lipoidica and acanthosis nigricans are not uncommon in those who have diabetes, and should be recognised. Difficult to control flexural or mucocutaneous candidiasis should raise the question of diabetes and zoster, and especially if severe or extensive, may indicate immune impairment.</p> <h3>Drug therapy in older people</h3> <p>Older people who are on multiple medications and those with chronic illness (especially renal impairment) are at increased risk of interactions with medication-induced and drug-induced skin reactions.</p> <p>Some associations are obvious (eg urticaria with aspirin) or severe reactions (eg Stevens–Johnson syndrome to sulphur-based medications or allopurinol). For others, the cause is less obvious, such as a morbilliform hypersensitivity rash in a patient on multiple medications, where it can be difficult to identify the trigger. Careful history taking may assist in the definition of these reactions.</p> <p>Some medications also cause problems with the skin because of their modes of action. For example, diuretics and statins may dry the skin; chemotherapy and immunosuppressants, because of reduced immune surveillance, increase skin cancer and infections.</p> </div> </div> </div> </div> <div class="card"> <div class="card-header" id="accordion-heading-Title5"> <h2> <a class="collapsed" data-toggle="collapse" href="#accordion-heading-Content5" aria-expanded="false" aria-controls="accordion-heading-Content5"> Conclusion </a> </h2> </div> <div id="accordion-heading-Content5" class="collapse " aria-labelledby="accordion-heading-Title5"> <div class="card-body"> <div class=""> <p>Skin problems and symptoms are common in older people. The signs of skin ageing, sun damage and changes in how older skin reacts can alter how skin problems present and need to be considered. Older people are at increased risk of impaired heat regulation, increased infections, reduction in barrier functions and poor-healing wounds. Good nutrition with an adequately balanced diet is important in promoting good skin health. Skin protection, avoidance of irritants and moisturisation is key with the regular use of emollient lotions, creams and ointments. Skin moisturisation improves the skin-barrier function and improves quality of life by reducing itch and maintenance of skin integrity.</p> </div> </div> </div> </div> <div class="card"> <div class="card-header" id="accordion-heading-Title6"> <h2> <a class="collapsed" data-toggle="collapse" href="#accordion-heading-Content6" aria-expanded="false" aria-controls="accordion-heading-Content6"> Appendix 1 </a> </h2> </div> <div id="accordion-heading-Content6" class="collapse " aria-labelledby="accordion-heading-Title6"> <div class="card-body"> <div class=""> <h3>Fitzpatrick skin types</h3>   <table border="0" cellpadding="5" cellspacing="5" style="width:100%;"> <thead> <tr> <th scope="col">Skin type</th> <th scope="col">Typical features</th> <th scope="col">Tanning ability</th> </tr> </thead> <tbody> <tr> <td>I</td> <td>Pale white skin, blue/green eyes, blond/red hair</td> <td>Always burns, does not tan</td> </tr> <tr> <td>II</td> <td>Fair skin, blue eyes</td> <td>Burns easily, tans poorly</td> </tr> <tr> <td>III</td> <td>Darker white skin</td> <td>Tans after initial burn</td> </tr> <tr> <td>IV</td> <td>Light brown skin</td> <td>Burns minimally, tans easily</td> </tr> <tr> <td>V</td> <td>Brown skin</td> <td>Rarely burns, tans darkly easily</td> </tr> <tr> <td>VI</td> <td>Dark brown or black skin</td> <td>Never burns, always tans darkly</td> </tr> </tbody> </table> </div> </div> </div> </div> <div class="card"> <div class="card-header" id="accordion-heading-Title7"> <h2> <a class="collapsed" data-toggle="collapse" href="#accordion-heading-Content7" aria-expanded="false" aria-controls="accordion-heading-Content7"> Appendix 2 </a> </h2> </div> <div id="accordion-heading-Content7" class="collapse " aria-labelledby="accordion-heading-Title7"> <div class="card-body"> <div class=""> <h3>Levine method swab culture<sup>19</sup></h3> <ol> <li>Cleanse wound with normal saline</li> <li>Remove/debride nonviable tissue</li> <li>Wait 2–5 minutes</li> <li>If ulcer is dry, moisten swab with sterile normal saline</li> <li>Culture the healthiest-looking tissue in the wound bed</li> <li>Do not culture exudate, pus, eschar or heavy fibrous tissue</li> <li>Rotate the end of the sterile alginate-tipped applicator over a 1 cm2 area for five seconds</li> <li>Apply sufficient pressure to swab to cause tissue fluid to be expressed</li> <li>Use sterile technique