The Good GP (The Good GP)

In this episode of The Good GP, hosts Dr Tim Koh and Dr Sean Stevens speak with Geoffrey Sayer, CEO of Medtech, at the Digital Health Festival 2024. Geoffrey introduces Medtech, an electronic health record system designed to service practices in Australia and New Zealand, providing a comprehensive patient practice management system (PMS).

Beginning with an overview of Medtech's capabilities and its market presence. Geoffrey highlights the importance of having a flexible and future-proof PMS that allows for customization and integration with other software applications adaptable to the diverse needs of general practices.

Geoffrey explains the concept of APIs (Application Programming Interfaces) and their role in enabling third-party software to interact with Medtech's system. He introduces Medtech’s Application Layer Exchange (ALEX®), a sandbox environment where developers can create and test new applications that integrate with their PMS. This fosters an ecosystem of innovation, allowing practices to customise their systems to meet specific requirements.

Dr Sean Stevens queries about the potential of an app store for PMS, to which Geoffrey acknowledges the growing trend but emphasises the need for standardised APIs to ensure cross-vendor compatibility. They then explore the technical feasibility for GPs to develop or commission customised applications, enhancing their practice management experience.

Geoffrey predicts a hybrid model of PMS combining local servers with cloud-based services, advancements in inbox management, and an increase in AI-assisted functions. He acknowledges the appetite amongst GPs for more innovative, flexible solutions and the role that smarter data integration, particularly with wearable devices, will play in the future.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Tim Koh talks with Dr Ben King, a Cardiologist and Electrophysiologist, about navigating the maze of diagnosing atrial fibrillation (AF).

They discuss the common symptoms like palpitations and breathlessness, and delve into the role that wearables play in incidental findings. The conversation also covers important diagnostic steps for GPs, such as confirming via ECG and considering four key areas upon diagnosis: upstream causes, stroke risks, heart failure risks, and symptomatic gains.

Listen to understand the significance of various investigations before making a referral, such as the use of echo, and how it informs treatment choices. They also tackle the challenges in diagnosis, including the necessity for prolonged monitoring in certain cases.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network, the premier audio destination for incisive insights and expert opinions in healthcare delivery, digital health, and innovation. Learn more at www.talkinghealthtech.com/podcast/network

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

In this episode of The Good GP, Dr Krystyna de Lange engages in a conversation with Dr Nick Hummel, a respected and experienced GP from the Sunshine Coast in Queensland, on his experience of becoming a patient following his prostate cancer diagnosis.

Dr Hummel shares his journey, the process leading up to his diagnosis, and the various medical procedures and challenges he has faced since. He explores the importance of being up to date with preventative health and screening measures and taking into consideration full personal and family history in conjunction with a GP.

He highlights the importance of comprehensive, multidisciplinary care and underlines the necessity of not neglecting one's own health as a medical professional. Emphasising the value of being proactive about health insurance, planning for unexpected medical leave, and consulting with one's own GP regularly.

Through his experiences, Dr Hummel aims to raise awareness among GPs about the critical importance of self-care, regular health screenings, and managing their health risks responsibly. Providing practical advice for other doctors who may be navigating similar health challenges.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, Dr Sean Stevens hosts a discussion on the topic of public hospital virtual clinics with three distinguished guests: Dr Morgan Rayner, a new fellow GP, Associate Professor Joanna Lawrence, a paediatrician at the Royal Children's Hospital in Melbourne and Director of the Victorian Virtual Specialist Clinic (VVSC), and Dr Dominic Mallon, an immunologist at Fiona Stanley in Perth and founder of the Virtual Immunology Clinic.

They explore the origins, purposes, and operational models of the Victorian Virtual Specialist Clinic and the Virtual Immunology Clinic. Associate Professor Joanna Lawrence discusses how the VVSC was established to enable GPs to access specialist expertise more swiftly, to reduce wait times for patients and enhance the ability of community physicians to manage patient care efficiently. Dr Dominic Mallon shares insights into the Virtual Immunology Clinic, how it has successfully reduced patient wait times and facilitated timely access to specialist care, especially in rural areas.

Dr Morgan Rayner also provides a first-hand account of using virtual consult services as a junior registrar, discussing the benefits of building relationships with specialists and improving patient care through timely consultations. 

The VVSC is available to any GP working in Victoria. The collab-consult model is a free 20-minute case conference with a specialist (with or without the patient). The collab-consult enables GPs to access timely expert advice to support managing their patients in the community. CPD can be claimed for participating in a case conference. Booking is easy through https://vvsc.org.au/ or email VVSC@nh.org.au.

The Virtual Immunology Clinic is available to any GP in WA who is in or very near the Fiona Stanley Hospital Catchment area for public hospital outpatients services (South Metro, South West, Great Southern)

The link to register, log in and refer is: South Metropolitan Health Service - SMHS Online Services Portal https://smhs.health.wa.gov.au/Our-services/SMHS-Online-Services-Portal

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP podcast, host Dr Karin Sekhon talks to Dr Alex Shivarev, a public health physician from the WA Department of Health, to discuss the emerging public health concern of monkeypox, now also referred to as Mpox. Providing insights for GPs on the epidemiology, transmission, and clinical manifestations of the monkeypox virus, along with the distinction between the clade Ib and clade IIb strains.

Dr Shivarev explained what monkeypox is, its origins, and the different strains that have emerged. Discussing the recent increase in monkeypox cases globally and the response from both international bodies and local health authorities. He also highlighted the differences in transmission routes and the populations most at risk, including gay, bisexual, and other men who have sex with men.

Dr Shivarev mentions the vaccination with the JYNNEOS vaccine, which is available and recommended for eligible individuals. He also provided detailed guidance on the clinical presentation and diagnosis of monkeypox, emphasising the importance of history-taking and examination findings in identifying potential cases.

Lastly, they touched upon the future of monkeypox outbreaks and the potential for control measures to prevent further spread. Dr Shivarev reassures listeners that the risk of a wide-scale outbreak akin to the COVID-19 pandemic is low, given the effective public health measures in place and the community's prior successful response to the 2022 outbreak.

Resources and Links:

• ASHM Mpox Resource Toolkit - https://ashm.org.au/resources/mpox-resource-toolkit/ 
• Mpox Quick guide for primary health care workers WA - https://www.health.wa.gov.au/~/media/Corp/Documents/Health-for/Infectious-disease/Monkeypox/Monkeypox-quick-guide-for-clinicians.pdf 
• Mpox (monkeypox) (health.wa.gov.au) (clinician focus)
• Mpox (monkeypox) (healthywa.wa.gov.au) (consumer focus)

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, guest host Dr Catherine Bourke engages with Dr Desmond Chih, an esteemed infectious disease physician and microbiologist, in a comprehensive discussion about tuberculosis (TB). Dr Chih offers an in-depth exploration of the distinctions between latent and active tuberculosis, drawing from his extensive experience at Western Diagnostics Pathology, St John of God Hospital, and Royal Perth Hospital.

Focusing on the fundamental differences between latent TB, which involves a non-symptomatic infection contained by the immune system, and active TB, which is characterised by symptoms such as a prolonged cough, fevers, weight loss, and lymph node enlargement. Dr Chih elaborates on the diagnostic techniques, including the Tuberculin skin test and the QuantiFERON-TB Gold test, utilised to detect these conditions.

They then shift the discourse to the epidemiology of TB in Australia, discussing the incidence of active and latent TB predominantly among migrants and the crucial public health responses required. They also touch upon the global concerns related to TB, such as multidrug-resistant strains, and the implications these have on both treatment and containment strategies.

Addressing prevention strategies, particularly the importance of screening for latent TB in individuals who are about to undertake immunosuppressive therapies. The specialists responsible for prescribing these treatments are noted for their diligence in preemptive screenings to prevent the activation of latent TB infections.

Lastly, the conversation covers the management of active TB, reaffirming the use of the conventional four-drug regimen while also mentioning newer drug alternatives for resistant strains. Concluding with Dr Chih responding to listener questions about the risk factors and treatment options specific to various TB scenarios, providing a well-rounded perspective on managing this significant global health issue.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr Krystyna de Lange is joined by Dr Tim Jones, a GP based in Hobart with a particular interest in paediatrics. The focus of today's episode is on the assessment of behavioural challenges in children. Dr Jones discusses the impact of the pandemic on the mental and emotional well-being of children and families, as well as the challenges faced by primary care physicians in providing support and assistance.

Dr Jones shares the various behavioural challenges he has seen in his practice, including difficulties with school reintegration, social fear, and meltdowns, among others. He emphasises the importance of taking a comprehensive approach to assessment and acknowledges the need for dedicated time and space to appropriately address these challenges.

Dr de Lange and Dr Jones also discuss the importance of building rapport with the child and their family during the consultation. Recognising that families may already be overwhelmed, Dr Jones emphasises the need to focus on incremental progress and addressing the most pressing issues.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, host Rebecca Goadby interviews Dr Andrew Martin, a consultant paediatrician at Perth Children's Hospital and an expert in paediatric lipid disorders. Dr Martin has led a paediatric lipid disorders clinic for the past 15 years, specialising in the detection and management of children and adolescents with familial hypercholesterolemia (FH) to prevent coronary artery disease.

Dr Martin explains what FH is and discusses its prevalence in children. Sharing that around 20,000 children under the age of 16 are affected by FH in Australia, and emphasises the genetic nature of this condition, highlighting its autosomal dominant inheritance pattern.

They then shift to the critical role GPs can play in diagnosing FH in children. He notes that most children are diagnosed following the identification of an adult index case in their family and underscores the importance of cascade genetic testing, which GPs can facilitate using a Medicare Benefits Schedule (MBS) item number.

Elaborating on the management strategies for FH in children, starting with heart-healthy lifestyle changes and progressing to pharmacological interventions, primarily statins, from the ages of 8 to 10. He highlights that early intervention with statins can significantly reduce the risk of future coronary events.

Additionally, Dr Martin describes the forthcoming launch of FH Australia, a national peak body aimed at supporting individuals and families with FH. Explaining that this organisation will provide resources, education, and advocacy, serving as a valuable resource for both patients and healthcare professionals.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP Podcast, host Dr Tim Koh is joined by Dr Ramya Raman, Vice-President and Chair of RACGP Western Australia, to provide a timely update on measles, focusing on diagnosis and prevention.

Dr Raman highlights the rarity of measles in general practice due to successful immunisation programs, achieving substantial herd immunity. She discusses the current changes in the environment that have resulted in declining vaccination rates, leading to increased outbreaks globally.

Dr Raman emphasises the importance of understanding risk factors, such as incomplete vaccination and immune system vulnerabilities, and how measles can spread, given its high contagion rate.

Listeners are guided through the typical presentation of measles, with a focus on the prodrome phase, characterised by symptoms such as fever, cough, choriza, and conjunctivitis, followed by a distinctive rash. The conversation touches on clinical challenges GPs might face in identifying measles, especially when considering varying skin tones and season-specific viral rashes.

Dr Raman provides practical advice for GPs on suspecting and testing for measles, including the use of PCR tests and IgM serology. Additionally, there are recommendations for containing potential measles cases through patient isolation, proper protective measures, and public health notifications, highlighting the need for vigilance and proactive measures in general practice.

Check out the video of this episode: https://www.youtube.com/watch?v=GLPeUHYewdA

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Professor Liz Reymond and Dr Megan Ashcroft to explore the topic of voluntary assisted dying (VAD). Professor Reymond, a palliative care physician and director of the Queensland Voluntary Assisted Dying Support and Pharmacy Service, along with Dr Ashcroft, a Brisbane-based GP who has a special interest in VAD services, share their insights and expertise on this evolving aspect of healthcare.

