Friday, March 31, 2006

ADAVB calls for more dentists

ADAVB’s President, Dr Chris Callahan, said the need to redress the extreme doctor training imbalance was entirely justified and that it also applied to dentistry.

He said that only about 70 dental students per annum start the five-year course at Melbourne University’s School of Dental Science, which is the only dental school training dentists in Victoria. This compares with more than 200 pharmacy students entering two Victorian pharmacy colleges each year.

Of the 70 students in the current intake, about 35 are HECS funded, and the remaining 35 are full fee students, with roughly half of those being overseas and half local students.

Dr Callahan said that the low intake of dental students was resulting in chronic workforce and waiting list problems at the end of the five-year course. This is having particular impact on rural communities, with waiting lists of up to five years in some areas.

Thursday, March 30, 2006

US style university system may put community health at risk

An American style university sytem could impact on the well being of Australians, the ADAVB says.

The Association's President, Dr Chris Callahan, says that the introduction of a graduate entry program would force many students to carry a substantial debt and may lead to fewer professionals entering the workplace.

He says that a full-fee post graduate dentistry course would have significant impact on the community, especially on the public health system which was already groaning under lengthy waiting lists.

The comments relate to Melbourne University’s proposal to introduce a graduate entry program which would include the dental course. The university’s dental school currently conducts a five-year course. Under the proposal, a three-year biological science course would be undertaken, followed by possibly four years of graduate dental study.

Dr Callahan says that if this were the case, graduating dentists would be saddled with a substantial debt, as dentistry is the most expensive course. After seven years of study, graduates could enter the workforce with debts of more than $250,000.

Employee Records & Payslips - new obligations

Highlights from a Phillips Fox Update (24/3) regarding implications of the WorkChoice Regulations as regards employee records and payslips follow.
The previous regulations contained three separate divisions dealing with the making and retention of records relating to employees, and these divisions have been consolidated in the new regulations.

The consolidated provisions oblige employers to create and retain records relating to the employment of employees, including ‘transitional employees’, who were bound by an award immediately prior to the commencement of the reforms to the Act. Employers are still, of course, required to issue pay slips to employees. Penalties apply for failure to adhere to these requirements but there is a six month grace period from prosecution in relation to the recording of hours of work (see the first three dot points below).

The new regulations specify that a record must be retained for seven years after the date an entry was changed, seven years after employee’s employment was terminated (whichever occurs first), or seven years after the date the entry was made.
While the content of the employee records is similar to the previous requirements, additional obligations contained in the new regulations include:
· the employee’s daily starting and finishing times;
· recording the employee’s nominal hours (as defined in s92AA of the Act: usually 38 hours per week) and any variations to those hours;
· the total number of hours worked by the employee during each day;
· retaining a copy (if one was made) of the agreement between the employer and employee to average the employee’s hours over a specified period;
· recording the basis upon which the employee’s rate of pay is determined, the gross hourly rate of pay, particulars of any incentive-based payments, recording the pay period and the name of the fund or account into which any deductions from the employee’s remuneration were made;
· the general requirement under the pre-reform regulations to record leave have been expanded into three different clauses related to annual leave, personal leave and other leave. In all three clauses, there is an additional requirement for an employer to record the amount paid to the employee whilst on annual, personal or other leave;
· in relation to annual leave, there is a further requirement to retain the employee’s written decision to have his or her annual leave paid out (if relevant) and to retain a record of the rate at which the annual leave was paid out and the date it was paid. If an employee is a shift worker, the employer must record the dates that the employee was engaged as a shift worker and the date that the shift worker obtained additional annual leave.
These new requirements about recording hours of work and start and finish times will impose challenges for many employers where hours of work are not fixed. If this describes your practice, you will need to review your processes for capturing the information.

Similar to the previous requirements, an employer must make a copy of a record available to an employee or former employee to whom the record relates, or to a workplace inspector if requested. Note if the record is kept on the premises or the workplace inspector made the request, it must be made available within three business days at the employer’s premises or within 14 days if a copy of the record is posted or faxed.

