New measurement tool for educational alliance

Research study looks at GP supervisor’s perspective


A tool which measures the educational alliance between a GP supervisor and registrar from the supervisor’s perspective has been adapted to apply to GP supervisors.

An expert panel of GP supervisors has modified the Supervisory Relationship Measure (SRM) tool, developed for the field of psychology in the UK, to apply specifically to GP supervisors.

The pilot study to adapt the SRM tool to apply to GP supervisors is believed to be a world-first for the field.

A panel of accomplished GP supervisors met at General Practice Training Tasmania (GPTT) on Feb 24 to modify the SRM and kickstart the Australian study.

GP supervisors who are General Practice Supervisors Australia (GPSA) members will be invited to participate in the study by completing the modified GP-SRM via SurveyMonkey in April/May.

Panel Lead Supervisor Morton Rawlin said the evaluation of a supervisor’s alliance with the registrar had traditionally focused on registrar satisfaction with the supervision and training they received.

“This research study aims to develop a validated and reliable measurement of the supervisory relationship between supervisor and registrar from the supervisor’s perspective,” Associate Professor Rawlin said.

“The relationship between a registrar and his or her supervisor has been suggested as the platform for all other aspects of learning and the concept of the educational alliance is a central component of this relationship.”

The GP-SRM will also be used to gain an understanding of deficits that can inform the supervisor education strategies of Australian General Practice Regional Training Organisations (RTOs).

GPSA chair Steve Holmes said there had been a lot of interest from supervisors in contributing to the panel and participating in the final survey.

Associate Professor Rawlin, a respected medical educator, is joined on the panel by GPSA and Tasmanian-based GP supervisors:

GPTT in partnership with GPSA and Monash University are excited about collaborating in a project with such direct supervisor focus and input.

This research project is supported by the Royal Australian College of General Practitioners with funding from the Australian Government under the Australian General Practice Training Program.



New Year, New Minister

Change is one of those things some people find hard. For other’s ‘change is as good as a holiday’ they say and, while I don’t believe any of the health profession is in for a holiday as-a-result-of recent changes to the Ministry, we welcome any voice of reason that the current change may bring.

GP Supervisors met with Riwka Hagen, Practice Manager of Gisborne Medical Centre in Victoria to deliver recognition of service awards three of their doctors received. We were love-struck with a strategy Riwka described about negotiating employment contracts with registrars.

Riwka simply asks a prospective registrar how much they need to earn. “I am not interested in a discussion about percentages. I want to know what monetary amount they ‘need’ to earn. Then I can tell them what they will need to do to earn that amount,” Riwka said. Their earning potential is all in their own hands.

What we like about this strategy is it reinforces a notion that our future GP workforce will need to embrace throughout their careers; your earning potential is linked to how hard and effectively you work rather than the percentage you negotiate.

Learning to build a reputation and thereafter a loyal client list, putting in the hours and servicing patients effectively and efficiently is not learnt overnight, but they are the skills a registrar learns in an apprenticeship model on the job, in addition to the medicine.

Reorganising your percentage negotiation to a discussion oriented around how a registrar will need to operate to achieve it, places the registrar at the centre of the equation rather than the practice. It is ultimately engaging and empowering for the registrar, and links earning potential explicitly to the registrar’s work ethic and capability.

The existing National Terms and Conditions for the Employment of Registrars is in place until December 2018. You will have likely established contracts with your registrars ahead of their commencement this term. The GPSA mantra remains the same – the percentage negotiate was conducted in 2016. Both GPSA and GPRA agreed on what was fair and reasonable as a percentage – 44.79%.

You can simplify registrar recruitment by simply using the GPSA employment agreement template and sticking to the terms and conditions. And remember, the GPSA team are always available to answer any of your queries in relation to employment agreements and the NTCER you can reach to office on 03) 54409077 or via email: .

At GPSA, we are all about sharing great ideas, many of which come from the coal-face. If you have a practice manager or a fellow supervisor who does something really innovative, effective or you have an idea about what service or product would make your life simpler. Let us know. We exist to serve and support our membership.

Dr Steve Holmes
Chair, GPSA

What Gifts are in store for GP Supervisors this year?