to break tip of swab into collection device designed for quantitative cultures</li> </ol> </div> </div> </div> </div> </div> <div id="accordion-guidelines-references" class="accordion accordion-chevron-left"> <div class="card"> <div class="card-header" id="references-heading"> <h2> <a class="collapsed" data-toggle="collapse" href="#references-content" aria-expanded="true" aria-controls="references-content"> References </a> </h2> </div> <div id="references-content" class="collapse" aria-labelledby="references-heading"> <div class="card-body"> <ol> <li id='ref-num-1' value="1"> <a href="https://medlineplus.gov/ency/article/004014.htm" target="_blank"> MedlinePlus. Aging changes in skin. Bethesda, MD: MedlinePlus, 2019 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-2' value="2"> <a href="http://www.racgp.org.au/afp/2014/october/pruritus-in-the-elderly-%E2%80%93-a-guide-to-assessment-and-management" target="_blank"> Chinniah N, Gupta M. Pruritus in the elderly – A guide to assessment and management. Aust Fam Physician 2014;43(10):710–13 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-3' value="3"> Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI) – A simple practical measure for routine clinical use. Clin Exp Dermatol 1994;19(3):210–16. </li> <li id='ref-num-4' value="4"> Baker C, Mack A, Cooper A, et al. Treatment goals for moderate to severe psoriasis: An Australian consensus. Australas J Dermatol 2013;54(2):148–54. </li> <li id='ref-num-5' value="5"> George JN, Aster RH. Drug-induced thrombocytopenia: Pathogenesis, evaluation, and management. Hematology Am Soc Hematol Educ Program 2009:153–58. </li> <li id='ref-num-6' value="6"> <a href="http://www.aad.org/public/skin-hair-nails/anti-aging-skin-care/causes-of-aging-skin" target="_blank"> American Academy of Dermatology. What causes our skin to age? Rosemont, IL: AAD, 2019 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-7' value="7"> Australian Medicines Handbook. AMH aged care companion. Adelaide: AMH, 2018. </li> <li id='ref-num-8' value="8"> Millington GWM, Collins A, Lovell CR, et al. British Association of Dermatologists’ guidelines for the investigation and management of generalized pruritus in adults without an underlying dermatosis, 2018. Br J Dermatol 2018;178(1):34–60. </li> <li id='ref-num-9' value="9"> Yosipovitch G, Bernhard GD. Chronic pruritus. N Engl J Med 2013;368:1625–34. </li> <li id='ref-num-10' value="10"> <a href="https://wiki.cancer.org.au/australiawiki/images/3/31/Final_2008_Guidelines_Basal_cell_carcinoma_Squamous_cell_carcinoma.pdf" target="_blank"> Cancer Council Australia. Clinical practice guide: Basal cell carcinoma, squamous cell carcinoma (and related lesions) – A guide to clinical management in Australia. Sydney: Cancer Council Australia, 2008 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-11' value="11"> <a href="https://wiki.cancer.org.au/australia/Guidelines:Melanoma" target="_blank"> Cancer Council Australia. Clinical practice guidelines for the diagnosis and management of melanoma. Sydney: Cancer Council Australia, 2016 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-12' value="12"> <a href="http://www.racgp.org.au/afp/2014/september/ulcer-dressings-and-management" target="_blank"> Sussman G. Ulcer dressings and management. Aust Fam Physician 2014;43(9):588–92 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-13' value="13"> European Pressure Ulcer Advisory Panel, National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: Clinical practice guideline. Washington, DC: National Pressure Ulcer Advisory Panel, 2009. </li> <li id='ref-num-14' value="14"> Ulcer and Wound Management Expert Group. Therapeutic guidelines: Ulcers and wound management. In: eTG Complete Melbourne: Therapeutic Guidelines Ltd, 2018. [Internet] </li> <li id='ref-num-15' value="15"> Elliott D, The Bluebelle Study Group. Developing outcome measures assessing wound management and patient experience: A mixed methods study. BMJ Open 2017;7:e016155. </li> <li id='ref-num-16' value="16"> International Wound Infection Institute. Wound infection in clinical practice. London: IWII, 2016. </li> <li id='ref-num-17' value="17"> <a href="http://www.nice.org.uk/guidance/cg168" target="_blank"> National Institute for Health and Care Excellence. Varicose veins: Diagnosis and management. London: NICE, 2013 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-18' value="18"> <a href="http://www.racgp.org.au/afp/2013/januaryfebruary/adverse-drug-reactions" target="_blank"> Smith W. Adverse drug reactions: Allergy? Side-effect? Intolerance? Aust Fam Physician 2013;42(1–2):12–16 </a> [Accessed 12 August 2019]. </li> <li id='ref-num-19' value="19"> <a href="http://www.internationalguideline.com" target="_blank"> National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: Clinical practice guidelines. 