Paediatric and Endocrinology Service


UNIT HEAD:	Dr Christine Rodda PhD FRACP Ph 9594 4358 Fax 9594 6067 Suite E Private Consulting, MMC Ph 9594 2464 Email: christine.rodda@southernhealth.org.au
STAFF CONTACTS:
DACS/YADS Administrative Secretary	Nellie Balm 9594 4342 DACS Receptionist 9594 4342
PAEDIATRIC ENDOCRINOLOGISTS:
Consultants do a 1 in 3 fortnightly roster (Roster available from Nellie Balm or Switchboard)
Dr Christine Rodda Unit Head 9594 4358 (DACS Office) 9594 2464 (Suite E reception) Page first on 9387 1000; mobile 0411 100 381	Dr Phil Bergman Page first – 3842 Mobile through switchboard 9594 2464 (Suite E reception)

Dr Justin Brown Mobile through switchboard 9594 2464 (Suite E reception)

Paediatric Diabetes Nurse Educators
Meagan Buszard 9594 4343 Page # 4289	Adam Lamendola/Emma White (job-share) 9594 4567 Pager # 310

CONTACTS VIA DACS RECEPTION (ph. 9594 4342):
Social worker	David Scoble - (also page # 4100 via ph. 9594 6666)
Dietician	Liz Mount Kristen Reed
Psychologist	Julie Barrington (appts via Nellie Balm)
Advanced Training Registrar:	Pager # 939 DACS X44353	SRMO: Pager # 139
YADS Adult Consultants	Dr Dennis Engler Dr Sylvia Lim-Tao Dr Fran Milat Dr Georgia Soldatis Dr Howard Zeimer Dr Indra Jayasuriya
Service details: Paediatric and Adolescent Endocrinology and Diabetes/Diabetes Ambulatory Care Service (DACS) Unit, 42 S
DIABETES AMBULATORY CARE SERVICE (DACS): Ambulatory (if possible) stabilisation and education of newly diagnosed infants, children and adolescents aged <19 years with type 1 and type 2 diabetes Inpatient diabetes care for 0-19 year olds Continuing ambulatory diabetes care for individuals aged 0 – 25 years All diabetes care provided is age-appropriate evidence based best practice
ENDOCRINOLOGY: Diagnosis and management of: Short stature Disorders of puberty (precocious/delayed ) Thyroid/Adrenal/Pituitary Disorders (including congenital hypothyroidism identified on Newborn Screening) Obesity Accelerated growth/Tall stature Disorders of Calcium Metabolism and Metabolic Bone Disease
MODELS OF CARE: 1] AMBULATORY CARE (42S): Predominantly for diabetes ambulatory care (see above) but also some endocrine ambulatory care e.g. initial management of neonatal hypothyroidism, other brief semi-urgent endocrine consultations. DACS is geographically located in 42 S and provides telephone and direct access to a paediatric endocrine advanced training registrar, an SRMO, and diabetes nurse specialists between 0800 and 1700hrs on week days (public holidays excluded), and paediatric endocrine consultants as required and as available. Paediatric Endocrine Consultants are rostered to provide 24 hour On Call consultant support. 2] INPATIENT: Emergency inpatient care (including inpatient consultations for other Units) for endocrinology and diabetes patients aged < 19 years Neonatal Endocrine NICU ward consultations Endocrine testing e.g. Growth hormone arginine/glucagon testing, water deprivation tests Bisphosphonate infusions

OUTPATIENT: i] Paediatric Diabetes Multidisciplinary Outpatient Clinics are held in Clinic A OPD weekly on Friday mornings, except on the 1st Friday (when paediatric endocrine clinics are held). 30 – 40 children under 15 years of age are seen per clinic, and are attended by all DACS clinical staff, together with a biochemist to perform the 3 monthly HbA1C’s ii] Young Adult Diabetes (YADS) Multidisciplinary Outpatient Clinics (CLINIC BOOKINGS THROUGH DACS RECEPTION) are held in Clinic A OPD twice monthly on 1st and 3rd Monday evenings. This is a transition clinic. 40 – 45 young people aged 15 – 25 years are seen per clinic, and are attended by 2 paediatric endocrinologists and 3 adult endocrinologists, paediatric or adult diabetes registrar, paediatric and adult nurse educators, dietician, paediatric (DACS) social worker and a biochemist to perform the 3 monthly HbA1C’s iii] Paediatric Endocrinology Outpatients run once to twice monthly Monash Medical Centre is one of the two paediatric “Growth Centres” in Melbourne (the other being RCH). We co-ordinate Federal Government regulated growth hormone treatment and contribute to the National Growth Hormone Database “OZGROW”. Generally the more complex paediatric endocrine conditions are seen in this clinic. iii] “Fee for Service” Paediatric Endocrine Clinic has been established to manage increasing numbers of paediatric endocrine patients. Patients requiring minimal allied health support are preferentially seen in this FFS clinic, which are held weekly on Monday afternoons in Special Medicine at MMC. iv] Metabolic Bone Disease Clinic - This clinic runs on the 4th Thursday morning of each month in Clinic A outpatients, adjacent to the Paediatric Orthopaedic Clinic which runs in Clinic B OPD, and children and adolescents with complex metabolic bone disease or disorders of calcium metabolism are managed within this clinic. Subspecialists attending this clinic include paediatric orthopaedic surgeons, a paediatric nephrologist, paediatric rheumatologist and paediatric endocrinologists.

OUTREACH CLINICS: MMC Paediatric Endocrinologists provide privately funded outreach services to the Gippsland Corridor and Peninsula Hospital.

Key relationships: Southern Health Wide: SH Adult Diabetes Service Carelink/HITH Cardinia/Casey Community Health

Other paediatric Units: Adolescent Medicine Clinical Genetics (Turner Syndrome, Kleinfelter Syndrome, CAH etc.) Dentistry (metabolic bone disease) Gastroenterology (coeliac disease in 7% type 1 diabetes) Neonatology (osteopaenia of prematurity and other neonatal endocrine conditions) Nephrology (growth hormone/hypertension/metabolic bone disease) Neurology/Developmental disability (immobility osteoporosis, pubertal disorders, menstrual management) Neurosurgery (pituitary pathology and others) Orthopaedics (metabolic bone disease) Psychiatry/CAMS Rheumatology (metabolic bone disease)

Allied Health: Paediatric Diabetes Nurse specialists Social work Dietetics Psychology Physiotherapy (obesity patients)

Other: Biochemistry/haematology/genetics Diagnostic imaging (predominantly bone ages, skeletal surveys, pelvic ultrasounds, Pituitary MRI) Body composition Laboratory (age appropriate DXA bone density) Pharmacy Interpreter Services

Relationship with Paediatric Endocrinology and Diabetes Department, Royal Children’s Hospital (Parkville) for: mutual co-operativity/back-up for patient clinical care Victorian Diabetes Camps (DAV/RCH/SH Consortium) Joint State Government Diabetes Health Care Policy Development for Children and Adolescents