Beginning with an overview of the legal landscape for voluntary assisted dying in Australia. Professor Reymond explains the prescriptive nature of VAD laws, the similarities and differences across states, eligibility criteria, and the rigorous reporting and assessment processes involved. Dr Ashcroft further adds in by outlining the criteria for assessing patient eligibility and the intricacies of decision-making capacity.

They then delve into the GP's role in VAD, emphasising the importance of understanding the capacity and mental health evaluations required when considering VAD requests. They both offer practical advice on navigating this complex area, with a focus on the respectful and compassionate care of patients at the end of life.

They also mentioned resources and support available for GPs who are or wish to be involved in providing VAD services, including training requirements and the significance of community and practitioner networks.

Links to state specific voluntary assisted dying resources:

• QLD: https://www.qld.gov.au/health/support/voluntary-assisted-dying
• NSW: https://www.health.nsw.gov.au/voluntary-assisted-dying/Pages/eligibility.aspx
• ACT: https://www.act.gov.au/health/topics/end-of-life-and-palliative-care/voluntary-assisted-dying-in-the-act
• Victoria: https://www.health.vic.gov.au/patient-care/voluntary-assisted-dying
• Tasmania: https://www.health.tas.gov.au/health-topics/voluntary-assisted-dying
• SA: https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/services/community+and+specialised+services/voluntary+assisted+dying/voluntary+assisted+dying+in+south+australia
• NT: https://haveyoursay.nt.gov.au/vad
• WA: https://www.health.wa.gov.au/voluntaryassisteddying

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Anna Mullins welcomes back Dr Chris Conyard, an upper limb surgeon based in Brisbane, to discuss elbow tendinopathies. He shares his expertise on the natural history of elbow tendinopathies, their examination, and effective management strategies.

They begin with an overview of elbow tendinopathies, including their prevalence, clinical presentation, and challenges associated with treatment. Dr Conyard highlights the importance of rest and specific eccentric loading exercises in rehabilitation and explains the typical clinical course.

Delving into the physical examination of the elbow, touching on specific tests such as Cozen's test to diagnose tennis elbow and techniques for identifying golfer's elbow. They discuss the relevance of imaging in diagnosis, specifically when it should be considered, particularly in cases of suspected arthritis or when initial management fails.

Dr Conyard also provides valuable insights into non-operative management, including the use of topical NSAIDs, physiotherapy, and braces. He advises caution against steroid injections and suggests PRP injections as a potential second-line treatment. Concluding with advice on when to refer patients to specialists and the utility of specific imaging and nerve conduction studies.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Sean Stevens sits down with Dr Jenny Brockis and Dr Amandeep Hansra to discuss their upcoming keynote presentations at GP24 in Perth. Providing insightful perspectives on the evolving landscape of general practice and the essential role that GPs play in the healthcare system.

Dr Jenny Brockis introduced her keynote address, "Happy, Healthy, and Fulfilled: Reimagining Practitioner Wellbeing," where she emphasises the importance of self-care for general practitioners. She discusses the complexities and challenges GPs face today, including the rapid changes in medical information, the increasing prevalence of chronic diseases, and evolving patient expectations. Dr Brockis advocates for a shift in practice to better support GP wellbeing to prevent burnout and ensure the highest quality of patient care.

Dr Amandeep Hansra shares her experiences in the digital health and innovation space and shares a preview of her keynote. Dr Hansra talks about her journey towards integrating digital solutions in general practice and the significant impact it can have on patient care. She highlights upcoming initiatives, including a hackathon designed to foster innovative solutions from frontline GPs. Dr Hansra also discusses her role as the Chief Clinical Advisor for the Australian Digital Health Agency, focusing on how government initiatives are building foundational tools to enhance digital health innovation.

Early bird registrations for the GP24 in Perth close on Monday, 7th of October. Visit racgp.org.au to secure your discounted rates!

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

Join your host for this episode Dr Krystyna de Lange for a discussion with Dr Angie Berkhout, Paediatric Infectious Disease Specialist about the common infections caused by staphylococcus aureus and the factors that contribute to recurrences.

Learn about the prevalence of MRSA and what GPs need to know about it, including when to consider swabbing and antibiotic choices. Also hear about staph eradication regimes and when they may be indicated. 

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, host Dr Krystyna de Lange welcomes back Dr Tim Jones, a General Practitioner and medical educator with a special interest in general paediatrics. Dr Jones shares his expertise on toddler sleep challenges, providing valuable insights and practical advice for GPs on how to address common sleep issues in young children.

Dr Jones discusses the variability of toddler sleep, emphasising the importance of sleep quality over quantity. He explains that while the average three-year-old requires about 12 hours of sleep per night, this can range from as little as nine hours to as much as 15 hours. The focus is on ensuring that the child is happy, healthy, and well-rested.

Dr Jones talks on the common presentations of toddler sleep issues in a general practice setting. He discusses the importance of thorough history-taking and screening for underlying medical conditions that might affect sleep, such as obstructive sleep apnea, eczema, and allergies. He emphasises the role of family dynamics, daytime sleep patterns, screen use, sugar intake, and physical activity in influencing sleep behaviour.

Various sleep strategies are explored, including addressing nighttime fears, managing dependency on specific items or people, and handling early morning wake-ups. Dr Jones highlights techniques like worry boxes, monster traps, and the "camping out" method to help children feel safe and transition to independent sleep.

Addressing the cautious use of pharmacological interventions, particularly melatonin, emphasising the lack of long-term safety data and potential side effects. He advises focusing on behavioural and environmental techniques before considering medication.

Dr Jones shares a valuable resource for practitioners: the Murdoch Children's Research Institute's "Sleep with Kip" website,

(https://sleepwithkip.com/) which offers evidence-based resources to support early childhood sleep.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Sean Stevens chats with Dr Helen Wilcox, a GP, Doctor of Medicine Program Director at UWA and Medical Director of the Doctor’s Health Advisory Service WA, about the nuances of doctors seeking medical care. 

In this episode Dr Wilcox emphasises the importance of doctors becoming patients too, highlighting the advantages of objective care, specialist referrals, and legal protections.

They discuss the common hesitations doctors have in seeking their own medical care, such as time constraints and privacy concerns. Practical tips are offered for doctors treating fellow professionals, stressing the need for mutual respect and confidentiality.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network, the premier audio destination for incisive insights and expert opinions in healthcare delivery, digital health, and innovation. Learn more at www.talkinghealthtech.com/podcast/network

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

In this episode of The Good GP Podcast, host Dr Tim Koh speaks with Dr Ranita Siru Sabatino about the complexities of diagnosing and managing Cushing syndrome.

They discuss the variety of symptoms and signs of Cushing syndrome, such as muscle weakness and thin skin, and why it's crucial to understand these for early detection.

They also talk about the challenges in diagnosing the condition due to its overlap with other common ailments like obesity, making it a slippery subject for medical professionals.

Also listen to learn about the recommended diagnostic tests like late-night salivary cortisol and 24-hour urinary free cortisol, emphasising their importance in overcoming the limitations of standard cortisol measurements.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Alison Archibald, a Certified Genetic Counsellor at the Victorian Clinical Genetic Services, to discuss noninvasive prenatal testing (NIPT). 

NIPT is a screening test that looks at small pieces of DNA in the maternal blood to identify chromosome conditions in the foetus. This test can be done from about 10 weeks gestation onwards, and it can detect conditions like Down syndrome, trisomy 18, and trisomy 13. It can also determine foetal sex and screen for a wider range of chromosome conditions through genome-wide NIPTs.

Dr Archibald explains that NIPT can be offered to all pregnant women, but it's important to understand that it is a screening test and not diagnostic. False positive and false negative results can occur due to the analysis of placental DNA instead of foetal DNA. Diagnostic tests like amniocentesis should be offered to confirm any chromosome conditions indicated by NIPT. Furthermore, NIPT does not detect genetic conditions caused by smaller changes in DNA or single gene conditions.

The discussion also touches on the differences between NIPT and combined first trimester screening (CFTS). While NIPT is a more advanced screening test with higher sensitivity and lower specificity, CFTS is still a good alternative if the cost of NIPT is a concern. It is important for patients having NIPT to also undergo the 12-13 week ultrasound to assess foetal anatomy. Dr Archibald emphasises the significance of offering the ultrasound alongside NIPT to avoid missing any foetal abnormalities early on.

In terms of counselling patients about NIPT, Dr Archibald suggests explaining that it is a screening test with false positive and false negative results. Patients should be aware of the limitations of NIPT and understand what it does not cover. It is important to discuss the need for diagnostic tests if NIPT indicates an increased chance of a chromosome condition. Ultimately, the goal is to provide patients with comprehensive information about NIPT so they can make informed decisions.

Resources mentioned in this episode:

• NIPT 101 (resource for practitioners):  https://rise.articulate.com/share/ENEMgJZ0gB6_HRctkNu7cH3mpWMtO74g#/lessons/hw6hg1a8XFU-vCZzL5HC4b3BpYYzAHzd
•  Your choice decision aid (for patients): https://yourchoice.mcri.edu.au
• Down Syndrome Queensland practice resource (for practitioners) https://prenatalscreening.org.au/resources/prenatal-screening-practice-resource/
• One screened every minute: https://onescreenedeveryminute.com/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

In this episode of The Good GP Podcast, host Dr Krystyna de Lange is joined by Dr Emily Gordon to discuss the topic of sepsis within the primary care setting. Dr Gordon, a respected general practitioner and previous recipient of the RACGP Queensland GP of the Year award, shares her expertise to help GPs better identify and manage this life-threatening condition.

From definition and causes of sepsis, highlighting its potential to come from infections in common areas such as the lungs, skin, urinary tract, or gastrointestinal tract. Dr Gordon emphasises the importance of early detection through recognising both red and amber flag symptoms, which could suggest the onset of sepsis.

Dr Gordon provides guidance tailored for GPs on how to respond effectively if sepsis is suspected. They explore the key risk factors and vulnerable patient populations who may be at heightened risk for sepsis.

Dr Gordon introduces practical resources including a new sepsis screening tool for adults, designed to aid primary healthcare providers in accurately identifying sepsis early and ensuring prompt and appropriate management. This tool, currently available in the pilot project phase in Queensland, underscores the significance of education and vigilance in improving patient outcomes.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

Welcome to This Could Save Your Life podcast! With hosts Dr Anna Mullins and Dr Catherine Bourke, a podcast focused on preventative health and health tips for both patients and the general public.

Dr Mullins and Dr Bourke commence by sharing their backgrounds in general practice and exercise physiology, highlighting their joint interest in preventative healthcare. Explaining the three types of prevention: primary, secondary, and tertiary, and briefly outline the structure and objectives of the podcast, aiming to cover a range of important health topics.

For this episode, they focus on bowel cancer screening. They discuss the symptoms that may indicate bowel cancer and the difference between screening tests and diagnostic tests. They outline the importance of recognizing individual risk factors, such as family history, and explain the updated guidelines for bowel cancer screening in Australia, now recommending testing from age 45 for those at average risk.

Describing the process of obtaining and completing the Faecal Occult Blood Test (FOBT) kit. Dr Mullins and Dr Bourke emphasise the simplicity of the test and provide practical guidance on obtaining the kit, either online or by phone, and what to do if a patient has misplaced or not completed their kit.

They also talked about lifestyle and dietary interventions to lower the risk of bowel cancer, including quitting smoking, engaging in regular exercise, maintaining a healthy weight, moderating alcohol consumption, and making specific dietary choices such as reducing red and processed meat while increasing fibre and potentially, dairy intake. As well as the role of aspirin and calcium supplements in risk reduction.

This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr Sean Stevens interviews Dr Hester Wilson, GP & Chief Addiction Medicine Specialist for New South Wales, and Dr Chris Davis, a GP with a special interest in alcohol and other drugs and founder of Clean Slate. They discussed addiction medicine, particularly alcohol use disorders, and the innovative solutions offered by the Clean Slate program.

