Showing posts with label Special. Show all posts
Showing posts with label Special. Show all posts

Friday, July 15, 2011

Doctors and Your Special Needs Child


After your child has been diagnosed, or even if you are still looking for a diagnosis, it is very important for you to find a good team of doctors to work with. Both you and your child will be spending a lot of time with these professionals, so make sure that they have good references and that you are comfortable with the doctor, especially if your child has a medical condition.

Getting appointments with a paediatrician or a specialist may take time, so I have always taken my children to our GP for smaller medical emergencies. Gp's are generally easier to see and if they prefer that your little one needs to see either a paediatrician or a specialist, a call from their office will almost always guarantee you an earlier, if not the same day, appointment with the other doctor.

When deciding on which doctor is right for me, I have always kept the following in mind:

How far is the doctor from where we stay?

Choosing a doctor that is far from where you live can be a real problem if your child requires immediate medical assistance, or if they are hospitalised. The commute can be very draining on you and your family. Another point to consider is that after a long drive, your child is tiered and may be irritable, and is not going to be in any mood to co-operate with a doctor or specialist, especially during assessments.

How large is the practise?

I have always preferred smaller practises. It is much easier to get an appointment with the doctor, the waiting time is shorter and the staff and the doctor gets to know you and your child better on a personal level. It also helps when the atmosphere at the doctor is more of a family atmosphere, as this will help your child to relax and make them more co-operative during the appointment.

How available is the doctor?

If you have medically fragile child or a child with a degenerative disorder, it is important to find out how available the doctor is after hours or over weekends. If you do have an emergency or need questions answered, it is of no use to you, to end up with a locum.

How experienced is the doctor?

For me it has always been more important to have a doctor, even one who has less experience with special needs children, who is willing to work with me, to do what is best for my child.

Many experts can be very intimidating and rigid and don't want to look at a parent's point of view, work 'outside the box' or even consider other possibilities or treatments.

This has never worked for me, I know my child better than anyone else, and at the very least I want my opinion heard.

The expert's personality

Your instincts are all that matter here. You will be spending many hours with these doctors and experts, you have to like them, and visa versa. After your initial consultation, decide if you and your child like the particular doctor, and how he behaved towards your child. If there is a major personality clash, and you struggle to work together, it is time to look for another doctor; the aggravation is just not worth it!

What to do before a doctor's appointment.

There can be quite a long wait period for you to get an appointment with a certain doctor or specialist. This gives you time to prepare for the appointment.

I would advise, that you take someone who knows your child well, with to the appointment. The second set of hands is always helpful, especially during a long assessment or examination. After the appointment, it also helps if you can talk to the doctor without having to deal with a tiered child who wants to leave.
Get all the information together that you want to take with to the doctor. Speak to all their therapists and find out if there are any questions they need answered. This is where your note book comes in handy, write everything down. You may think that you will remember everything, but once you are in front of the doctor, guaranteed you will forget half of them.
Two to three days before the appointment, I usually let my child know that we are going to see the doctor. It is always easier if they know the doctor, and this is not their first visit as they know what to expect. If this is their first visit, explain to them exactly what is going to happen at the appointment, this will lessen their anxiety of the unknown and make the appointment go smoother

Questions to ask after a diagnosis

I was so overwhelmed after my children where diagnosed, that my mind just went blank. It was only later that I thought of many questions related to their condition, that I should have asked the doctor. Keep a note book handy and write down any questions that come to mind, or certain aspects of the condition you don't understand, for your next appointment. To make sure that you and the expert treating your child are clear on what the next step in the treatment is going to be, you can ask them some of these general questions:

What can I do to help my child right now? Taking immediate action will help you feel more in control of the situation. Discuss which therapies or medical procedures are most essential, but most importantly what you can do on a day to day basis to help improves your child's health and ability to function.
Can he recommend any resources, support groups, books or put you intouch with other parents whose children's have the same diagnosis.
Ask your doctor about any resources available in your area like therapy, support groups, schools, respite etc.You may have any use for them right away, but knowing what is available will put your mind at ease.
Find out from your doctor if there is any research or medical trials being done on your child's condition. I allowed my eldest son to be part of the research when I was going through the "Let's find a cure" stage. It worked for a while, but when it got to the stage that I felt we where becoming lab rats, I stopped! Needless to say we didn't find a cure, but we contributed and they are now able to do pre-natal testing and have mapped the gene. My boy's cannot be helped by this...yet, but maybe in the future other children can be.
If medication has been prescribed, find out exactly what it is for and if there are any side effects. It took us a while to find the balance that worked to control my son's epilepsy; it was a matter of trial or error. But is important to stay in touch with your doctor during this time.