We wonder every year whether GP Supervisors will receive some welcome recognition and reward for the work put into teaching the next generation of family doctors. Some 58 of our valued members will receive a Recognition of Service Award for 10 or more years of service to their communities as GP supervisors – training the next generation of family doctors. The joint GPSA RACGP initiative is an important contrast to ‘GP Supervisor of the Year’ awards which tend to single one supervisor out of the thousands that train GP registrars nationally each week.

We thank each and every one of you for the time, passion and commitment you all bring to this demanding, but also intrinsically rewarding role. Without a doubt 2016 was a year of significant change. While it hasn’t been without its trials, we’re mostly intact and continuing to train students and registrars to meet Australia’s future workforce needs. The excellent teaching and mentoring GP supervisors provide will directly influence the cost and quality of health care services over the next 30 years.

There are some worrying signs GP Supervisors will keep an eye on in the new year, but in the spirit of the festive season we focus on the GP Supervisor wish-list for gifts we would dearly love to see at the foot of the GP Supervisor Christmas Tree:

We are all past believing in Santa Clause delivering everything on the wish-list. We would like to think that all of these items are achievable for a happier and healthier 2017. History shows GP Supervisors are patient creatures… I wonder will we see any presents under the GP Supervisor Christmas Tree this year? We can only hope.

Merry Christmas everyone and we look forward to supporting you throughout 2017.


Dr Steve Holmes

In our August 2016 Supervisor survey, one of the top needs many of you expressed was to keep up to date – both clinically and educationally.

In this edition, we cover papers on the safety of primary care, motivation, role-modelling and the practitioners most likely to have a complaint against them.

Read on!

Recent education, training and research articles of interest

Early predictors of need for remediation in the AGPT program

A swag of Australian medical education researchers have come up with what appear to be predictors of the need for remediation in training. The ECTV (External Clinical Teaching Visit) and CFET (Colleague Feedback Evaluation Tool) showed a significant association with the need for formal remediation later in training. Read all about it here.

Motivation in medical education – AMEE Guide

Pelaccia and Viau have produced a neat guide on this important issue. The guide contains helpful strategies that can be adopted to motivate medical students (and probably registrars as well). Get the guide here:

Role modeling

Two papers on this important issue for all you supervisors!

A paper by Amalba et al found that “the desire and willingness to work in a rural community combined with good communication and excellent inter-personal and leadership skills are attributes of good role models for medical students during a community-based education and service (COBES) rotation that subsequently influences medical students’ career choices and readiness to work in a rural setting”.

You can read the paper here:

A rather disturbing opinion piece by George and Green from Penn State College of Medicine uncovered some grisly findings from a ‘Comics and Medicine’ humanities subject. Fourth year med students were asked to create graphic narratives (comics) from their medical education experiences. A whopping 47% of those contained horror images and clinical mentors were depicted as devils, demons, cannibals and belligerent old men.

It’s an interesting article, read here:

How safe is primary care? Systematic review

This paper investigates the frequency of patient safety incidents in primary care and how often such incidents are associated with patient harm.

The result? 2–3 incidents for every 100 consultations/records reviewed (median).

The outcome? 4% of these incidents might be associated with severe harm (significant impact on a patient’s wellbeing including long term-physical or psychological harm or death).

The 3 most common categories of incidents? Administrative and communication incidents; diagnostic incidents; and prescribing and medication management incidents.

Putting in context: The estimated proportion of patient safety incidents in primary care is generally lower than the estimated 10% of people who experience events in hospital.

Read the review here:

Best paper award

The MJA carries the best story of the month for my money, particularly for all you proceduralists out there!

Before picking up that scalpel, kill the Midnight Oil or Cold Chisel album you may have had going in theatre and play Mozart or nothing at all, particularly if you are male.

I kid you not that the main conclusion of this paper by Fancourt, Burton and Wiliamson is:

“Rock music (specifically Australian rock music) appears to have detrimental effects on surgical performance. Men are advised not to listen to rock music when either operating or playing board games.”

Check it out here:

In the August 2016 Supervisor Survey, members indicated that they would like GPSA to provide more information on relevant government policy. Policy News attempts to address your identified need. Feedback welcome!

Thanks to all those who have been emailing their thoughts on these issues.

Your comments have been passed on to the Board and/or taken into account in the drafting of submissions on these policy issues.