If an employer becomes a successor, transmittee or assignee of the whole or part of a business of the former employer and employs a ‘transferring employee’ (see meaning contained in new regulations), the old employer must transfer the records related to the transferring employee and the new employer is obliged to retain the transferred records as if the new employer had originally made those records.

An employer must issue a payslip to an employee within one day of the pay being made to the employee. The contents of the payslip are similar to those contained in the pre-reform regulations, except there is an additional requirement to record any incentive-based payment, bonus, loading or penalty rate.

Wednesday, March 29, 2006

Medical Certificates and Dentists

Under the WorkChoices Act, an employer can now request that an employee produce a medical certificate where the employee takes a day of sick leave or carer’s leave.
On 19 March, the Workplace Relations Minister, Kevin Andrews issued a media release which clarified the way in which registered health professionals other than medical practitioners might be able to issue a medical certificate.

In order to address concerns raised by the Australian Medical Association, the regulations now specify that a health practitioner may only issue a medical certificate in relation to an area in which the health practitioner is licensed or registered according to a law of the relevant State or Territory.

It is now clear therefore, that dentists may not issue medical certificates with respect to an area of practice beyond their competence, as recognised by State or Territory law.

Tuesday, March 28, 2006

Agreements under WorkChoices

The Federal Government's WorkChoices package continues to unfurl, with additional resource materials now available from the Office of the Employment Advocate (OEA).
All new Workplace Agreements (except multiple business agreements) can be lodged online. The OEA has published step-by-step Employer Guides to lead businesses through the process of making workplace agreements.
The OEA advises that it is not possible to comply with all the legal requirements and lodge a workplace agreement - except a greenfields agreement - before Monday 3 April 2006.
The legal requirements for making workplace agreements have changed, notably:
> Any agreement must comply with the Australian Fair Pay and Conditions Standard.
> Agreements must not contain prohibited content.
> Every employee must receive a copy of the correct OEA Information Statement.
> Every employee must have at least seven days to consider the proposed workplace agreement.
> Every agreement lodged must be accompanied by the correct Employer Declaration Form.
Employers should read about these requirements before making a workplace agreement. If you have any questions, you can call the OEA for help on 1300 366 632.

Friday, March 24, 2006

ADAVB opposes graduate entry

As reported in our Blog posting of 16 November last, The University of Melbourne has proposed that courses leading to professional qualifications, including dentistry, should become graduate entry programs. The Bologna model of a three year undergraduate degree followed by a two year graduate degree had originally been suggested as the preferred approach.

A variation on this approach appears to be under consideration for health professional courses, which essentially involves students completing a three year undergraduate degree, probably in biological science, before entering a four year graduate degree.

The ADAVB has lodged a submission with the Council of The University of Melbourne urging that they exempt the Dentistry courses from adoption of the Bologna model, preserving all current dental degrees, including both the present five year undergraduate Bachelor of Dental Science degree and the three year Bachelor of Oral Health Science undertaken by Dental Hygienists and Dental Therapists.

In the event the University is unwilling to exempt the dental course from graduate entry requirements, then we have recommended that they use a Bachelor of Biological Science degree as the pre-requisite for entry to the graduate dental degree.

The ADAVB has also asked :
> that a number of places in the dental degree be reserved for experienced dental hygienists and dental therapists in order to provide a dental career path for these operatives.
> that at least 70 Commonwealth Supported Places be provided in each year of the dental degree.
> that the Faculty of Dental Science be reinstated.

Thursday, March 23, 2006

WorkChoices - commencing 27 March

With the commencement of WorkChoices legislation on Monday 27 March, employer members need to be aware of a number of changes required in their HR administration.
On and from midnight on 26 March all new agreements made under WorkCoices will need to comply with the new rules for negotiation and lodgement.
The Federal Government has published a number of Employer Fact Sheets about the implications of the new legislation, including:
WorkChoices and parental leave
Fact sheet in relation to parental leave under WorkChoices
WorkChoices and annual leave
Fact sheet in relation to annual leave under WorkChoices
WorkChoices and who is covered
Fact sheet in relation to who is covered under WorkChoices
WorkChoices and state awards and agreements
Fact sheet in relation to state awards and agreements under WorkChoices
WorkChoices and employee protections
Fact sheet in relation to employee protections under WorkChoices.
WorkChoices and the Australian Fair Pay and Conditions Standard
Fact sheet in relation to the Australian Fair Pay and Conditions Standard
WorkChoices and awards
Fact sheet in relation to awards under WorkChoices
WorkChoices and federal awards and agreements
Fact sheet in relation to federal awards and agreements under WorkChoices
WorkChoices and termination of employment
Fact sheet in relation to termination of employment under WorkChoices
WorkChoices and minimum rates of pay
Fact sheet in relation to minimum rates of pay under WorkChoices
For more information on WorkChoices, visit their website or call the WorkChoices Infoline on 1300 363 264.