Dr Hester Wilson begins by explaining the prevalence of alcohol consumption in Australia, highlighting that while most people drink within safer guidelines, a significant percentage exceed these limits. She also discusses the health risks associated with alcohol use, including its role as a toxin and its contribution to medical conditions such as cancer.

Dr Chris Davis outlines the benefits of a home detox compared to residential inpatient detox, emphasising patient acceptability and cost-effectiveness. He explains how the Clean Slate program works, detailing the importance of support systems, the role of the GP, and the use of telehealth for safe detoxification. Dr Davis also touches on the program's affordability and accessibility options, including private insurance rebates and government funding.

Delving into patient selection criteria for home detox and the comprehensive, ongoing support provided by the Clean Slate program. Dr Wilson elaborates on the collaboration between the Clean Slate program and general practitioners, as well as its integration with the RACGP Addiction Specific Interest Group.

Dr Davis concludes by sharing future plans for Clean Slate, which includes expanding access to vulnerable populations and forming the Digital Alcohol Alliance to further improve treatment accessibility.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, host Dr. Tim Koh, joins Dr. Michael Wright, Chief Medical Officer for Avant to discuss the emerging role of artificial intelligence (AI) in general practice, specifically focusing on AI scribes.

Dr. Wright outlines the benefits and potential risks of integrating AI scribes into medical practice. He highlights how AI scribes can enhance consultation notes by accurately recording patient interactions, thus allowing GPs to focus more on patient care and less on administrative tasks. However, he also points out the medico-legal and privacy considerations that GPs must keep in mind, such as data storage and compliance with state regulations.

Delving into professional and ethical considerations. Dr. Wright advises GPs to thoroughly investigate how AI scribes function, including data handling and storage, and to ensure patient consent is obtained. He also emphasises the importance of verifying AI-generated notes for accuracy before they are saved as part of the patient’s medical record.

They conclude with Dr. Wright's outlook on the future applications of AI in general practice. He envisions AI supporting administrative efficiency, improving billing processes, and potentially revolutionising how patient data is integrated and utilised across healthcare systems. He encourages GPs to approach AI scribes with an open mind, to trial these tools in their practice, and to be mindful of ensuring that the quality and safety of patient care are maintained.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, join host Dr Krystyna De Lange as she revisits the topic of Irritable Bowel Syndrome (IBS) with the multidisciplinary team from the Integrated Care Clinic for Disorders of Gut Brain Interaction at the PA Hospital in Brisbane. Following the previous episode focusing on the medical aspects of IBS, they explore the broader approach to managing IBS through diet, exercise, and psychological support.

Isabella Kibbe, a dietitian, delves into the low FODMAP diet, and its role in managing IBS symptoms and offers practical dietary strategies for GPs. 

Exercise physiologist Jake O'Brien discusses the role of physical activity in alleviating IBS symptoms, such as improving motility and reducing bloating, alongside its holistic benefits, including stress reduction and enhancement of overall quality of life.

Psychologists Dr Paul Stanley and Elena Bild focus on the psychological aspects of IBS management through trauma-informed care, the significance of establishing rapport, acknowledging patients' experiences, and using cognitive behavioral techniques to address gut-directed anxiety.

The episode reinforces the importance of a patient-centred and holistic treatment approach to IBS and emphasises the impact of non-medical interventions in improving patient outcomes.

Links & Resources:

• Nutrition Education Materials Online (NEMO), IBS resources for patients/clinicians: Managing Irritable Bowel Syndrome (IBS) (health.qld.gov.au)
• Dietitians Australia 'Find an Dietitian' Tool - filter Dietitians by clinical area of work and location Find a Dietitian (dietitiansaustralia.org.au)
• Monash FODMAP resources: About FODMAPs and IBS | Monash FODMAP - Monash Fodmap

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

Join your host Dr Krystyna de Lange for this episode of The Good GP Podcast, featuring Dr Ian Coulson, a consultant dermatologist from the United Kingdom and editor-in-chief of DermNet. This is part one of a two-part series on eczema, produced in collaboration with DermNet.

Dr Coulson provides an overview of eczema, its different types, and classifications. The differences of eczema and dermatitis, with exceptions such as perioral dermatitis. He classifies eczema into endogenous and exogenous types and explains their varied etiologies and common presentations, including atopic eczema, seborrheic eczema, irritant eczema, allergic contact dermatitis, and more.

Discussing atopic eczema, focusing on its onset, clinical features in different age groups, and the differences between acute and chronic eczema. Dr Coulson shares insights into identifying eczema mimics, such as fungal infections, scabies, and even cutaneous lymphoma, emphasising the importance of careful history-taking and examination.

Dr Coulson then outlines the investigations that may be required for patients with eczema. He covers mycology testing, biopsy considerations, and the limited value of allergy tests like PRIC and RAST in the context of eczema management.

The Good GP is proud to collaborate with DermNet on this podcast. In early 2025 DermNet is launching a new platform designed specifically for healthcare professionals called DermNet PRO. It features a new search tool, the ability to save pages, and access a host of volunteer opportunities. It’s 100% free and coming in early 2025. Join the waitlist now: (https://pro.dermnetnz.org/).

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this special episode of The Good GP, Dr Krystyna de Lange is joined by a number of doctors from current GPs in training through to experienced GPs and GP supervisors to share their top tips for having a successful placement in General Practice. Whether you are a GP in training just starting out, a GP supervisor or practice owner who supports trainees or even a GP just wanting a refresh, there is something in this episode for everyone.

Dr Bruce Willett, immediate past Vice President of the RACGP, emphasises the importance of considering the patient in front of you as your responsibility.

Dr Rebecca Loveridge, recently appointed chair of the RACGP GPs in training faculty, recommends creating templates for study notes and exam preparation.

Dr Emmon Mubbashir, a new fellow and international medical graduate, provides insights on the right time to write fellowship exams.

Dr Clay Rowe, an RVTS registrar, shares the importance of preparing for exams from day one and treating each patient consult like an exam question.

Dr Michael Clements, current vice president of the RACGP, stresses the significance of using time as a diagnostic and therapeutic tool in general practice.

Dr Karen Savery, a GP and medical educator, encourages curiosity and asking questions as a key way to learn as a GP.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Tim Koh welcomes distinguished guest Professor Chan Cheah, a clinical and laboratory-based haematologist with a special interest in lymphoma. Professor Cheah, who practises at Sir Charles Gairdner Hospital and works with Western Diagnostic Pathology, explores the challenges and considerations of managing thrombocytopenia in general practice.

Professor Cheah begins by explaining what thrombocytopenia is and discusses its prevalence. He addresses common causes and sheds light on the pitfalls like pseudothrombocytopenia—where an artificial drop in platelet counts occurs due to platelet clumping in EDTA-treated tubes. Important advice is shared on how a different anticoagulant, such as citrate, can be used to overcome this issue.

He also explains the various age-related factors that should guide a GP's differential diagnosis process and details how different conditions might mimic or contribute to thrombocytopenia. He discusses important associated conditions such as Immune Thrombocytopenic Purpura (ITP), medication-induced reductions, and other infections that can manipulate platelet counts.

They then pivot to the necessary diagnostic steps and laboratory investigations that are vital in assessing a patient with low platelets. Professor Cheah rounds off the discussion by covering urgent conditions like thrombotic microangiopathies and other haematological abnormalities, stressing the importance of urgent and precise diagnosis in severe scenarios.

Join Professor Chan Cheah in uncovering the critical aspects of diagnosing and managing low platelet counts, a commonly encountered yet complex issue in general practice.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Krystyna de Lange continues her conversation with Dr Tim Jones about the management of behavioural challenges in paediatric populations. 

Dr Jones emphasises the importance of focusing on one issue at a time in order to make a positive difference in the child and family's day-to-day wellbeing. He also encourages GPs to provide safe and supportive spaces for families, advocating for the child's voice and collaborating with allied health supports and learning environments. 

Additionally, Dr Jones discusses the value of parenting courses such as the Circle of Security program and the Positive Parenting Program, as well as the accessibility of parenting podcasts for busy families seeking additional information and support.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Joshua Hanson, a general and infectious disease physician based in Cairns, Australia. Providing in-depth discussion on Hepatitis B, focusing on screening, diagnosis, and management strategies for general practitioners.

Dr Hanson highlights the importance of screening for hepatitis B in Australia. He explains the hepatitis B tests recommended for screening and their interpretation, the importance of the hepatitis B surface antigen test as a key indicator of chronic infection.

They shifted to the initial assessment of patients newly diagnosed with hepatitis B. Dr Hanson describes the critical aspects of evaluating liver health, the potential impact of co-morbid factors such as alcohol use and smoking, and the significance of family history. They cover the various phases of hepatitis B infection, emphasising the need for general practitioners to determine the patient’s phase for effective management.

They also address the ongoing monitoring of hepatitis B patients, explaining the importance of regular clinical reviews and liver function tests. Dr Hanson discusses the need for routine checks to detect any progression of the disease or development of complications, such as fibrosis or liver cancer.

Links & Resources:

• Bpostive: a free resource examining all aspects of HBV care for clinicians working in primary care, collated by ASHM: https://hepatitisb.org.au/

• Decision making in hepatitis B: https://ashm.org.au/resources/decision-making-in-hepatitis-b/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, Dr Krystyna de Lange is joined again by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute post-streptococcal glomerulonephritis (APSGN).

Dr Hempenstall begins by defining APSGN and explaining how it is an acute autoimmune kidney condition triggered by a group A strep (GAS) infection. She elaborates on the socio-economic risk factors and the presence of nephrotoxic strains of group A strep that increase susceptibility to APSGN. Comparison is made with acute rheumatic fever, noting both similarities and differences.

Covering the classic triad of symptoms for APSGN – hypertension, haematuria, and oedema – and how to diagnose the condition through clinical presentations and laboratory investigations. Dr Hempenstall explains the importance of identifying haematuria through urine analysis and performing necessary tests for recent strep infections and complement levels (C3 and C4).

They then move to the appropriate management strategies, including the use of intramuscular penicillin for eradicating strep and symptom management through antihypertensives and fluid management. Dr Hempenstall emphasises the necessity of involving paediatricians for cases requiring hospitalisation and mentioning that any persistent hypertension in children should be addressed promptly.

Lastly, outlining longer-term follow-up protocols, stressing the importance of regular blood pressure and urine checks post-diagnosis and the role of health education in preventing future occurrences. Special attention to the importance of contact tracing and prophylactic measures for household contacts in order to curb the spread of nephrotoxic strains of group A strep.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, Dr Anna Mullins speaks with Dr Chris Conyard, an orthopaedic surgeon with a fellowship in upper limb surgery, about the management of rotator cuff tears and frozen shoulders.

Dr Conyard sheds light on the natural history of shoulder conditions, particularly the prevalence and progression of rotator cuff tears. He highlights the significance of various risk factors, including hand dominance, manual labour, diabetes, and smoking. Dr Conyard also discusses the impact of muscle atrophy and fatty infiltration on surgical outcomes.

Providing a detailed overview of the shoulder examination for rotator cuff tears, covering essential tests such as the supraspinatus test, external rotation test, and subscapularis tests. Dr Conyard emphasises the role of functional assessment and the importance of early intervention in acute tears.

They also covered imaging and first-line treatments, including the use of steroid injections. Dr Conyard explains when to consider steroid injections and the implications of repeat injections. He offers guidance on when GPs should refer patients to specialists, particularly in cases of acute tears, symptomatic progression, and failed non-operative interventions.

