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Teaching & Research

Manning Health Hub doctors are keen contributors to current teaching and research resources to help achieve the best quality of care for their patients and the wider community. See below a range of resources developed by Manning HealthHub doctors

HealthHub Opening Speech

Oct, 2019

Read more here.

The vision of the founder of the Newcastle Medical School

Dec, 2019

Dr Simon Holliday studied medicine at the Newcastle Medical School. When researching for his speech at the HealthHub launch, he came across Professor David Maddison’s speech to the first entrants to the Newcastle Medical School on their first day (the year before I started). It is really worth listening for half an hour.

Prof Maddison had been practicing medicine about 3½ decades. He had consulted for the World Health Organisation and previously been the dean of the Sydney University Medical Faculty. This launch was the cumulation of much of his academic and clinical (and human) experience: his vision for the medical profession.

Opening address by Professor David Maddison to first intake of University of Newcastle Medical students on 6th of March 1978.

View more here.

Holliday S: Equipping patients for a time of helplessness: an educational intervention. Aust J Rural Health; 2009 Oct;17(5):232-5

Oct, 2009

This paper describes how GPs can simply incorporate End-of-Life planning into routine clinical care.

View more here.

Holliday SM, Magin PJ, Dunbabin JS, Ewald BD, Henry J-M, Goode SM, et al. Waiting room ambience and provision of opioid substitution therapy in general practice. Med J Aust 2012;196(6):391-4

Apr, 2012

This paper revealed how patients want to keep a distance from people with certain problems eg mental health or drug and alcohol problems.

View more here.

We made some brief videos in 2013. They described the guideline
advised approach.

These were based more on expert opinion than evidence. They remain current policy but now have been superseded by evidence.

See under additional resources here.

Holliday S, Magin P, Oldmeadow C, Dunbabin J, Attia J, Henry J, et al. An evaluation of the prescription of opioids for chronic non malignant pain by Australian General Practitioners Pain Medicine. 2013;14(1):62-74

Jan, 2013

This paper surveyed over 400 GPs and found none followed all the then guideline items for the opioid management of chronic pain and under a third used most items on most patients.

View more here.

Holliday S, Magin P, Oldmeadow C, Dunbabin J, Attia J, Henry J, et al.  An examination of the influences on New South Wales general practitioners regarding the provision of Opioid Substitution Therapy. Drug and Alcohol review. 2013;32(5):495-503

Mar, 2013

This paper showed fear and stigma was the greatest barrier towards providing evidence based treatments to those dependent on opioids.

View more here.

Holliday S, Hayes C, Dunlop A. Opioid use in chronic non-cancer pain: Part 1: Known knowns and known unknowns. Australian Family Physician. 2013 March 42(3):98-102. (plus author’s reply e-letter)

Mar, 2013

This paper summarised the evidence base (or lack of it) regarding the safety and effectiveness of opioids in chronic pain

View more here.

Holliday S, Hayes C, Dunlop A. Opioid use in chronic non-cancer pain: Part 2: Prescribing issues and alternatives. Australian Family Physician. 2013 March 42(3):104-11.

Mar, 2013

This the second paper tried to describe how to  implement the then expert-recommended management guidelines for opioids in chronic pain. Many of these guideline developers had conflicts of interests.

View more here.

Holliday S, Wilson H. How to Treat: Risky alcohol consumption Australian Doctor 2015, 6 February p21-28.

Feb, 2015

This is a brief primer for GP on how to deal with alcohol issues.

View more here.

Holliday S, Jammal W. The analgesia tango: chronic pain cases from a general practice. Medicine Today 2015 June;16 (6):Suppl 26-32.

Jun, 2015

This paper explores the clinical and medico-legal aspects of the opioid management of chronic pain

View more here.

Holliday S, Wilson H. How to minimise drug and alcohol-related harms. Part I. Australian Doctor. 2015  4 Dec 2015:19-26.
&
Holliday S, Wilson H. How to minimise drug and alcohol-related harms. Part 2. Australian Doctor. 2015. 11 Dec 2015

Dec, 2015

This is a two-part primer for GP on how to deal with drug and alcohol issues

View Part 1 here
View Part 2 here

Holliday S, Magin P, Morgan S, Tapley A, Henderson K, Dunlop A, et al. The pattern of opioid analgesic management by Australian General Practice trainees. Pain Medicine 2015 Sep;16(9):1720-31

Sep, 2015

This paper describes Who gets What opioid and in what geographical and clinical context.

View more here.

Bennett AA, Holliday S, Cohen M. Using opioids in general practice for chronic non-cancer pain: an overview of current evidence. Med J Aust. 2016 Oct 3;205(7):334

Oct, 2016

This was a letter from the NSW guideline working group in reply to a paper published in the MJA disagreeing with their suggested approach.

View more here.

Dushan Jayaweera, Shawkat Islam, Naren Gunja, Chris Cowie, James Broska, Latesh Poojara, Michael S. Roberts & Geoffrey K. Isbister Chloroform ingestion causing severe gastrointestinal injury, hepatotoxicity and dermatitis confirmed with plasma chloroform concentrations.

Oct, 2016

Chloroform poisoning is now very rare, but Dr Shawkat wrote up a patient who he looked after who suffered this.

View more here.

Holliday S, Hayes C, Dunlop A et al Protecting pain patients. The evaluation of a chronic pain educational intervention. Pain Med. 2017 Mar 13; PMID: 28340143

Mar, 2017

This paper showed brief education for GPs improved their knowledge and theoretical care of pain patients.

View more here.

Holliday SM, Hayes C, Dunlop AJ, Morgan S, Tapley A, Henderson KM, et al. Does brief chronic pain management education change opioid prescribing rates? A pragmatic trial in Australian early-career general practitioners. PAIN. 2017 Feb;158(2):278-88.

Feb, 2017

This paper showed the same training did not change total opioid prescribing. However, there was a suggestion that after training opioids may have been initiated less often for chronic pain.

View more here.

Holliday, S. M., Morgan, S., Tapley, A., et.al. 2017 The pattern of anxiolytic and hypnotic management by Australian general practice trainees. Drug and Alcohol Review, 36: 261–269.

This paper describes Who gets What sedative or hypnotic and in what geographical and clinical context.

View more here.

Holliday S. Ben has chronic flank pain: Case 4. Check. 2018;553 (September):25-9.

Sep, 2018

This reports a case in a question and answer format about a de-identified chap and his pain care prior to his attending our surgery

View more here.

Magin, P., Tapley, A., Dunlop, A.J. et al. (Holliday last author) Changes in Australian Early-Career General Practitioners’ Benzodiazepine Prescribing: a Longitudinal Analysis  J Gen Intern Med (2018) 33: 1676.

Jul, 2018

This paper shows that over the years, GP registrars (trainees) as a whole are prescribing less sedatives & hypnotics but each registrar does not change their prescribing rate during their training years.

View more here.

Holliday S, Hayes C, Jones L, Gordon J, Harris N, Nicholas M. Prescribing wellness: comprehensive pain management outside specialist services. Australian Prescriber June 2018;41(3):86-91.

Jun, 2018

This paper outlines how GPs should manage chronic pain and legacy opioid-consuming patients.

View more here.

Bruggink L, Hayes C, Lawrence G, Brain K, Holliday S. Chronic pain: Overlap and specificity in multimorbidity management. Australian Journal for General Practitioners. 2019;48(10):689-692.

Oct, 2019

This paper outlines how GPs’ excellent chronic pain management is also the model of care for many chronic diseases and individual patients who suffer multiple chronic problems.

View more here.

 
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