New Publication for DAs Launched

The ADAVB has launched a new digital newsletter called the ADAVB Dental Post, designed for dental assistants employed by ADAVB members.

This publication is offered as a value added service for members to assist them in keeping their staff up to date with workplace, OHS, training, and other news.

The first edition contains information about recent changes to the Dental (Private Sector Victoria) Award - which are fully detailed in the March ADAVB Newsletter (due out late next week). It also encourages registration at the ADAVB Dental Assistants' Convention, which is being held in conjunction with the ADAVB Convention and ADX Dental Expo in late May.

The ADAVB Dental Post includes links to a survey for employers and another for dental assistants regarding DA training. Complete this survey by 31 March to be in the draw for an iPod Nano (one only for employer respondents and one only for DAs).

Employer members are welcome to subscribe to this publication or to allow their staff to subscribe directly. It is important to note however that this subscription will only continue while the employer remains a member of the ADAVB. DAs who subscribe will therefore be linked to their employer on the mailing list, and that list will be edited whenever the ADAVB membership database is modified.

While the first edition of ADAVB Dental Post was disseminated via ADAVB Alert! email to subscribing members, a sample is available for inspection at the Branch website.

Subscriptions to the ADAVB Dental Post are free, but will only be made available where the dental assistant is employed by a current financial member of the Branch. In other words, where a dentist ceases to be a member, the employee/s will cease to receive the publication.

Report of Health Fund Service and Performance

The Private Health Insurance Ombudsman, Mr John Powlay, yesterday published the second annual “State of the Health Funds Report”, providing information on the comparative performance and service delivery of private health insurance funds.

“This year’s State of the Health Funds Report also includes a comparison of the effectiveness of the various health fund gap cover schemes in eliminating or reducing any medical gaps involved in private hospital treatment,” Mr Powlay said.

“The report is focussed on general performance and service delivery by health funds rather than detailed information on all health insurance products” he said.

This year, the Ombudsman has also used the information contained in the State of the Health Funds Report to prepare report cards, “Individual Fund Summary Reports”, on each health fund.

As regards dental cover, BUPA funds (HBA, Mutual Community) cover 48%, Medibank Private cover 46% and MBF cover 52%.

The State of the Health Fund Report can be viewed on the Ombudsman’s website and copies of the report or individual fund summary reports can be requested by contacting the Ombudsman’s office.

Tuesday, March 21, 2006

Dental IR Changes

As a result of the ADAVB's efforts on behalf of members, the Dental (Private Sector Victoria) Award now makes better provision for a career structure for dental assistants, and provides a minimum set of terms and conditions for dental hygienists and dental therapists employed in the private sector.

The Australian Industrial Relations Commission (AIRC) adopted the variations at a hearing on 8 March, and the changes took effect from the beginning of the first pay period commencing on or after that date. Review the Order varying the Award here.

For many years, members have urged that we should do more to make dental assisting an attractive career option, indeed to provide a career structure for dental assistants. One of the more frequent workforce complaints raised with the Branch has been the difficulty in finding and keeping dental assisting staff.

Now, with the formal recognition of multiple Certificate IV qualifications for dental assistants, we have a means by which to offer dental assistants a career path, and to slow the drift from dental assisting to other fields of work. With the introduction of allowances for each additional Certificate IV qualification completed, dental assistants will now be able to aspire to greater recognition of their commitment and skill development. This is long overdue, as a key measure by which to attract and retain skilled dental assistants.