The most important thing about a diagnosis is that it gives you options. If you are not happy with the answers you where given, or you have any doubts all about what was discussed in the appointment...get a second opinion. If your paediatrician has recommended a specialist, either get his office to make an appointment with them, or make one yourself when you are ready.

Seeing a specialist who has more experience in dealing with your child's condition' will give you more details on what to expect in the future, what the prognosis is and best therapy and treatment to develop your child to their full potential. In the car, on the way home, it's understandable that you may shed a tear or two, it's been a heck of an emotional day!

What to expect after the visit

No matter what "labels" have been placed on your child, they are still the same child that you love and cherish.

It is perfectly normal to feel:

Angry
To grieve
To cry
To question
To deny

It is perfectly normal to feel this way, and be emotional...if you didn't you wouldn't be human after all! When you are ready, wipe your tears and dry your eyes, give your special baby a big hug, and together you can begin the journey of discovering a brand new life with your special needs child.




Come and visit my Special Needs Child site and get more Information, tips and techniques for raising, loving and parenting a child with special needs. Special families need to share stories, resources, and information to inspire and motivate each other on this long journey full of ups and downs, raising a child with special needs.

[http://www.The-special-needs-child.com/]

Natalie



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Tuesday, July 12, 2011

Moving To Australia: Special Visas For Doctors And Nurses!


Working in Australia as a Doctor

There are many options available for a doctor to get a Visa in Australia. Comprehensive information about how to register and work as a doctor in Australia can be found on the DoctorConnect website. It is an Australian Government program that has been developed by the Department of Health and Ageing for Australian medical employers and foreign doctors and nurses that have been trained outside of Australia.

The DoctorConnect website includes:


information about the healthcare system in Australia,
how to acquire a job as a foreign doctor,
the obligations and responsibilities of your position,
contact information for recruitment agencies that offer medical job placements,
information about programs for employers located in regional and rural areas and
contact information for professional medical associations, medical boards and government agencies.

Requirements to Work as a Doctor in Australia

Foreign doctors who would like to legally practice in Australia must be registered with the Medical Board located in the Territory or State where they wish to practice. After the Visa has been granted, doctors who intend to prescribe medications or work in general practice must apply for a Medicare Provider Number with Medicare Australia.

Details regarding Medicare Australia and registration requirements can be found on the DoctorConnect website.

Temporary Visa Options for Doctors

There are a few types of Visa options for overseas doctors who wish to practice in Australia. You should read all of the details of each Visa to determine which one is right for you.

Closure of the Subclass 422 - Medical Practitioner Visa

Doctors are able to apply for either a temporary Visa or a permanent Visa. When applying for the subclass 422 Visa, applicants will be required to secure employer sponsorship with an approved employer under the subclass 457 Visa program. Holders of this Visa will also be able to add family members to their Visa application so that they can live in Australia without their own Visa complications.

Doctors who would like to secure a permanent residency in Australia must have full medical registration. The Department of Health and Aging will accept a full, unconditional, or general medical registration certificate that has been issued by the State or Territory Medical Board as evidence of registration. If you cannot acquire one of these certificates, the department will accept a conditional specialist registration certificate, which allows you to practice in your specialty without supervision or having to go through more training.

Temporary Business (Long Stay) Visa (Subclass 457)

Doctors who do not have a full medical registration in Australia can be sponsored as a temporary resident under the Long Stay subclass 457 Medical Practitioner Visa while they are obtaining the required documents and certifications to obtain full medical registration. During this time, the doctors will be able to work under a supervised practice in order to meet the requirements for a full medical registration certificate. Australian employers may sponsor foreign doctors for up to 4 years.

The Temporary Business (Long Stay) Visa allows employers and doctors to use an online Visa application. Each employer is allowed to sponsor multiple doctors, nurses and other staff. Once the employer sponsorship has been approved, employers may nominate doctors through an online nomination form which is much simpler than a normal sponsorship application.

Temporary Occupational Trainee Visa

Doctors may be able to apply for an Occupational Trainee Visa if they intend to go through a supervised training program for up to 12 months. The doctor must be trained in a position that is not service-oriented by nature. Employers must nominate doctors for this Visa.

Permanent Visa Options for Doctors

Doctors can obtain a permanent Visa if they have full medical registration in Australia. Once the doctor has full medical registration, he/she may apply for permanent residence under an employer-sponsored or independent visa.