Dr Conyard addresses the management of frozen shoulder, highlighting the usefulness of steroid injections and hydrodilatation, particularly in the initial phases of the condition. He also discusses when to consider referral for surgical interventions such as manipulation under anaesthesia (MUA) and arthroscopic release, backed by evidence from the UK Frost Trial.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Karin Sekhon speaks with Professor Jayashri Kulkarni, a renowned psychiatrist, about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD).

Professor Kulkarni explains the distinctions between PMS and PMDD, emphasising that PMS is more prevalent and generally involves physical symptoms like bloating and headaches, while PMDD affects a smaller percentage of women and includes severe psychological symptoms such as major depression, anxiety, and brain fog. She talks about the genetic and environmental factors contributing to PMDD, highlighting a specific gene complex that may be activated by trauma.

Discussing the primary pharmacological treatments for PMDD, Professor Kulkarni advises starting with hormonal treatments like the combined oral contraceptive pill; she recommends the pill "Zoely" for its balanced hormone levels. She also elaborates on the use of SSRIs like sertraline for additional support and gives a stepped approach to treatment, including the possible need for hormone replacement therapy (HRT) or menstrual suppression in complex cases.

They also touched on the potential role of complementary therapies and the importance of holistic care, involving psychological support and lifestyle modifications. Professor Kulkarni provides guidance on when GPs should consider referring patients to specialists and emphasises the collaborative role of GPs in managing PMDD effectively.

If you want to learn more about this topic, consider the HER Centre Australia's online short course on Women's Mental Health: https://www.monash.edu/medicine/translational/psychiatry/short-courses/womens-mental-health

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

Join your host Dr Krystyna de Lange for this episode of The Good GP Podcast, featuring Dr Ian Coulson, a consultant dermatologist from the United Kingdom and editor-in-chief of DermNet. This is part two of a two-part series on eczema, produced in collaboration with DermNet.

Dr Coulson outlines essential non-pharmacological management techniques for eczema, emphasising the importance of using emollients correctly. He introduces the concept of GTBR (Get the Basics Right) to ensure that these steps are followed closely. Providing insights into selecting the correct type of emollient based on individual patient needs and preferences. 

Moving to the pharmacological management of eczema, Dr Coulson explains the appropriate use of topical corticosteroids. He offers practical advice on choosing the right potency and type of corticosteroid, and the concept of weekend treatment to maintain control. He also touches on the importance of avoiding steroid overuse and educates on steroid withdrawal syndrome.

For cases where eczema is more severe or unmanageable, Dr Coulson discusses advanced treatment options like phototherapy and systemic agents like cyclosporine, azathioprine, and methotrexate. 

Dr Coulson's emphasis on a holistic approach—combining both baselines with advanced treatments—could help GPs with practical strategies to manage eczema more effectively in their practice.

The Good GP is proud to collaborate with DermNet on this podcast. In early 2025 DermNet is launching a new platform designed specifically for healthcare professionals called DermNet PRO. It features a new search tool, the ability to save pages, and access a host of volunteer opportunities. It’s 100% free and coming in early 2025. Join the waitlist now: (https://pro.dermnetnz.org/).

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, hosts Dr Sean Stevens and Dr Tim Koh are joined by Dr Chanika Ariyawansa, a WA-trained chemical pathologist with additional training in genetic pathology. Dr Ariyawansa, who holds significant roles in the Australian Association of Clinical Biochemistry, delves into the nuances of liver function tests (LFTs), exploring patterns and implications of abnormal results.

Firstly, with an examination of the prevalence and general patterns of abnormal LFTs, highlighting the commonality of mild and transient abnormalities. Dr Ariyawansa clarifies common misconceptions regarding LFTs, emphasising that not all markers in the standard LFT panel are liver-specific or directly assess liver function.

They also explain in detail individual LFT components such as bilirubin, ALP, GGT, AST, and ALT. The guest expert also categorises potential abnormalities into hepatocellular, cholestatic, mixed, and non-hepatic causes, with practical insights on each. Special attention is given to non-hepatic causes, analytical causes, and how these might influence LFT interpretation.

Dr Ariyawansa's expertise shines as she discusses managing patient anxiety around abnormal LFT results and the practical aspects of educating patients about their liver health. She stresses the utility of resources such as the Pathology Tests Explained website for patient education.

Wrapping up with an engaging Q&A session addressing specific scenarios like non-drinking patients with isolated raised GGT and the impact of statins on LFTs. She answers with clinical relevance, offering listeners practical strategies for understanding and communicating complex test results in their practice.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Karin Sekhon is joined by Dr Jana Combrinck, an experienced women's health GP working in Perth and the current GP lead of Oasis Fertility Centre. They delve into the GP's role in fertility management.

Dr Combrinck discusses the prevalence of fertility issues, noting that one in six couples of reproductive age in Australia are affected by subfertility. Identifying advanced maternal age as a common cause, along with conditions such as polycystic ovarian syndrome (PCOS), ovulation disorders, and endometriosis. She emphasises the importance of considering male factors, which are responsible in at least 50% of cases.

Giving insights on the process for couples experiencing infertility. Dr Combrinck outlines a systematic approach, which includes taking a thorough history, conducting necessary blood tests, and performing imaging investigations. For male patients, a semen analysis is recommended as the first step.

Dr Combrinck also discusses the medications and supplements that GPs can prescribe to aid in fertility. For PCOS patients, metformin and myoinositol are suggested as first-line treatments. She provides a comprehensive guide on the use of letrozole for ovulation induction, emphasising the need for close monitoring. Supplements like CoQ10 and melatonin are recommended for women with reduced ovarian reserve, and Menivit is suggested for male patients with suboptimal semen analysis.

They also touched on when to refer patients to a fertility specialist. Referral timelines vary based on the age of the female partner and any known fertility-impacting conditions.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, host Dr Tim Koh welcomes back Dr Michael Wright, Chief Medical Officer for AVANT, for an insightful discussion on the future of general practice. Dr Wright brings his extensive experience and perspective, having grown up in a family of GPs and having served as a GP for over two decades.

Dr Wright delves into the evolving landscape of general practice, comparing the experiences of new GP fellows with those of previous generations. He emphasises the importance of defining the scope of practice for GPs, highlighting the need for comprehensive, coordinated, and continuous care. They also address the pressures on Medicare funding and the necessity for alternative funding models to support the sustainability of general practice.

Dr Wright shares his thoughts on technological advancements, such as AI and data integration, which could significantly transform the way GPs provide care. He also touches upon the rise of corporate ownership in general practices and the need to maintain various practice models to serve diverse populations effectively.

Finally, they discuss the future GP workforce, exploring concerns about declining trainee numbers and the steps required to make general practice a more attractive career path for medical students and junior doctors.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, host Dr Krystyna de Lange welcomes Associate Professor Erin McMenimen, a clinical dermatologist with appointments at the University of Queensland Medical School and Princess Alexandra Hospital, to discuss Hidradenitis Suppurativa (HS).

Defining HS as a chronic auto-inflammatory condition, highlighting its similarities to inflammatory bowel disease and psoriasis. A/Prof McMenimen explains the disease's pathophysiology, noting that inflammation starts in the hair follicles and leads to scarring and sinus tract formation. Key associated factors are smoking, obesity, family history, and secondary infections.

They then shift to the signs and symptoms of HS, emphasising the importance of early recognition by GPs. A/Prof McMenimen outlines the diagnostic criteria, focusing on abscesses and boils in body folds and the significance of multiple episodes over time.

She also explains the Hurley staging system used to assess HS severity and describes the impact of HS on patients' quality of life, including pain, mental health issues such as depression and anxiety, and social isolation.

On the topic of management, They covered lifestyle interventions, including avoiding heat and friction, dietary adjustments, and smoking cessation strategies, followed by stepwise medical treatments like antiseptic washes, topical and oral antibiotics, and anti-androgen therapy. She also discusses advanced treatments for severe cases, including intralesional steroids, de-roofing surgery, and biologics like adalimumab and secukinumab.

A/Prof McMenimen underscores the importance of early referral to dermatologists for effective management and better patient outcomes, advocating for a multidisciplinary approach to care.

Links and Resources:

• Dermnet page on HS: https://dermnetnz.org/topics/hidradenitis-suppurativa
• UQ Dermatology Research Centre page on HS: https://dermatology-research.centre.uq.edu.au/research/hidradenitis-suppurativa
• HS Patient Brochure: https://dermatology-research.centre.uq.edu.au/files/1915/HS-patient-education-and-treatment-guide-pamphlet.pdf

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr Sean Stevens speaks with Dr Tilman Ruff, an infectious diseases and public health physician, where they discuss the alarming risks of nuclear war and the role of health professionals in preventing it. 

Dr Ruff sheds light on the significant threat posed by nuclear weapons and the urgent need for action to prevent their catastrophic consequences. Drawing attention to the recent movement of the Doomsday Clock, Dr Ruff explains the various factors contributing to the elevated risk, including geopolitical conflicts, failure of disarmament efforts, global climate change and escalating cyberwarfare. He emphasises the responsibility of health professionals to advocate for nuclear disarmament and highlights the impact that evidence-based advocacy can have in achieving reductions in nuclear arms.

Throughout the episode, Dr Ruff emphasises the importance of informed discussions and education on the risks of nuclear war. He urges health professionals, medical organisations, and individuals to engage in conversations about this critical issue, integrating it into teaching and organisational activities. Dr Ruff also highlights the potential impact of divestment from companies involved in nuclear weapons production, encouraging listeners to consider moving their funds to institutions that align with their values.

As the episode concludes, Dr Stevens and Dr Ruff emphasise the need for collaboration and engagement at all levels, from individuals to governments. They encourage listeners to support organisations like the Medical Association for Prevention of War and engage with local, state, and federal government levels to advocate for nuclear disarmament and the protection of global health.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, Dr Madhur Ravikumara (Ravi), a paediatric gastroenterologist, joins host Dr Sean Stevens to discuss the topic of Helicobacter pylori (H. pylori) infection in children. 

Dr Ravi explains the differences between H. pylori infection in children and adults, highlighting that most children with this infection are asymptomatic. He emphasises that there is no evidence to support treating or eradicating H. pylori in children unless they have peptic ulcer disease. Dr Ravi also discusses the low risk of complications, such as peptic ulcer disease and gastric malignancies, in children with H. pylori infection.

Dr Ravi further explains that the current paediatric guidelines strongly recommend against the test and treat strategy for H. pylori in children. He emphasises that the primary goal of investigating GI symptoms in children is to find the cause and manage it, but there is no specific clinical symptom that indicates the presence of H. pylori. Therefore, routine testing for H. pylori in children is not recommended.

The episode delves into the potential beneficial effects of H. pylori in the stomach lining, such as protection against allergic conditions like asthma, eczema, and eosinophilic esophagitis, as well as a potential inverse relationship with the development of inflammatory bowel disease. Dr Ravi highlights that while these associations do not necessarily indicate causation, experiments have shown specific benefits of H. pylori in mitigating inflammatory bowel disease.

The episode concludes with Dr Ravi addressing the question of when to treat H. pylori in children and the need for further research to determine follow-up protocols and risk factors for gastric cancer in those with H. pylori infection.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network — the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Links & Resources:

Helicobacter pylori in children: think before you kill the bug!

Joint ESPGHAN/NASPGHAN Guidelines for the Management of Helicobacter pylori in Children and Adolescents (Update 2016)

In this episode, host Tim Koh is joined by Dr Michael Wright, Chief Medical Officer for Avant Mutual and Chair of RACGP Expert Committee on Funding and Health System Reform, to discuss the do's and don'ts of telehealth consulting. They delve into the guidelines set by the Medical Board of Australia, the legislative requirements for Medicare billing, and the considerations for conducting telehealth consultations effectively. 

