Medical Publications

Jacquie is regularly published in WA publications such as the WA Primary Health Alliance/WA Primary Health Networks GP Connect in her capacity as Hospital Liaison GP at Royal Perth Hospital and has taken a leading role in the development of a number of Health Department of WA publications through her work as a Clinical Lead, Cardiovascular Health Network and other roles with the Health Networks Branch.

Further information on the Cardiovascular Health Network or Jacquie Garton-Smith, Clinical Lead

Challenges in the care of familial hypercholesterolemia: a community care perspective

Tom Brett, Gerald F Watts, Diane E Arnold-Reed, Damon A Bell, Jacquie Garton-Smith, Alistair W Vickery, Jacqueline DM Ryan & Jing Pang
Expert Review of Cardiovascular Therapy Published online: 27 Aug 2015  DOI:10.1586/14779072.2015.1082907

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Familial hypercholesterolaemia: challenges in primary care

Tom Brett, Gerald F Watts, Jacquie Garton-Smith, Damon A Bell, Alistair W Vickery, Jing Pang, Diane Arnold-Reed

Medicine Today, August 2015 16(8) 20-26

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The development of a new cardiac rehabilitation needs assessment tool (CRNAT) for individualised secondary prevention

Julie Smith, Dr Jacquie Garton-Smith, Professor Tom Briffa, Associate Professor Andrew Maiorana
Heart, Lung and Circulation  Published online 20 January 2015

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A framework for bridging the gap in the care of familial hypercholesterolaemia in the community: pragmatic and economic perspectives.

Purchase, Sharon; Vickery, Alistair; Garton-Smith, Jacquie; O’Leary, Peter; Sullivan, David; Slattery, Mark; Playford, David; Watts, Gerald

International Journal of Evidence-Based Healthcare: December 2014 – Volume 12 – Issue 4 – p 244–254

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Optimising the detection and management of familial hypercholesterolaemia: The central role of primary care and its integration with specialist services

Vickery AW, Bell D, Garton-Smith J, Kirke AB, Pang J, Watts GF.

Heart, Lung and Circulation, December 2014, Volume 23, Issue 12, Pages 1158–1164 Published online 14 Aug 2014

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A systematic approach to chronic heart failure care: a consensus statement

Karen Page, Thomas H Marwick, Rebecca Lee, Robert Grenfell, Walter P Abhayaratna, Anu Aggarwal, Tom G Briffa, Jan Cameron, Patricia M Davidson, Andrea Driscoll, Jacquie Garton-Smith, Debra J Gascard, Annabel Hickey, Dariusz Korczyk, Julie-Anne Mitchell, Rhonda Sanders, Deborah Spicer, Simon Stewart and Vicki Wade

Med J Aust 2014; 201 (3): 146-150

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Familial Hypercholesterolaemia in Primary Care: Knowledge and Practices among General Practitioners in Western Australia

Damon A. Bell, Jacquie Garton-Smith, Alistair Vickery, Andrew B. Kirke, Jing Pang, Timothy R. Bates, Gerald F. Watts

Heart Lung and Circulation, April 2014, Volume 23, Issue 4, Pages 309–313. Published online 19 September 2013

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 “All work no play makes a dull GP”

Opinion article by Dr Jacquie Garton-Smith published in Australian Doctor, 16 April 1999.      This is an edited version republished with permission from Australian Doctor.

I have always admired doctors who achieve to a high level outside Medicine.  It is not only their talent which is so inspiring.  Their ability to ALLOW themselves the time to pursue a non-medical commitment is the most essential ingredient to their acclaim.  The selection processes that dictate that doctors are by nature high achievers also favour individuals that dedicate themselves singlemindedly to their career.  And hence many opportunities for personal satisfaction may elude doctors intent on being the best that they can in their chosen field.

The irony is that OVER-focusing on Medicine bankrupts us as people.  Medicine is a demanding, challenging and stimulating career served by talented, intelligent, motivated and highly trained individuals.  To remain capable, challenged and stimulated in our professional lives, we need other pursuits.  A variety of interests enables us to avoid total dependence on medicine for our sense of self-worth and satisfaction.

Are any of the following “symptoms” familiar?

  • Frequently talking lengthily about medical issues when socialising.
  • A hypocritical feeling while telling a stressed patient to take lunch and tea breaks / work fewer hours / take a holiday / spend more time with the family.
  • A wistful longing when running through your health promotion spiel about regular exercise / drinksafe limits / etc.
  • Any other time that “do what I say not what I do” applies.
  • Hearing the hairdresser say “it really needs a good tidy up” and recalling that it’s been annoying you for longer than you care to admit.
  • Exaggerating in the hobbies or interests section of your CV.  Yes we all read (even if it’s mainly medical journals), most of us have to garden and only some of us enjoy it and sport doesn’t count if watched in your lounge room.

Certainly there is a time for talking about our work and we’re not all boring.  But imagine having a range of interests you’d rather talk about.  Try writing a list of your interests then tally up how much time you’ve spent on them in the last week or month.  What else would you LIKE to include?  Whether it is painting, volleyball or opera singing, what is stopping you?

Lack of ability?  How do you know how well you can do it if you don’t try?  Could you hear that opening snap the first time you picked up a stethoscope?  Maybe you might not reach the top of the field but you might enjoy it.

Time?  We are fortunate to have opportunities to be flexible in the hours we consult.  If it means having a longer waiting time for routine appointments and spots left free for emergencies on the day, so be it.  The pressures on rural GPs are phenomenal, but even if you have to be on-call it’s still worthwhile.  If you participate in extra medical activities don’t add them to an already full consulting schedule especially if you will be paid equivalent rates for the time.  Book time off to compensate.  Is your family and personal time less important?  Even a part-time doctor and full-time parent will find a little time for self-revitalising although it may not be easy to arrange.

If your problem is income, look at the prices you charge or the ways you could save. Be sure to bill your time properly.  A small increase per consult may give the same income and an hour or two off.  Your new interest may even drum up a bit of business.

If there is nothing else you would rather do I would suggest that you are over-focusing on Medicine.  I am certain there will always be more you can think of if you are already converted.

Do we think that we will be better doctors if we work ourselves into the ground?  We must give ourselves permission to do the other things that we want to do, and encourage our colleagues who have already come to this conclusion.

We are powerful role models.  If we don’t allow ourselves to balance reasonable working hours with non-medical interests and adequate family time, how can we expect others to?  But ultimately it is our responsibility to ourselves and to those we care about most.

Republished  2013 with permission from Australian Doctor.

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