Employer Nomination Scheme (subclass 856)

Doctors who have full medical registration and are sponsored by an approved employer may apply for permanent residence under the Employer Nomination Scheme (ENS).

Regional Sponsored Migration Scheme (subclass 857)

The Regional Sponsored Migration Scheme (RSMS) program was designed to allow employers in low population areas to sponsor foreign doctors for a permanent work visa in Australia. Employer-sponsored doctors working in a regional area of Australia who have full medical registration may apply for permanent residence under the Regional Sponsored Migration Scheme.

Labour Agreements

A labour agreement is a formal arrangement between the Australian Government and an employer. These labour agreements allow Australian employers to hire a specific number of foreign doctors to fill jobs that require specific skills in Australia. The agreements can be for either a permanent or a temporary Visa. Many large companies already have a labour agreement in place, so doctors should ask if there is an existing labour agreement.

General Skilled Migration Program

Doctors with full medical registration may be able to enter Australia as an independent skilled worker under the General Skilled Migration Program. This program is for professionals and other skilled workers who have not found an employer to sponsor them in Australia. Applicants must be at least 18 and under 45 years of age.

Working in Australia as a Nurse

Australia has a high demand for nurses. There are many temporary and permanent career opportunities available in Australia. More visa applications for nurses are received and are therefore processed faster than normal visa applications.

Requirements to Work as a Nurse in Australia

Nurses are required to have a certain level of education and experience in order to obtain a Visa to work in Australia. Nurses must be in good health and pass a health examination in order to work in a hospital or other health care area. All nurses must be registered in the State or Territory where they want to work. There is more information on the Australian Nursery and Midwifery Council (ANMC) website.

Temporary and Permanent Visa Options for Nurses

There are a few types of Visa options for overseas nurses who wish to put their skills to good use in Australia. You should read all of the details of each Visa to determine which one is right for you.

Temporary Business (Long Stay) visa (subclass 457)

With the Long Stay subclass 457 Visa, Nurses may work in Australia for up to 4 years for an approved employer sponsor. Dependent family members may also work and study in Australia with the applicant.

Employer Nomination Scheme

Nurses from overseas must be at least 18 years old and under 45 years old with relevant work experience, education and qualifications. Under the Employer Nomination Scheme (ENS), nurses may be eligible to apply for a permanent visa.

Regional Sponsored Migration Scheme

Foreign nationals with qualifications that are equivalent to a two-year study for a Australian diploma may be eligible to apply for a permanent visa. Nurses must be sponsored by an Australian employer in order to work in a regional area where specific skills are needed in Australia.

General Skilled Migration

Skilled nurses who want to live in Australia but do not have an employer to sponsor them may be eligible to apply for a General Skilled Migration (GSM) Visa. Nurses must pass a meet some basic requirements and pass a skills assessment test from the Australia Nursing and Midwifery Council (ANMC) before the Visa will be granted.

Occupational Trainee Visa

The Occupational Trainee Visa is for training programs of at least 3 months. Nurses must undertake a supervised training program in Australia to improve their skills. It makes a nice addition to a resume!

Business (Short Stay) visa (subclass 456)

The short stay business Visa subclass 456 is best for nurses who wish to undertake a training program for less than three months.

Getting a Home Loan or Mortgage

As a doctor or nurse who is working in Australia, you can apply for a mortgage to buy property while living in Australia. The most common type of Visa application that is approved for a home loan is the subclass 457 Visa. Depending on your financial situation, marital status and employment history, you may be able to borrow up to 80% of the property value at the same rate that Australian citizens receive. Most home loans require a 20% down payment on property loans.

Medical professionals such as Dermatologists, Gynaecologists, Dentists, Psychiatrists, Anaesthesiologists, Chiropractors and Pharmacists may be eligible to receive a special loan package.

Banks will lend money to people who hold different types of Visas such as:


Temporary Business (Long Stay) Business Sponsorship (Subclass 457) and
Medical Practitioner (Temporary) Visa (Subclass 422).
People who have these types of Visas, as well as other types of Visas that have not been mentioned, are encouraged to seek a home loan expert for assistance to get a mortgage.

Approval by the Foreign Investment Review Board (FIRB) may be required to purchase property, depending on your situation. Normally the Government allows you to buy a home to live in as long as you sell the home when you leave Australia. However, if it is a newly built home that was purchased as an investment property, then you may not be required to sell the property when you leave Australia.




About the Author

Otto is a Mortgage Broker that has specialised in temporary resident mortgages, such as doctor mortgages, for over 7 years. His company, the Home Loan Experts, is now one of the top home loan broking firms in Australia.



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