Michael emphasises the importance of maintaining the standard of care, patient identification, consent, and privacy protection in telehealth consultations. He also addresses the challenges and limitations of telehealth, including the need to transition to face-to-face consultations when necessary, staying compliant with Medicare billing requirements, and protecting oneself from potential issues and complaints related to telehealth consultations. 

Discussing the implications of patients accessing medical advice from outside of Australia and the responsibilities of GPs practising telehealth while travelling abroad. Exploring the use of other forms of communication, such as SMS, electronic messaging, and email, in patient consultation and information provision.

Resources & Links:

• Telehealth - Telehealth – what you need to know - Avant by doctors for doctors
• Guidelines - https://www.medicalboard.gov.au/Codes-Guidelines-Policies/Telehealth-consultations-with-patients.aspx

For Medical Practitioners in General Practice

Stay updated on the latest in healthcare, delivery, and digital health by visiting Talking HealthTech, the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this special episode of The Good GP, recorded live at GP24 in Perth, host Dr Tim Koh talks with Dr Luca Crostella, an experienced gastroenterologist, about the diagnosis of inflammatory bowel disease (IBD).

Providing an insightful overview of IBD, including Crohn's disease and ulcerative colitis. Dr Crostella highlights common symptoms such as pain, bleeding, and urgency, and explains the diagnostic challenge posed by the variable nature of these diseases.

They delve into the diagnostic markers and tests for IBD, such as ESR, CRP, and fecal calprotectin levels, along with the role of endoscopic findings. Emphasising the difference of IBD from other conditions like irritable bowel syndrome (IBS) and non-steroidal anti-inflammatory drug (NSAID).

Dr Crostella shares practical tips for general practitioners on how to handle patients with suspected IBD and outlines the pre-referral investigations that can be beneficial. The implications of smoking and obesity in the prognosis of IBD and the potential role of diet in disease management.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr. Krystyna de Lange is joined by Professor Lin Fritschi, an epidemiologist with expertise in occupational causes of cancer, to discuss the increasingly topical area of silicosis. They delve into the nature of silica dust, its harmful effects, and the occupational risks associated with it. Lin provides insights into the occupational screening needed for at-risk individuals, warning signs for symptomatic patients, and the counselling and preventative health points crucial for impacted patients.

Lin also sheds light on the mental health implications of silicosis, available compensation and support avenues, and essential resources for GPs to gather more information on the topic. Their discussion addressed the significance and urgency of acknowledging and addressing silicosis in the workplace and provides valuable guidance for healthcare professionals in dealing with affected patients.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at Talking HealthTech

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Tim Koh interviews Associate Professor Karen Flegg, the President elect of WONCA. They discuss the upcoming WONCA conference in Sydney and why it's a special occasion for Australian GPs, being the 50th anniversary of the Melbourne conference. Karen shares her excitement about meeting colleagues from around the world and attending workshops and sessions to learn from international GPs. She also highlights the importance of environmental issues and the support of WONCA's Working Party on the Environment. The episode concludes with a discussion on how WONCA supports general practice education globally and advocates for the role of GPs in primary healthcare.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode, host Dr Anna Mullins speaks with Dr Preeya Alexander, a GP based in Melbourne who is passionate about preventative health. Dr Alexander utilises social media to debunk health myths and provide reliable health information to the public. She is also the author of "Rainbow Plate," "Eat Sleep Play Love," and "Full Plate," and the host of the podcast "Happy to Health."

Dr Alexander discusses the motivations behind her social media presence, which began in 2016 as a response to the spread of health misinformation. She shares her experiences managing her clinical practice, media engagements, and the challenges that come with addressing health misinformation online. Despite facing significant negativity from certain groups, including anti-vaccination activists, Dr Alexander remains committed to promoting evidence-based health information.

They also covered her approach to giving practical health advice on social media and her emphasis on preventative health. She highlights the importance of GPs providing small, actionable health tips to their patients, especially in areas like nutrition and physical activity. Discussing her books that focus on parenting and cooking, which provide practical, budget-friendly health advice.

Dr Alexander shares insights into her podcast, "Happy to Health," aimed at the general public. The podcast covers various health topics with expert guests, making complex medical information accessible and engaging for listeners.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, Dr Anna Mullins speaks with Professor Claire Jackson, a professor of general practice and primary care reform at the University of Queensland, about the e-consultation model and its impact on rural healthcare.

Professor Jackson describes the early days of the e-consult model, inspired by a successful program in San Francisco, and how it was initially trialled with positive results at Camp Hill Healthcare. The model, involving advice provided to GPs via a shared electronic medical record and email communication, has since expanded across Western Queensland and includes various clinicians from multiple medical specialties.

Delving into the role of Queensland Health in funding the e-consult model and discusses the importance of scaling the service statewide. Professor Jackson highlights the critical mass of referrals needed for service efficacy, as evidenced by experiences in Canada. She also addresses the challenges faced in getting GPs to notice and use the e-consult service.

They then discuss the broader challenges in general practice, such as administrative workload and funding issues. Professor Jackson reflects on how funding for general practice has evolved over the last 40 years and the current struggle to lobby for affordable support. The conversation emphasises the significance of maintaining a strong patient-GP relationship, especially during changes in practice models, and the unique mentorship and growth opportunities within the profession.

She notes the environmental benefits of e-consults, with a significant reduction in face-to-face visits and carbon footprint in rural areas. Furthermore, over 90% of GPs reported that the e-consult service greatly assisted in their management of cases and provided them with valuable educational advice.

Concluding with a discussion on the expansion plans for the e-consult service and the collaboration with the University of Ottawa to incorporate more specialties, thereby encouraging greater use among GPs.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Sean Stevens along with Dr Rebecca Goadby interview Dr Alison Creagh, renowned for her expertise in intimate partner violence and contraceptive management. Alison addresses managing the side effects of long-acting reversible contraceptives (LARCs), focusing on contraceptive implants and intrauterine devices (IUDs).

Alison discusses the common issue of unpredictable bleeding with contraceptive implants, providing detailed insights into identifying potential causes, assessing the pattern of bleeding, and discussing management options with patients. She highlights the significance of ruling out abnormal causes and offers a range of strategies, including reassurance, combined pill usage, anti-inflammatory and hormonal options, and considering alternative contraceptives, if necessary. Additionally, she provides guidance on addressing weight gain, headaches, loss of libido, and concerns around fertility associated with long-acting contraceptives, dispelling myths and offering practical advice to reassure patients.

Their discussion then delves into challenges related to IUD insertions, addressing potential pain, bleeding, and cramping post-insertion. Alison outlines strategies for pain management during insertion, discusses the normality of bleeding patterns post-insertion, and shares management options for heavier bleeding or cramping. 

The conversation concludes with Alison demystifying fertility concerns associated with LARCs, providing clarity on the rapid return to normal fertility post-discontinuation of contraceptive methods.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute rheumatic fever and rheumatic heart disease.

Dr Hempenstall begins by defining acute rheumatic fever as an immunological response to group A streptococcus, which can lead to a constellation of symptoms impacting the heart and joints. She explains the progression from acute rheumatic fever to rheumatic heart disease, a condition characterised by permanent valvular damage to the heart following of acute rheumatic fever.

Outlining the symptoms and diagnostic criteria for acute rheumatic fever, referencing the Jones criteria and the helpful tools available such as the Rheumatic Heart Disease Guidelines and the ARF and RHD app. She also provides insight into the criteria's major and minor manifestations, including carditis, polyarthritis, Sydenham’s chorea, Erythema marginatum, subcutaneous nodules, fever, elevated inflammatory markers, and prolonged PR interval on ECG.

Highlighting the necessary steps for diagnosing acute rheumatic fever, including auscultating the heart, documenting fever, performing a 12-lead ECG, and obtaining relevant blood tests. The need for bedside documentation and comprehensive differential diagnosis is also covered.

In terms of management, Dr Hempenstall focused on creating a culturally safe environment and initiating treatment for suspected acute rheumatic fever promptly. This includes administering intramuscular penicillin and managing symptoms with paracetamol, with specialist consultation as needed. She also stresses the importance of early echocardiograms and the involvement of public health units.

For long-term management, Dr Hempenstall discussed the necessity of secondary prophylaxis with penicillin injections and regular echocardiograms. She emphasises the continuing role of primary care practitioners in follow-up care, ensuring adherence to prophylaxis schedules, and coordinating ongoing specialist reviews and yearly dental checks.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Roy Mariathas, a RACGP Fellow and digital health entrepreneur. 

Roy discusses the rise of artificial intelligence, its applications in healthcare, and the ethical considerations surrounding its use. 

He shares insights into the development of generative AI technologies like large language models and provides recommendations for GPs utilising software that incorporates AI. 

Roy also reflects on his experience in the Australian Clinical Entrepreneur Programme (AUSCEP) and its impact on his understanding of the intersection between healthcare and technology.

Resource & Links:

An analogy for LLMs/transformers - https://www.linkedin.com/pulse/gps-guide-chatgpt-dr-roy-mariathas-nlsbc/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, host Dr. Sean Stevens continues the discussion on interventional pain management with guest Dr. Robin Park, a GP and pain specialist.

Head back to episode 140 of this podcast to catch up on part 1 of this discussion.  

In this episode, Robin continues to provide insights on the role of radiologists in performing procedures such as CT-guided interventions and emphasises the importance of clinical expertise in interpreting radiology reports. 

He also highlights the need for a multidisciplinary approach and the role of GPs in organising a patient's care before referring to a radiologist or pain specialist.

Robin discusses the types of procedures that radiologists can comfortably perform, including epidural guided injections and nerve root sheath injections. He mentions that some radiologists may also perform radio frequency ablation, although it is less common. He advises that GPs should be comfortable diagnosing and managing the condition before referring to a radiologist. He also mentions the availability of additional training for GPs in musculoskeletal medicine through organisations like the Australian Association of Musculoskeletal Medicine.

The conversation then shifts to the signs that indicate a patient is unlikely to benefit from interventional procedures. Robin highlights the importance of patient motivation and engagement in their own care. Unrealistic expectations and the desire for a complete elimination of pain are factors that may indicate a patient is unlikely to benefit from a procedure.

Robin stresses the importance of effective communication in managing patient expectations and helping them understand the limitations of interventional procedures. He emphasise the need for a comprehensive approach that includes psychological support, physiotherapy, and occupational therapy in conjunction with interventions.

To learn more about interventional pain management and the role of radiologists and pain specialists, tune in to this informative episode of The Good GP.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this special episode of The Good GP, recorded live at GP24 in Perth, host Dr Sean Stevens engages in a conversation with Associate Professor Ramesh Balasubramaniam and Dr Francesco Piccolo on the management of obstructive sleep apnea (OSA).

Associate Professor Ramesh Balasubramaniam, an Oral Medicine Specialist and Discipline Lead in Oral Medicine at UWA, and Dr Francesco Piccolo, a respiratory and sleep specialist at Midland, share various approaches to diagnosing and treating obstructive sleep apnea. Discussing patient-specific factors that influence the choice of therapy, including the use of CPAP (Continuous Positive Airway Pressure) and mandibular advancement devices.

Dr Piccolo emphasises the importance of thorough clinical evaluation and insights into the sleep study reports, the severity of obstructive sleep apnea, and the associated symptoms and comorbidities that influence treatment decisions. Prof. Balasubramaniam discusses the role of patient preference in treatment adherence and the importance of follow-up and monitoring.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Tim Koh welcomes Glen Turner, Australia Health Lead of Parkrun Australia, to discuss the global health and social phenomenon that is Parkrun. 

As one of the largest weekly 5-kilometre events held in thousands of locations worldwide, Parkrun encourages physical activity, volunteering, and community support. Glenn and Tim delve into the non-competitive and inclusive nature of Parkrun, its relationship with general practitioners through the Parkrun Practices initiative, and the substantial evidence supporting its health benefits for both physical and mental well-being. 