Where an employee holds, and is required by the employer to utilise the skills associated with, a Nationally accredited Level IV Certificate in Dental Radiography and/or Oral Health Education and/or Assistance during General Anaesthesia and Conscious Sedation, they will now be entitled to receive an allowance as follows:

One Certificate IV Qualification - $21.10
Two Certificate IV Qualifications - $42.20
Three Certificate IV Qualifications - $63.60

The other Award enhancement approved by the AIRC on 8 March concerns establishment of minimum terms and conditions for dental hygienists and therapists employed in the private sector.

The ADAVB is well aware that most dental hygienists and dental therapists will continue to receive above award rates after the variation is implemented. In the future, for new employment agreements being negotiated, employer members involved in those negotiations will now have a new ‘floor’ they can use as their baseline and dental auxiliaries will have minimum terms and conditions protected.

The new classification of Dental Hygienist / Dental Therapist within the Dental (Private Sector Victoria) Award will have minimum weekly rates of pay as follows:

1st year of experience after qualification - $636.80
2nd year of experience after qualification - $673.70
3rd year of experience after qualification - $705.30
4th year of experience after qualification - $745.10
5th year of experience after qualification - $775.40
6th year of experience after qualification - $806.00

In addition, where the dental hygienist or dental therapist is the sole employee of this type within a workplace, a sole allowance of a further 5% of the first year rate (i.e. $31.84 / week), will also apply.

In cases where an employee is registered by the Dental Practice Board of Victoria to practice as both a Dental Hygienist and Dental Therapist, and the employer requires them to utilise the skills of both qualifications, they will be entitled to receive a dual registered allowance of 7.5% of the wage rate for 3rd year of experience (i.e. $52.90 / week).

Subscribers to the ADAVB HR Manual will receive further details regarding these significant Award variations in their March quarter update due out shortly. All employers covered by the Award must have a current copy of the Award available for inspection by staff within their practice. If you are not currently subscribing to the Manual and would like to ensure that you have the most up to date information about your HR administration obligations, contact the ADAVB Office on 9826 8318 to obtain a subscription order form.

Monday, March 20, 2006

Dental GST Rulings 'withdrawn'

Thanks to MW Partners for alerting us to the decision of the Australian Taxation Office to "withdraw" a number of dental GST Rulings, on the basis that they involve "a straight application of the law" and "do not involve any interpretive decision".

The withdrawals could imply that the ATO is looking at these areas, and intends to target dental practices for compliance with what they now see as obvious obligations to pay GST.

To assist members in reviewing their application of GST requirements, the following is a list of the Rulings withdrawn in late February 2006. In all cases, the ATO has previously ruled that the services are not GST-free supplies, and that GST should therefore be collected and remitted to them.

ATO ID 2001/285 GST and supply of trays to a dentist
ATO ID 2001/349 GST and Bleaching Trays
ATO ID 2001/350 GST and Orthodontic models
ATO ID 2001/351 GST and Porcelain Veneers
ATO ID 2001/521 GST and supply of occlusal splints to a dentist

Monday, March 13, 2006

Dental conditions a frequent cause of hospital admissions

The Victorian Minister for Health, The Hon Bronwyn Pike, has released a comprehensive snapshot of Victorians' health, called Your Health. This publication details what makes Victorians "stronger, sicker, healthier and happier".

One of the key indicators highlighted is the Ambulatory Care Sensitive Conditions (ACSC) data, which details reasons for hospital admissions on a regional and Statewide basis.

It is noteworthy that dental conditions are second only to diabetes complications on a Statewide basis as a cause of ACSC hospital admissions, and that in some regions dental conditions rate much higher than the State average. This is particularly so for the Grampians, Barwon, Northern Mallee, and East Gippsland regions, suggesting that people in rural communities who are facing lengthy delays in access to basic dental care, are needing more hospital care as their conditions deteriorate. Obviously a higher priority needs to be placed on early treatment to avoid the pain and cost of hospitalisation.

Monday, March 06, 2006

Dental care a key concern for the poor

The Social Policy Research Centre at the University of NSW has just released a report entitled Experiencing Poverty: the voices of low income Australians, which highlights the lack of dental care as one of the key concerns for disadvantaged people.