Since October, GPSA has provided a response to the AGPT Policy Review and provided a submission to the AHPRA Revalidation discussion paper. You can find it on the AHPRA website here:

Medicare stats and Senate Estimates

Interesting revelations in Senate Estimates revealed that only 65% of patients had all of their GP visits bulk-billed during the last financial year.

81.5% of claims for item 23 consults were bulk-billed in 2015-16. The data show a steady increase from 74.9% in 2006-7. The distribution across states, however, shows rates from 60% in ACT to 88.6% in NSW. Tasmania shows the only fall since 2014-15 (down to 76.7% from 77.3%).

The proportion of the population accessing GP services has fallen for the first time since 2010, down 0.3% to 89.3% in 2015-16 from 89.6% in 2014-15. It’s not the first time it’s happened (the last time was 2006-7) but it’s the first time for quite a while.

And how much do you earn from bulk-billing? Apparently an average full-time bulk-billing GP earned $338,524 from Medicare. That’s up from $312,000 in 2011-12.

Further information and the full list of questions and answers can be found here.

Introducing Competition and Informed User Choice into Human Services: Identifying Sectors for Reform

The Productivity Commission has been busy dealing with all things data-related!.

This report follows one released in September and narrows down the lucky sectors where reforms are being recommended for prioritization.

These are:

Social housing
Public hospitals
End-of-life care services
Public dental services
Services in remote Indigenous communities and
Government-commissioned family and community services.
According to the report, these are the areas that could deliver the biggest bang-for-the-buck in outcomes for users.

Other key findings are:

Introducing greater competition, contestability and informed user choice can improve the effectiveness of many, but not all, human services
Competition between services providers can drive innovation and create incentives for providers to be more responsive to the needs and preferences of users.
Direct government provision of services will be the best way to improve the wellbeing of individuals and families for some services
Government stewardship is critical to ensure quality, suitability, accessibility and support for consumer choices
High quality data are central to improving effectiveness of human services.
This issue is big and the final report will be submitted to the Australian Government in October 2017.

We’ll keep you updated, but just in case you want to read the November report, you can access it here:

Draft National Infrastructure Roadmap

Closes: 16 January 2017

This is an important national initiative that identifies 9 research priority areas around which infrastructure for the next decade will be aimed.

The 9 priority areas are:

Digital data and e-research platforms
Platforms for humanities, arts and social sciences (HASS)
Advanced fabrication and manufacturing
Astronomy and advanced physics
Environmental systems
Complex biology
Therapeutic development.
A number of these (particularly therapeutic development and complex biology) have direct relevance to medicine. Makes for some interesting holiday reading!

Follow the roadmap here.

National Digital Health Strategy

Closes: 31 January 2017

No! This is not a strategy about your fingers! It is about the future of digital health in Australia!

The new Australian Digital Health Agency (good thing it’s not a Directorate) is consulting with 3 groups (apparently they’re separate groups):

Healthcare consumers, carers and families
Clinicians and other healthcare workers and healthcare providers
Researchers, scientists, academics and innovators
How do individuals want to engage with digital services to have access to the information they need to improve their health and wellbeing?

How would healthcare workers like to use data technology to support them to make better treatment decisions?

How can the science, research and teaching community better partner with industry to develop digital health solutions that support individuals and healthcare providers?

If you feel inspired, go to the website and complete the survey – apparently it takes 15-10 mins to complete. Complete the survey here.

I didn’t get to complete the survey because when I wanted to go to the previous page, it hung on me…

The survey is anonymous, we’re assured. However, they do say they might use the information you submit to contact you…..

If you would prefer to provide your comments on any of these issues over the phone, either identified or de-identified through GPSA, please contact:

Joan Burns, Senior Policy Advisor, GPSA

0472 520 611

Doctor Rohan Gay, who has been practicing at Walter Road East General Practitioners in Bayswater WA for over 20 years, has been named 2016 GP Supervisor of the Year by The Royal College of General Practice (RACGP).

He has been often described as the best supervisor a registrar could want as his passion for his craft is evident through his teaching methods, strong rapport with his registrars and supportive nature.

A career in medicine was apparent from a young age for Rohan. His father, a pharmacologist, honed his interest in biology and Rohan became infatuated with the human figure, trying to understand how the body works.

After his acceptance to the Science program at the University of Sydney, Rohan considered following the surgery route and even obtained his Surgery Part 1. However, the idea of being so far removed from the patient discouraged him from pursuing it further and he quickly turned his attention to becoming a general practitioner where he could connect more with the patient.