They further encourage listeners to participate in Parkrun during the holiday season and share how to find and engage with Parkrun events in their communities.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode, host Dr Catherine Bourke is joined by Dr Gill Cowen, a multi-talented expert with roles including a senior lectureship at Curtin Medical School and a clinical research fellow at the Curtin Health Innovation Research Institute, to discuss advancements in concussion management.

Defining concussion and elaborating on the latest Australian Sports Commission concussion guidelines released in February 2024. They covered various aspects of concussion, including preventive measures in sports, the importance of strict adherence to game rules, and the role of mouthguards and helmets. Dr Cowen clarifies that loss of consciousness is not required for a concussion diagnosis and outlines the serious conditions that GPs must not overlook.

Gaining insights into available diagnostic tools such as the post-concussion symptom score, SCAT 6, and the Vestibular Ocular Motor Screening Tool (VOMS). Dr Cowen also updates on current recommendations for post-concussion management, moving away from complete rest and instead advocating for relative rest and limited screen time in the initial 48 hours. They also discussed return-to-play protocols, particularly the revised 14-day symptom-free period before re-engaging in contact sports and a minimum 21-day interval for returning to play.

They emphasise a conservative approach to repeated concussions within a season and acknowledge ongoing research on chronic traumatic encephalopathy (CTE) and its association with repetitive head trauma. Dr Cowen highlights that, in the current absence of predictive tools, a cautious management approach should be employed.

References:

• Concussion guidelines: https://www.connectivity.org.au/clinical-guidance/health-guidelines/
• Concussion Fact Sheets: https://www.connectivity.org.au/guidance-for-clinicians/fact-sheets/
• Free short concussion courses: https://www.connectivity.org.au/courses/
• State Head Injury Unit Concussion Program: https://www.nmhs.health.wa.gov.au/Hospitals-and-Services/Public-Health/Head-Injury/Concussion
• mTBI Healthpathway: https://wa.communityhealthpathways.org/246668.htm
• Vestibular oculomotor screening (VOMS): https://www.youtube.com/watch?v=CJF6kJcFGqE
• Sport-related concussion: https://sma.org.au/resources/concussion/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr Sean Stevens speaks with Dr Michelle Dutton, the inaugural chair of the newly established Trans and Gender Diverse Healthcare Specific Interest Group (SIG) at the RACGP. 

Dr Dutton shares the goals of the SIG, which revolve around creating a safe and accepting environment for trans and gender diverse people to receive healthcare and empowering GPs to provide comprehensive care. The episode explores the need for upskilling in this area and provides a range of resources, including the trans and gender diverse healthcare page on GP learning and TransHub, a user-friendly resource for clinicians and patients. 

Dr Dutton also highlights the importance of joining the SIG to stay updated on educational opportunities.

The conversation also explores the challenges in gender diverse care, with a focus on combating disinformation and stigma surrounding trans identities. Dr Dutton reassures GPs that GP-led care for trans adults, including gender affirming hormone therapy, is supported by major national and international organisations. The episode concludes with a discussion on the power of simple gestures, such as using correct names and pronouns, in making trans patients feel safe and cared for.

To join the Trans and Gender Diverse Healthcare Specific Interest Group (TGD SIG) send an email to gpsi@racgp.org.au

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Sarah Heynemann, a Melbourne-based early career medical oncologist and PhD candidate with Sydney Health Ethics, The University of Sydney. Dr Heynemann brings valuable insights into the changes in cancer care and cancer survivorship over the years. She discusses the impact of advances in cancer therapies, such as immunotherapy and targeted therapies, on the prognosis and quality of life for patients with cancer, particularly those with historically poor prognoses. She emphasises the need for GPs to be aware of the ongoing supportive care needs of patients, even if the tumour appears stable, and highlights the importance of effective communication across multidisciplinary teams for comprehensive cancer survivorship care.

Additionally, Sarah sheds light on upcoming cancer therapies and emphasises the evolving role of GPs in navigating the complexities of cancer care.

Recommending two key resources – the Victorian Comprehensive Cancer Centre’s online course for primary care practitioners and the Australian Cancer Survivorship Centre based out of Peter MacCallum Cancer Centre. She also mentions an recent article in the Journal of Clinical Oncology which provides an overview of the future of survivorship for patients living with metastatic cancer.

Resources & Links:

• 'Cancer Survivorship for Primary Care Practitioners' VCCC course starts 25th March 2024. Weblink here: https://www.futurelearn.com/courses/cancer-survivorship
• Australian Cancer Survivorship Centre based at Peter MacCallum Cancer Centre https://www.petermac.org/patients-and-carers/support-and-wellbeing/life-after-treatment

• The article Sarah referenced was published last year in the Journal of Clinical Oncology https://ascopubs.org/doi/10.1200/JCO.22.02212?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at Talking HealthTech

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this special episode of The Good GP, recorded live at GP24 in Perth, host Dr Krystyna de Lange interviews Dr Anna Mullins on the topic of prescribing exercises for falls reduction and pelvic floor health.

Dr Anna Mullins is a Brisbane-based GP with a passion for lifestyle medicine and preventative health. As a former exercise physiologist, she emphasises how simple exercises can benefit patients with cardiovascular disease, metabolic disorders, mental health issues, and even cancer.

Dr Mullins highlights the importance of muscle strengthening and balance training, especially in the elderly. Dr Mullins outlines practical exercises that can easily be incorporated into daily routines, such as performing modified push-ups against a wall. 

They delve into exercises aimed at reducing falls risk in elderly patients. Describing specific exercises such as balancing on one foot, Tai Chi, and yoga, which not only improve physical health but also offer social connection benefits. Muscle strengthening activities like modified push-ups, squats, and core exercises, which are essential for maintaining functional independence and preventing falls.

Discussing maintenance pelvic floor health, especially in postnatal care. Dr Mullins shares techniques for activating pelvic floor muscles and core strength early in the postnatal phase, with starting these exercises soon after childbirth. 

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the topic of breast cancer screening. They discuss the importance of both screening and testing and elucidate the difference between the two.

They begin by outlining what screening entails, emphasising that it’s for individuals with no symptoms of breast cancer, aiming to detect any irregularities early. Describing the screening process, including mammograms and other radiological tests, and discussing the symptoms that may necessitate further testing, such as nipple inversion, skin dimpling, and nipple discharge.

Dr Bourke and Dr Mullins then provide an overview of accessing breast cancer screening in Australia. Sharing practical advice on booking screenings, the importance of finding a comfortable experience, and the role of early detection plays in effective treatment and better outcomes.

They then discuss the individual risk factors for breast cancer. Advocating for the iPrevent calculator, developed by the Peter MacCallum Cancer Centre, as a valuable tool for assessing personal risk and determining appropriate screening measures. They also touched upon the genetic and familial aspects of breast cancer risk and the significance of maintaining a healthy lifestyle.

Finally, they shared tips on lifestyle changes that can reduce the risk of breast cancer. Exercise, smoking cessation, moderate alcohol consumption, and maintaining a healthy weight are highlighted as key preventive measures. Along with the regular physical breast examinations and awareness of changes.

Links & Resources:

Breast cancer risk assessment and risk management decision support tool:

• iPrevent- Peter MacCallum Cancer Centre: https://www.petermac.org/patients-and-carers/health-services-for-cancer-patients/cancer-prevention/iprevent

Breast screening services:

• Western Australia: Breast Screen WA:https://www.breastscreen.health.wa.gov.au
• South Australia:  Breast Screen SA: https://www.breastscreen.sa.gov.au
• Victoria: Breast Screen VIctoria: https://www.breastscreen.org.au
• New South Wales: Breast Screen NSW: https://www.breastscreen.nsw.gov.au
• Queensland: Breast Screen Queensland: https://www.breastscreen.qld.gov.au
• Northern Territory: Breast Screen NT: https://nt.gov.au/wellbeing/cancer-services/breastscreennt
• Australian Capital Territory: Breast Screen ACT: https://www.canberrahealthservices.act.gov.au/services-and-clinics/services/breastscreen-act

This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP podcast, host Dr Karin Sekhon is joined by Dr Alison Creagh, a GP with a special interest in women's and sexual health. Dr Creagh shares her knowledge on the topic of emergency contraception, discussing its importance and available options.

They explain emergency contraception and its use in situations of unprotected sex or contraceptive failure. Dr Creagh outlines the three main options: two oral pills and the copper IUD. She highlights the copper IUD as the most effective method and addresses its limited accessibility and costs. For the oral pills, levonorgestrel and ulipristal, Dr Creagh explains their effectiveness, availability over-the-counter, and the potential side effects.

Discussing when to begin contraception after an emergency contraceptive method, considerations between the two pill options, and notable barriers to access in Australia. Dr Creagh emphasises the need for GPs to be informed about local resources and suggests patient resources to enhance understanding and access to emergency contraception.

Dr Creagh notes the importance of informing patients about emergency contraception, particularly for newly sexually active individuals and those using ongoing contraceptive methods. Which is essential for GPs looking to deepen their knowledge and improve patient care in the context of emergency contraception.

Link & Resources:

CLINICIANS: 

• Therapeutic Guidelines: https://www.tg.org.au/
• FSRH guidelines: https://www.fsrh.org/Public/Public/Standards-and-Guidelines.aspx?hkey=86c80484-36fe-4d6d-96c6-05cdc8e7b8da

PATIENTS: 

• SHQ Information Sheets: https://shq.org.au/resources/health-info/info-sheets/
• SHQ Emergency Contraception Information Sheet: https://shq.org.au/resources/health-info/info-sheets/emergency-contraception/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr Robin Park, a GP pain specialist, joins host Dr Sean Stevens to discuss procedures in pain management, in part 1 of a 2 part discussion.

Robin shares his insights on common procedures and how GPs can determine who is likely to benefit from them.

Robin emphasises the importance of a comprehensive approach to pain management, which includes education, allied health input, and pharmacological management. 

He stresses the need to view procedures as part of a larger plan that involves rehabilitation. Procedures, such as injections, provide a window of opportunity for patients to engage in rehab and improve their quality of life.

Robin also highlights the importance of managing patient expectations. While patients may desire a quick fix, it is crucial to communicate that procedures alone are not a cure-all. Rehabilitation and hard work are essential components of effective pain management.

Throughout the episode, Sean and Robin discuss various diagnostic procedures, such as diagnostic blocks, that can help confirm the source of pain. These procedures involve injecting local anaesthetic near specific nerves to determine if the pain is alleviated, thus providing diagnostic insight.

Tune in to this educational episode of The Good GP to learn more about procedures in pain management and how they can be integrated into a comprehensive approach to patient care.

Listen out for the second part of this discussion, in an episode to be released next on this feed.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Marita Long, as they discuss dementia risk factors and prevention.

Dr Long says that dementia is a chronic disease, with its pathology starting 20 to 30 years before symptoms appear. Delving into the importance of intervention and maintaining brain health throughout life, Dr Long explains that dementia encompasses multiple symptoms with around 100 different causes, of which Alzheimer’s disease is the most common in Australia.

They then focus on non-modifiable risk factors, such as age and sex, noting that women are twice as likely as men to develop dementia. Exploring the global modifiable risk factors identified by the Lancet Commission, which include educational attainment, hearing impairment, traumatic brain injury, alcohol, obesity, smoking, hypertension, depression, social isolation, physical inactivity, diabetes, and air pollution. Data from the Lancet Commission implies that addressing these modifiable risk factors could prevent or delay 40% of dementia cases globally.

Dr Long suggests beneficial lifestyle practices such as maintaining a varied diet, regular exercise, limited alcohol consumption, no smoking, and consistent social engagement to help prevent dementia. The BrainTrack app, developed by Dementia Australia, is highlighted for its role in raising brain health awareness and measuring cognitive performance through interactive travel games aimed at promoting timely diagnosis of dementia.