The following extracts highlight just how central the issue of inadequate access to dental care is for the disadvantaged.

"Where services were under-resourced and allocated using waiting lists (as in the case of public dental treatment) waiting times were so long that many effectively missed out altogether. One participant’s description of the public dental system as being like that in a third world country vividly captures this disturbing problem and the urgent need for action. " (p.17)

"Lack of access to dental care was one issue that created considerable suffering over long periods and contributed to low self-esteem and reduced job prospects. " (p.38)

The ADAVB is a member of the Oral Health Alliance, an informal group comprised of welfare, consumer and professional organisations, concerned about the need to enhance access to dental care for the disadvantaged in our community. The Alliance continues to call on both State and Federal Governments to make dental care a higher priority, and to develop a coordinated and well funded program of accessible dental services for health care card holders and their dependants.

Commonwealth Games Dental Clinic open for business

The dental clinic which forms part of the Polyclinic providing health services at the Games Village in Parkville, opened for business yesterday. Their first patient was from Barbados, and required treatment for a fractured central incisor.
There are around 4500 athletes and 1500 officials from 71 countries participating in the Commonwealth Games, and they are all entitled to make use of 'emergency' treatment facilities offered by the Polyclinic. As each patient attends they are invited to place a red sticker on a map of the world indicating their country of origin.
A roster compising 15 volunteer dentists plus six nursing and other support staff will provide dental services in one of the new Dental Health Services Victoria mobile vans, which has been installed adjacent to the main Polyclinic in the Athletes' Village.
Dr Peter Hays has been the key liaison person between the profession and the Games Secretariat over the past year, and he has worked with Dental Logistics to ensure that the van is equipped with all requisite materials and equipment to be able to provide the expected services. While most of the volunteers are Victorians, the roster includes a number of dentists from other States.
The Games may not begin for another 9 days, but the Village is fully occupied with athletes and others who may require treatment, just like any other small community.
The ADAVB extends its thanks and appreciation to all those who have assisted with arrangements by which dental services can be made available to the Commonwealth Games community over the coming weeks.

Friday, March 03, 2006

Student prizes presented

ADAVB student prizes were awarded for outstanding academic achievements in 2005 at the CPD seminar held at the Sofitel Hotel today.

The ADAVB Prize was awarded to Dr Adam Wallace, pictured here with Branch President Dr Chris Callahan (left) and Dr John Locke (right), representing the Victorian Medical Insurance Agency, which has kindly sponsored this prize over many years.

Other ADAVB prizes presented included:
Mervyn Townsend Prize in Orthodontics - Dr Claire Kimpton
Alan Docking Materials Science Prize (sponsored by the Australian Dental Industry Association) - Ms Jing Jia Wu
Michelle Clark Prize - Ms Cathy Wang

The Australian Dental Research Foundation's Leonard Hansen Prize for student research was also presented by the ADRF Chairman Dr Fred Widdop, to Ms Priscilla Si'ai Lu.

Over 200 members attend Restorative Seminar

Dr John O Burgess conducted today's CPD event on Succesful Restorative Dentistry for 210 members at the Sofitel Hotel.

Dr Burgess is Professor and Chairman of Operative Dentistry and Biomaterials as well as the Assistant Dean for Clinical Research in LSUHSC – School of Dentistry in the USA. He is also a scientist for the Materials Centre at the University of Texas Health Sciences Centre in Houston.

Members attending this seminar gained useful tips and techniques to improve their practice immediately they returned to their clinics. The program provided a clear insight into new materials, their clinical performance and more specifically how best to use them to create long lasting, excellent restorations. Those who attended the full day event earned 6 hours scientific CPD credit.
The ADAVB is grateful to 3M Espe for their support of this successful event.

The next two CPD events are:
8 Mar HR Seminars 2006 - WorkChoices: How It Affects Your Practice (held in conjunction with the VHIA). 2.75 hours Non-Scientific CPD credit
9 Mar Medical Emergencies in the Dental Practice Advanced life saving training from Parasol EMT instructors. 7 hours Scientific CPD credit