Rohan remained in Sydney until he received his Fellowship of the RACGP in 1995 and then uprooted to Perth where he would unwittingly join the practice in which he is still based today.

The decision to become a GP supervisor was an easy one for Rohan; he identified becoming a supervisor as a further challenge to himself in his career, and saw it as a way of retaining his own skills. When Rohan began hosting and supervising registrars, he realised he needed to look at medicine in a new light and revise certain areas, in particular those areas which he personally had overlooked in his own training.

“I started making notes on every aspect of medicine. I copied down the contents of medical textbooks and started making my own notes in each of those fields. It helped me identify my own areas of weakness,” Rohan said.

Using his own personal reflection, it guided him in the topics he taught and the method for how he conveyed this information to his registrars.

As GP training relies heavily on reactive scenarios it’s difficult to pinpoint which areas will be covered over the course of the training. Rohan took the onus upon himself to create his own session plans, based on common areas that he would provide to his registrars early on in their training. The primary areas he covers in his early workshops are asthma, cardiovascular, hands-on minor surgeries, ingrown toenail management and other common minor procedures. In his eyes, this allows the registrar to gain an insight into areas beforehand; and this provided a systematic approach to GP training as opposed to relying on reactive training.

Rohan said that another advantage to having an early on workshop with a registrar was that it allows the supervisor to learn where the registrar’s skills are at and quickly establishes the standards for a registrar to meet.

“By using your own experiences and your own insecurities as a guide for what you proactively deal with early on with your registrars, this really helps and it’s really quite appreciated by the registrars,” he said.

“Get used to holding back on the answer and asking for the answer from the registrar before giving it; and knowing that the registrar learns to accept that. You make it clear.”


Miwatj Health Centre is an Aboriginal Medical Service that stands tall and proud when it comes to general practice training and service provision in Arnhem Land. It recently won Training Post of Year at the NTGPE Awards Night.Dr Wendy Page has worked and supervised at Miwatj Health Centre for many years and continues to have an unwavering passion for what it means to be a GP supervisor in the Northern Territory. These are her insights into why remote health and supervision is so important.

(photo caption Dr Wendy Page pictured fourth from the left, stands proudly in front of Miwatj Health Centre)

What are the main differences supervising in a remote setting in the NT compared to one in a major city?

Smaller communities give a feeling that you can be part of an extended family. There are no traffic lights and perhaps an extra two hours in the day that might have otherwise been spent commuting in city traffic.

Who influenced you to become a GP supervisor?

Back in the 1980’s I was a Family Medicine Program (FMP) trainee and I greatly appreciated the support I had from more experienced GPs – mentors, medical educators – I’m not sure if the term ‘ supervisor’ was used then.

In 1984-85, I worked for two years in Tonga, and I was awarded six months special skills from FMP. I greatly appreciated support from my medical educator in Sydney who corresponded by snail mail over my ‘self-directed learning plan’, reducing my sense of professional isolation.

In the early 1990’s in Miwatj region, Dr Sam Heard and Drs Max and Elizabeth Chalmers come to mind in encouraging Miwatj (and I) to take on GP registrars. Many GP registrars have come through Miwatj and have been a backbone to providing health services to the region. Some fellows have come back and contributed years to this region. Dr Stephen Bryce, Dr Nick Tumman, Dr Olivia O’Donoghue, Dr Hung The Nguyen, Dr Penny Ramsay to name a few.

What motivates you to be a GP supervisor?

GP registrars are our future GPs and we have a responsibility to support the next generation, as the generation before have supported us.

What’s your favourite part of being a GP supervisor?

The enthusiasm and openness to learning and commitment to providing the best health care we can, is what I see in GP registrars.

What is your advice to a GP supervisor who may be interested in coming to a remote clinic?

Miwatj needs GP supervisors so that in partnership with community we can work to close the gap in areas of need. The patients are our teachers and they have so much to teach us when we can hear their stories and support their journey for improved health outcomes.

Working amongst Yolngu people in NE Arnhem Land has been for me the best job in the world. A side benefit is the opportunity to meet with inspirational health professionals sharing our journey.

“On your marks!”