They then addressed the increasing concerns about memory changes and dementia worries, suggesting opportunities for risk factor assessment during health assessments and at various life stages, including among individuals with intellectual disabilities and the Indigenous population. The COG DRISK online assessment tool, developed in Australia, is recommended for its comprehensive evaluation of modifiable dementia risk factors, providing a personalised risk score and tailored brain health recommendations for individuals over 40.

Resources mentioned in the episode:

• Dementia in Practice podcast - https://dta.com.au/news/2021/dementia-in-practice-now-were-talking/
• Dementia Training Australia website (free online courses and resources) - https://dta.com.au/
• Dementia Australia - https://www.dementia.org.au/
• Lancet article on dementia risk factors - https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext
• CogDRisk Tool - https://cogdrisk-tool.neura.edu.au/
• Preventing Dementia Mook - https://www.utas.edu.au/wicking/preventing-dementia
• Dementia Braintrack app - https://www.dementia.org.au/braintrack
• Cognitive training - https://www.cognifit.com/
• Cognitive training - https://www.brainhq.com/

Some extra resources Dr Marita Long recommends:

• https://www.mup.com.au/books/secrets-of-womens-healthy-ageing-paperback-softback
• https://lisamosconi.com/the-menopause-brain

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Alison Creagh, a GP specialising in women's health and sexual and reproductive health, with over 20 years of experience in this field. Alison sheds light on the issue of intimate partner violence and its impact on the health of those affected, particularly women. She discusses how intimate partner violence differs from domestic violence and emphasises the importance of GPs in addressing this prevalent issue.

Delving into why patients may be reluctant to discuss intimate partner violence with their GPs and offers insights into how GPs can effectively broach this sensitive topic with their patients. Alison provides practical guidance on identifying potential signs of intimate partner violence and outlines gentle and effective approaches for GPs to initiate conversations with their patients.

Furthermore, Alison shares valuable resources and support services available to GPs and patients dealing with intimate partner violence, emphasising the need for confidentiality and sensitivity in handling such cases. Concluding with the discussion on additional learning opportunities and resources for GPs to further their understanding and approach in addressing intimate partner violence.

Resources for Getting Help on Intimate Partner Violence across Australia:

National

1800 RESPECT

Counselling, information and referral for people experiencing abuse, friends and family and health

professionals.

1800 737 732

MensLine Australia

For men with concerns about abuse, including those who are abusive.

1300 789 978

White Ribbon

Lists national helplines available according to needs.

whiteribbon.org.au/helplines

ACT

Domestic Violence Crisis Service

02 6280 0900

NSW

NSW Domestic Violence Line

Counselling and referrals for women experiencing DV

1800 656 463

NSW Department Communities and Justice

Online information source, with quick exit buttons

https://dcj.nsw.gov.au/children-and-families/family-domestic-and-sexual-violence.html

Women’s Domestic Violence Court Advocacy Services

Provide information, advocacy and referrals for women and children, and support accessing restraining orders

legalaid.nsw.gov.au/about-us/our-partners/womens-domestic-violence-court-advocacy-program

NT

Domestic, family and sexual violence page from NT government

Lists local support services according to region

nt.gov.au/law/crime/domestic-family-and-sexual-violence/get-help-for-domestic-family-and-sexual-violence

QLD

DVConnect Womensline

Support, accommodation, counselling and referrals for women experiencing family or domestic violence

1800 811 811

DVConnect Mensline

Support, counselling and referrals for men affected

1800 600 636

Government Domestic & Family Violence page

Information about services available

qld.gov.au/community/getting-support-health-social-issue/support-victims-abuse/domestic-family-violence

Domestic Violence Prevention Centre

Counselling, practical support, safety planning and referrals

07 5532 9000

SA

Domestic and family violence & sexual assault support services

Listings of supports available for specific issues

sa.gov.au/topics/family-and-community/safety-and-health/domestic-violence-and-sexual-assault/support-services

Domestic Violence Crisis Line

Crisis counselling, support and accommodation referrals

1800 800 098

TAS

Family Violence Counselling and Support Service

Information, support, safety planning, assistance with police, referrals

1800 608...

In this episode of The Good GP, host Dr Sean Stevens discusses environmentally sustainable respiratory care with Dr Brett Montgomery, a GP and Senior Lecturer with expertise in environmental medicine, and Clinical Professor John Blakey, Head of the Department of Respiratory Medicine at St. Charles Gardener Hospital.

Dr Montgomery outlined the key environmental challenges associated with respiratory care, particularly the carbon footprint of Australia's health system. Emphasising the impact of pharmaceuticals, particularly the global warming potential of hydrofluorocarbons in traditional metered dose inhalers. He mentions the importance of accurate diagnosis and alternative treatment options, including dry powder inhalers or soft mist inhalers to reduce environmental impact.

Clinical Professor John Blakey shares his perspective on aligning environmental concerns with optimising respiratory care. Stressing the importance of accurate diagnosis to avoid unnecessary treatments and outlines how optimising treatment can lead to better asthma control and reduced environmental footprint. He also addresses challenges related to spirometry in general practice, particularly changes brought about by the COVID-19 pandemic.

They conclude with practical advice for GPs on implementing changes to reduce their respiratory prescribing's environmental impact while maintaining optimal patient care.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Tim Koh is joined once again by Dr Linny Kimly Phuong, a paediatric infectious diseases physician, researcher, and academic tutor, to discuss Pneumococcal Disease. Being the subject of her PhD, Dr Phuong brings her extensive knowledge and experience on this topic.

Dr Phuong outlines the different clinical manifestations of Pneumococcal Disease, dividing them into invasive and non-invasive categories. Non-invasive diseases include otitis media and sinusitis, while invasive diseases can result in conditions like complicated pneumonia, meningitis, bacteremia, bone and joint infections, endocarditis, and peritonitis.

Discussing the significance of the strep pneumoniae bacteria, which is commonly found in the nasopharynx of healthy individuals. Dr Phuong explains the switch from carriage to disease manifestation and highlights the risk factors for invasive Pneumococcal Disease, including extremes of age, immunocompromise, chronic health conditions, and certain lifestyle factors.

They then turn to pneumococcal vaccines, and the differences between conjugate and polysaccharide vaccines, their valencies, and their impact on clinical practice. Dr Phuong emphasises the importance of vaccination in reducing morbidity and mortality related to Pneumococcal Disease, particularly in young children and older adults.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, Dr Krystyna de Lange continues the conversation on menopause with Dr Marita Long, discussing pharmacological management for troublesome menopausal symptoms.

Dr Long begins by addressing non-hormonal pharmacological options for women who either cannot use hormones or choose not to. She covers medications such as SNRIs (Venlafaxine or Desvenlafaxine), SSRIs, Gabapentin, Clonidine, and introduces Fesolinatant, a new treatment option recently approved by the TGA.

They then shift to hormonal menopause replacement therapy (MHT). Dr Long outlines which patients are suitable for hormonal therapy and which are not. She explains the different regimes, including cyclical and continuous treatment, emphasising the importance of matching therapy to the patient's specific needs based on their menopausal status and the presence of a uterus.

Covering the variety of hormone delivery methods available, such as oral, patches, and gels, noting the benefits and considerations of each form. Highlighting the importance of tailoring the approach to the patient's risk profile, particularly concerning cardiovascular health and breast cancer risk.

They concluded with Dr Long recommending effective resources such as the Australasian Menopause Society and Jean Hales for Women's Health, providing valuable information for both healthcare professionals and patients.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Krystyna de Lange discusses Irritable Bowel Syndrome (IBS) with Dr Alireza Ahmadvand, a GP, and Professor Gerald Holtmann, a consultant gastroenterologist and director of the gastroenterology and hepatology department at the PA Hospital. This episode is part one of a two-part series exploring IBS from a multidisciplinary approach.

Dr Ahmadvand discusses the differential diagnoses for IBS symptoms in primary care. This includes chronic infections, inflammatory bowel diseases, medication-induced diarrhea, colorectal cancer, and more. They evaluate red flags and initial investigations to distinguish between organic and functional gastrointestinal issues.

Professor Holtmann highlights the importance of understanding patient expectations and provides clarity on diagnosing disorders of gut-brain interaction. He highlights the role of thorough communication and the need to address both the physical symptoms and psychological impact on the patient.

They also delve into the emerging role of the gut microbiome in disorders of gut-brain interaction. Professor Holtmann discusses the relevance of the microbiome composition and the challenges involved in using stool microbiome reports for diagnostic purposes. He elaborates on the potential of targeting the microbiome to improve IBS symptoms through specific treatments, including antibiotics and probiotics.

They conclude with an exploration of pharmacological interventions. Professor Holtmann shares insights on using low-dose tricyclic antidepressants, herbal medicines, and probiotics for IBS management, emphasising the need for balanced treatment strategies that weigh risk and benefit carefully.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Karin Sekhon engages in an insightful conversation with Dr Judith Thompson, specialist continence and pelvic health physiotherapist and clinical director of BodyLogic Pelvic Health Clinic in Perth. She shares her knowledge on the benefits of pelvic floor physiotherapy and its broad applications across various stages of life and conditions.

Dr Thompson elaborates the training in becoming a pelvic health physiotherapist and outlines the range of conditions managed, including bladder and bowel continence, pelvic organ prolapse, and pelvic floor dysfunction in both women and men. They also covered management strategies for men post-prostate surgery and children with continence issues.

They also talked about the management of endometriosis-related pelvic pain. Dr Thompson explains the holistic approach taken, considering bladder, bowel, and pain management, and emphasises the importance of exercise, pelvic floor muscle assessment, and pacing plans. She also addresses the psychosocial elements, using tools like the 3PSQ for early identification of psychological factors influencing pain.

Financial barriers to accessing pelvic physiotherapy were also discussed, with Dr Thompson offering practical advice on leveraging public system referrals, EPC programs, and telehealth services to make treatment more accessible. Highlighting resources such as the Matilda app for endometriosis care and the Coast to Country program for rural patients.

Dr Thompson also touched upon the often-overlooked needs of young men experiencing lower urinary tract symptoms and pelvic pain, advocating for early physiotherapy assessment and holistic management.

Links & Resources:

• The Pelvic Pain Psychological Screening Questionnaire (3PSQ) - https://www.wmhp.com.au/sites/default/files/3PSQ.pdf
• Matilda Health - Home | Endometriosis surgery: care before and after to optimise outcomes. (matilda.health)
• Coast to Country Pelvic Health Clinic - https://pelvichealth.physio/wp-content/uploads/2023/12/Poster.pdf

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Sean Stevens interviews Jerome Chiew, Vice Chair of the Australian Computer Society in Western Australia and a certified professional in cybersecurity. 

Jerome shares insights on the three most common cybersecurity incidents that GPs may experience, including phishing emails, malvertising through search engines, and password compromises through the use of cloud services. 

He provides practical advice on how to mitigate these risks, such as enabling two-factor authentication, subscribing to email filtering services, and installing up-to-date antivirus software.

Useful resources and links mentioned in this episode:

• RACGP: Information Security in General Practice
• Australian Cybersecurity Centre 

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network, offering cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at talkinghealthtech.com/podcast/network.

Have questions or want to contact The Good GP? Send an email to thegoodgp@gmail.com.

Join The Good GP host Dr Krystyna de Lange in an episode with Dr Rebecca Starkie as they discuss the topic of cervical screening and the self-collection method in Australia.