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aria-controls="list-item-35267" aria-expanded="false" >Elections</a> <ol class="collapse " id="list-item-35267" data-parent="#table-of-contents-root-57"> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/elections/racgp-elections-1"> RACGP elections </a> <ol style="display:none;"> </ol> </li> </ol> </li> <li id="table-of-contents-48878" class="list-item"> <a class="list-link collapsed collapse-control" data-toggle="collapse" href="#list-item-48878" aria-controls="list-item-48878" aria-expanded="false" >Faculties</a> <ol class="collapse " id="list-item-48878" data-parent="#table-of-contents-root-57"> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/nswact"> RACGP NSW&ACT </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/qld"> RACGP Queensland </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/sa"> RACGP SA </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/wa"> RACGP Western Australia </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/racgp-nt"> RACGP NT </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/tas"> RACGP Tasmania </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/vic"> RACGP Victoria </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/aboriginal-and-torres-strait-islander-health"> RACGP Aboriginal and Torres Strait Islander Health </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/rural"> RACGP Rural </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/specific-interests"> RACGP Specific Interests </a> <ol style="display:none;"> </ol> </li> <li class="list-item "> <a class="list-link justify-content-start " href="/the-racgp/faculties/gp-in-training"> RACGP GPs in Training </a> <ol style="display:none;"> </ol> </li> </ol> </li></ol> </div> </div><div class="col-lg-3 col-md-6 my-2"> <p class="h4 no-serif-font">Contact details</p> <ul class="list-unstyled"> <li><a href="tel:1800472247"><i aria-hidden="true" class="fa fa-phone fa-fw mr-2"></i>1800 4RACGP | 1800 472 247</a></li> <li><a href="tel:+61386990300"><i aria-hidden="true" class="fa fa-phone fa-fw mr-2"></i>International +61 3 8699 0300</a></li> <li><a href="mailto:racgp@racgp.org.au"><i aria-hidden="true" class="fa fa-envelope-o fa-fw mr-2"></i>racgp@racgp.org.au</a></li> <li><a href="mailto:ceo@racgp.org.au"><i aria-hidden="true" class="fa fa-envelope-o fa-fw mr-2"></i>ceo@racgp.org.au</a></li> <li><a href="mailto:president@racgp.org.au"><i aria-hidden="true" class="fa fa-envelope-o fa-fw mr-2"></i>president@racgp.org.au</a></li> <li><a href="/Find-an-office"><i aria-hidden="true" class="fa fa-map-marker fa-fw mr-2"></i>Find an office</a></li> </ul> <p class="h4 no-serif-font">Opening hours</p> <ul class="list-unstyled"> <li>8:00 am to 8:00 pm AEDT<br /> Monday to Friday</li> </ul> <p class="h4 no-serif-font">Media </p> <ul class="list-unstyled"> <li><a href="/gp-news/media-releases">Media releases</a></li> <li><a href="/gp-news/media-enquiries">Media enquiries</a></li> </ul> <p class="h4 no-serif-font">Partnerships</p> <ul class="list-unstyled"> <li><a href="/advertising">Advertising, Sponsorship and Partnerships</a>  </li> <li> </li> </ul> <p class="h4 no-serif-font">RACGP endorsements</p> <ul 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General Practitioners acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the land and sea in which we live and work, we recognise their continuing connection to land, sea and culture and pay our respects to Elders past, present and future.</span> </div> <div class="container container-racgp pb-4"> <div class="text-center" style="color:#A9A9A9;">© 2024 The Royal Australian College of General Practitioners (RACGP) ABN 34 000 223 807</div> </div> </div> </div> </footer> </div> <script type="text/javascript"> //<![CDATA[ WebServiceCall('/cmsapi/webanalytics', 'LogHit', '{"NodeAliasPath":"/Clinical-Resources/Clinical-guidelines/Key-RACGP-guidelines/View-all-RACGP-guidelines/Silver-book/Part-A/Dermatology","DocumentCultureCode":"en-AU","UrlReferrer":""}') //]]> </script> <script type="text/javascript"> //<![CDATA[ WebForm_InitCallback();//]]> </script> <script type="text/javascript" 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