That’s what it feels like in the lead up to a new training term. A race, a marathon… call it what you will, as this year races to a close and thousands of registrars are being interviewed across the country for next term, it’s a great time to: Keep going!

I was reminded of the significance of this one key attribute of GP supervisors recently while reviewing the national GP supervisor satisfaction results. Given how much change has beset the GP training environment in 2016, one might anticipate discontent. Do you know what the survey results tell me? Yes, there are challenges emanating from the new environment but, by and large, supervisors have kept on keeping on. And where there are issues, they can be fixed where our training providers, department of health and Minister for Health are prepared to listen.It is the supervisors and training practices which keep this ship upright and it will remain so for many years to come. Why? Because we just keep going – through all of the challenges we weather the storms. We provide the continuity so vital to our communities and importantly to the GP training community.

I had the pleasure to observe Dr Jessica Borgas be awarded the Monty Kent-Hughes Memorial Award for achieving the highest RACGP OSCE result in Australia. Therein lay the ultimate reward for a GP supervisor; seeing your registrar excel, be welcomed into our GP community and reaching independence with excellence. It fills you up and in some way compensates for the more challenging bits.

As you head into a new training term we encourage you to be kind to yourselves and your registrars. Being kind doesn’t mean Christmas bonuses or best boss aspirations. It’s about choosing to make your life simpler. GPSA have employment agreement templates consistent with the NTCER available for you and spent most of 2016 negotiating the New Terms and Conditions on your behalf. When you’re talking to your new registrar and they want to negotiate for more than the NTCER conditions. You can let them know, that the negotiation has already happened and that you pay according to the NTCER. It saves so much time and angst for everyone and sets the tone for the coming training term… that is a focus on training, not money.

I encourage you to diarise the dates for Medicare Provider Number Processing – these must be submitted by 12 December. This is the responsibility of your new registrar, but if you could assist in highlighting this point it will likely make for a smoother start to 2016 for your practice.

Dr Steve Holmes
Chair, GP Supervisors Australia

In our August 2016 Supervisor survey, one of the top needs many of you expressed was to keep up to date – both clinically and educationally.

With the conference season in Australia winding up, here’s a brief list of recently released guidelines, in case you may have missed them.

Clinical guidelines and related updates

The 9th edition of the RACGP “Red Book” Guideline for preventive activities in general practice was launched at GP16

RACGP/Diabetes Australia Type 2 guidelines 2016-18

See also recent article by Weekes on the diabetes type 2 guidelines:

Heart Foundation Guideline for the diagnosis and management of hypertension 2016

As well as an article by Gabb et al in MJA on the hypertension guidelines

doi: 10.5694/mja16.00526

Cancer Council Australia has a guidelines wiki site to enable continuous update.

Access the wiki here:

Here are guidelines on the Cancer Council Australia wiki that are either open for consultation or have had recent updates.

Melanoma guidelines – for consultation

Lung cancer prevention and diagnosis – for consultation

ACRRM Clinical guidelines and amendments can be accessed here:

Recent education, training and research articles of interest

An article in BMJ designed to send a chill into readers is “The computer will assess you now”. The editor’s choice is subtitled “rise of the machines” with the title obviously no accident!

This paper describes a rather unsettling alliance between the NHS and the Google-owned company DeepMind (perhaps the next evolution following IBM’s DeepBlue – the computer that finally beat a reigning human chess master at a game of chess which they said could never be done). The purpose of this unholy alliance is to develop a range of diagnostic tools. For this, it will have access to patient records, which has raised alarm bells all over the place! Consultation is continuing. This story will be followed over the coming year…..I’ll be back…..Hal.

Read the paper in BMJ at:

What do I do? Developing a competency inventory for postgraduate (residency) program directors.

Lief et al have developed a competency inventory for postgraduate program directors that could be helpful in recruitment, orientation, review and performance improvement of academic medical educators.

The inventory describes 26 competencies across five domains: communication and relationship management, leadership, professionalism and management, environmental engagement and management skills and knowledge.

The authors believe that by measuring the performance of education leadership, those leaders will be ‘walking the walk’ and modeling the way for future leaders.

Read the paper in Medical Teacher at:

Connectivism:a knowledge learning theory for the digital age?

John Gerard Scott Goldie pens a fascinating paper on ‘connectivism’ and its application as a knowledge learning theory for the digital age.

He describes a list of things that educators can do to embrace connectivism in medical education and day to day practice including following blogs, web services, creating online communities using social media.

He concludes that connectivism is a lens through which the use of digital technologies in teaching and learning can be viewed but because no single theory will be able to explain learning in technologically enabled networks that there will still be an important role for educators in online network learning.

Yay for still needing educators!

Wonder if he’s talked to DeepMind lately……

Read the paper in Medical Teacher

Game theory and strategy in medical training

Blake and Carroll provide an interesting paper on the use of game theory and strategy in medical training. If you want to learn a bit about ‘the prisoner’s dilemma’ and its relationship to student study habits; ‘the stag hunt’ and motivation to teach and learn in the specialist/registrar relationship; ‘the ultimatum game’ and an academic researcher trying to negotiate a pay increase; and ‘the centipede game’ and registrar autonomy; then this is the paper for you!

The authors conclude that game theory provides some useful models for strategic interactions that commonly occur in medical training and practice.

Read the paper in Medical Education at:



In the August 2016 Supervisor Survey, members indicated that they would like GPSA to provide more information on relevant government policy. Policy News attempts to address your identified need. Feedback welcome!

Pathology Rents

Pathology Australia, which claims to “represent private pathology in Australia” has tried to persuade the government that receiving rent from co-located pathology services is a breach of the Health Insurance Act by GP practices and an attempt to influence the referral patterns of GPs.

The government responded by announcing that it would put a ceiling on rental returns from such co-located services (seemingly in return for not withdrawing bulk-billing of a range of basic pathology items).

GP practices have responded strongly that this may make their businesses unaffordable, since the return on rent has been used to supplement the lost income incurred due to the Medicare freeze.

Do you have a view on this issue?

Let us know by emailing;

PIP Changes

There is a current proposal out for consultation on a rationalization of the current 11 PIP incentives down to 5.

The paper proposes 2 broad options for how the system might work:

Option 1: payments would be merged into a single payment by DHH. Practices would receive a sign-on payment, choose their own areas of QI and data would automatically be extracted from the practice’s IT system and monitored over time for improvement.

Option 2: practices engage a 3rd party provider to support QI with funding going to the provider (e.g. a PHN or independent organization) who would pay the practice for participating.

With either option, practices would be required to submit data every month as well as commit to QI activities every month. Nationally consistent measures of quality would be used to guide improvement activities.

Do you have a view on these options?

Let us know by emailing;

Submissions open until 30 November.


As mentioned in the September edition of ‘Policy News’, the Medical Board of Australia (MBA) released a Discussion Paper entitled “Options for revalidation in Australia” on 16 August 2016.

This was a hot topic of discussion at the recent round of GP conferences.

A strengthening of CPD requirements with the introduction of a new PLAN activity (planning learning and need) in the new triennium for the RACGP is evident.

The general feeling seems to be that the case for revalidation in Australia has not really been made, with GPs asking where is the evidence of the need for this system in Australia.

What are your thoughts on this issue?

Submissions open until 30 November.

Let us know by emailing;

Data data data….

The Productivity Commission released a draft report entitled ‘Data Availability and its Use” in October.

The report recommends sweeping changes in relation to all sorts of data under a new Data Sharing and Release Act with new concepts such as a National Data Custodian, Accredited Release Authorities, Trusted Users and National Interest Datasets all operating within a new framework aimed at:

giving individuals more control over data held on them;

enabling broad access to datasets (public and private sector) that are of national interest;

increasing the usefulness of publicly funded identifiable data amongst Trusted Users; and

creating a culture in which non-personal and non-confidential data gets released by default for widespread use.

There are 27 draft recommendations for comment.

Here’s one to whet your appetite:

“All Australian governments entering into contracts with the private sector, which involve the creation of datasets in the course of delivering public services, should assess the strategic significance and public interest value of the data prior to contracting. Where data is assessed to be valuable, governments should retain the right to access or purchase that data in machine readable form and apply any analysis that is within the public interest.”

Get set for a big shake up in this area. And watch Policy News for further information.

Submissions are open until 12 December 2016 with public hearings in Melbourne (21 November) and Sydney (28 November).

If you would prefer to provide your comments on any of these issues over the phone, either identified or de-identified through GPSA, please contact:

Joan Burns, Senior Policy Advisor, GPSA

0472 520 611