Dr Starkie, a GP, practice owner, academic, medical educator, and researcher with a specific interest in women's health, shares her expertise on the success of self-collection for cervical screening. With the uptake of self-collection, especially among older women and those in remote areas, we have seen a reduction in barriers to cervical screening and improved access

They delve into the eligibility criteria for self-collection, discussing those who can opt for this method and those who still require clinician-collected samples. Expected changes in guidelines for the cervical screening program are also touched upon, emphasising the upcoming recommendations for test-of-cure processes.

Sharing insights for GPs on how to effectively explain and guide patients through the self-collection process, including the use of instructional resources and addressing possible patient concerns. Dr Starkie offers practical tips for handling abnormal test results and troubleshooting sampling challenges.

Dr Starkie recommended adopting a whole-of-team approach in general practice to support cervical screening efforts, underscoring the importance of involving practice managers, nurses, and reception staff in creating a positive patient experience.

Links & Resources:

• https://acpcc.org.au/practitioners/resource-hub/

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Louise Reiche, a seasoned general dermatologist from Palmerston North to discuss the management of rosacea.

Giving insights into the key lifestyle and dietary triggers that affect rosacea. Dr Reiche covers the impact of spicy food, alcohol, caffeine, and environmental changes on facial redness experienced by patients. Emphasising on the importance of sun protection as a primary method for managing rosacea.

Shifting to the benefits of the Mediterranean diet and general wellness practices. Dr Reiche explains how a plant-rich, anti-inflammatory diet can help reduce the inflammatory response related to rosacea, components such as extra virgin olive oil and walnuts that benefit the gut microbiome and subsequently, the skin.

Treatment options for rosacea with sun protection being a cornerstone of management. Dr Reiche discusses practical sun protection strategies and the role of topical and oral retinoids, topical azelaic acid, and ivermectin in treating the condition. The shift from oral antibiotics to other treatments due to concerns about antibiotic resistance and the gut microbiome were also examined.

The Good GP is proud to collaborate with DermNet on this podcast. In early 2025 DermNet is launching a new platform designed specifically for healthcare professionals called DermNet PRO. It features a new search tool, the ability to save pages, and access a host of volunteer opportunities. It’s 100% free and coming in early 2025. Join the waitlist now.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP Podcast, host Dr Krystyna de Lange welcomes back Dr Marita Long to discuss the important topic of menopause. With her extensive experience in women's health, Dr Long provides clear and concise definitions that help demystify the terminology surrounding menopause.

Explaining key terms such as menopause, perimenopause, premature menopause, and premature ovarian insufficiency. She outlines the clinical nuances and the symptomatic variations that can occur during these different stages. Providing an in-depth look at the symptoms that women may experience during the perimenopause to post menopausal transition, including mood changes, sleep disturbances, hot flashes, and cognitive changes like brain fog.

Moving into the assessment phase, Dr Long dives into the appropriate investigations and when they are indicated. She emphasises the importance of a comprehensive evaluation for women in the midlife phase, noting when hormonal evaluations might be necessary and when they can be misleading or unneeded.

The discussion also covers non-pharmacological management strategies, focusing on lifestyle modifications such as exercise, diet, stress management, and self-care practices. Dr Long highlights how interventions like cognitive behavioural therapy (CBT) and certain lifestyle changes can alleviate symptoms and improve overall well-being during this critical time.

They aim to equip general practitioners with the knowledge and tools needed to support women going through menopause more effectively and empathetically, reinforcing the importance of individualised care and thorough assessment.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, Dr Krystyna de Lange hosts Associate Professor Dr Alireza Ahmadvand, a practising GP with a special interest in gastroenterology at the Princess Alexandra Hospital in Brisbane, to discuss disorders of gut-brain interaction (DGBI).

Dr Ahmadvand elaborates on what DGBIs are and provides the latest insights into the pathophysiology, mentioning conditions such as irritable bowel syndrome and functional dyspepsia. He explains the diagnostic criteria and the importance of recognising these conditions in general practice, and highlights the role of GPs in identifying and ruling out structural abnormalities before considering a DGBI diagnosis.

They also covered the multifactorial nature of these disorders, including the impact of psychological and psychosocial factors, such as stress, anxiety, and depression, and the interactions between gut microbiome and gut function. Dr Ahmadvand outlines when GPs should consider DGBIs and what red flags to watch for, emphasising the importance of comprehensive evaluations and specialist collaboration.

For management, Dr Ahmadvand advocates for a multidisciplinary approach involving dietitians, psychologists, exercise physiologists, and gastroenterologists to provide holistic care. Pharmacological treatments, diet modifications, and psychological interventions, such as Cognitive Behaviour Therapy, are also mentioned as part of a comprehensive management plan.

Lastly, Dr Ahmadvand points GPs towards the Rome Foundation's criteria, the Gastroenterological Society of Australia, and patient-focused platforms like Gut Foundation Australia and the IBS Network. He also encourages keeping alongside of the latest research through journals like Neurogastroenterology and Motility.

Links & Resources:

Rome Iv Diagnostic Criteria For Fgids

• https://theromefoundation.org/rome-iv/rome-iv-criteria/
• https://theromefoundation.org/resources/rome-iv-criteria-booklet/ (downloadable booklet in PDF)

Patient Education Material

Irritable Bowel Syndrome (IBS)

• https://dietitiansaustralia.org.au/health-advice/irritable-bowel-syndrome-ibs
• https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/irritable-bowel-syndrome-ibs
• https://www.healthdirect.gov.au/irritable-bowel-syndrome-ibs

Resources From The Australian Journal Of General Practice

The lived experience of irritable bowel syndrome: A focus on dietary management

• https://www1.racgp.org.au/ajgp/2022/june/the-lived-experience-of-irritable-bowel-syndrome

Research Instruments/Projects

Valid Instrument for Evaluating Symptoms in the Clinical Setting - Structured Assessment of Gastrointestinal Symptoms Scale (SAGIS)

In this episode of The Good GP, host Dr Sean Stevens discusses the innovative use of AI in healthcare with Kai Van Lieshout, co-founder and CEO of Lyrebird Health, and Dr Ryan Vo, a practising GP and co-CEO of Nouveau Health Medical Centre Group. 

Delving into the functionality and potential benefits of Lyrebird Health, a medical transcription tool that utilises AI to automate the process of transcribing doctor-patient consultations and generating comprehensive notes in as little as 10 seconds.

Kai explains the distinct features of Lyrebird Health, emphasising its ability to ambiently transcribe entire consultations in the background and automatically generate detailed notes, referrals, and patient letters post-consult. 

The vision for Lyrebird Health is to empower healthcare practitioners by streamlining administrative tasks, enabling them to dedicate more time to patient care.

Dr Ryan Vo, as an end-user of Lyrebird Health, shares his experience of significant time savings, improved patient engagement, and enhanced rapport-building with patients. He underscores the tool's potential in streamlining processes, reducing operating expenses, and aiding clinicians in delivering enhanced patient care.

Kai addresses the risks associated with AI in healthcare, highlighting the importance of adherence to regulations governing software as a medical device, data privacy, and security. They also talked about the future potential of AI in general practice, with a focus on automation and how it can enhance patient care, practice efficiency, and streamline workflows.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. 

Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this second episode of a three-part series on atrial fibrillation (AF), host Dr Tim Koh and Dr Ben King - Cardiologist and Electrophysiologist at Advara HeartCare, focus on medical management. They discuss stroke prevention, highlighting the criteria for anticoagulant use and the advantages of newer oral anticoagulants (NOACs) over warfarin.

The episode also covers rate control medications like beta-blockers and their impact on exercise-induced tachycardia. Dr King briefly touches on managing AF in patients with other conditions like heart failure and diabetes, as well as the role of lifestyle changes.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network, the premier audio destination for incisive insights and expert opinions in healthcare delivery, digital health, and innovation. Learn more at www.talkinghealthtech.com/podcast/network

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

In this episode, host Dr Sean Stevens welcomes Dr Michael Clements and Dr Kaylene Girgenti to discuss the practicalities and benefits of rural GP outreach. Dr Girgenti is a GP obstetrician with a unique practice split between Townsville and remote Karoombara Health Centre, which she commutes to by plane. Dr Clements is not only a pilot but also the Vice President of the RACGP, Chair of the Rural Faculty, and a practice owner of Clements Medical in Townsville and Magnetic Island.

Dr Girgenti shares her motivations behind taking on rural work, emphasising the diversity and fulfilment it adds to her practice, alongside the notable appreciation from the communities she serves. She encourages early career GPs to seek diversity and engage with diverse work environments that rural practice presents.

Dr Clements discusses the journey of integrating remote services into his practice, explaining the initial challenges and the rewards that result from providing critical services to underserved areas. He outlines the strategic approach to adopting a rural clinic from the perspective of an urban practice and the role of funding and clinical governance.

They also touched upon the dynamics of GP service in rural areas, including the importance of continuity of care and the value it brings to both the community and the healthcare provider.

Concluding with advice for urban GPs looking to extend their services to rural communities, highlighting the potential of such a model for adding excitement, scope, and a sense of mission to their practice.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, host Dr Krystyna de Lange is joined once again by Dr Tim Jones, a GP in Hobart with a special interest in general paediatrics. 

The topic of discussion is nocturnal enuresis or bedwetting in children. 

Dr Jones shares insightful information about the commonality of bedwetting, explaining that by the age of four, one in three children still experience bedwetting, with the numbers decreasing as they get older. 

Dr Jones emphasises the importance of addressing the social and emotional impacts of bedwetting, even though it tends to resolve naturally over time.

Dr de Lange asks Dr Jones about his approach to taking a history and conducting an examination when families seek help for bedwetting. Dr Jones highlights the significance of understanding whether bedwetting is a new concern or has always been present, as this can determine the underlying cause. He also discusses the importance of looking for associated conditions such as polydipsia, polyuria, constipation, and obstructive sleep apnea. Dr Jones concludes his explanation by outlining the key aspects of his examination, including palpating the child's abdomen, considering a genital exam, and assessing for signs of spina bifida or tethered cord.

Moving on to management, Dr de Lange asks Dr Jones about the general advice he gives to families once primary bedwetting with no underlying causes has been established. Dr Jones stresses the importance of understanding the parent's perception of bedwetting and tailoring the advice accordingly. He highlights the need to reassure parents that bedwetting is normal and not caused by anything the child is doing. Quoting statistics about the prevalence of bedwetting can help normalise the situation for families. Dr Jones and Dr de Lange also discuss the fact that in many cases, the child themselves are not overly worried about bedwetting unless it has been made a big issue within the family. Reassurance and de-stigmatization are often enough to alleviate concerns.  Dr Jones also shares his perspectives on medication management and when medications like Desmopressin and other medications might be prescribed.  

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Paul Effler, Medical Coordinator of the Communicable Disease Control Directorate in WA, to discuss the new RSV immunisation, Nirsevimab. They explore the differences between traditional vaccines and Nirsevimab, its effectiveness, safety, target group, and the likelihood of a national rollout. They also dive into the seasonal patterns of RSV and the co-administration of Nirsevimab with other vaccines. Providing valuable insights into the development and potential impact of this new immunisation.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP Podcast, host Dr Krystyna de Lange engages in a discussion with guest Deborah Hawthorne, a rural-based clinical pharmacist from Northeast Victoria, about the complexities of polypharmacy and the crucial need to reduce unnecessary medications.

Deborah emphasises the integral role of GPs in coordinating patient care and the importance of regularly reviewing medications to align with patient care goals.

The discussion centres on the challenges of polypharmacy, the need for medication review and deprescribing, and practical strategies for GPs to consider in patient care.

Deborah delves into the importance of medication review and deprescribing, emphasising the need to assess current therapeutic impact, potential side effects, and patient satisfaction with medications. She highlights the challenges of deprescribing certain medications and the need to taper them off gradually.

Delving into the rewarding aspect of simplifying medication regimens and the act of deprescribing, encompassing the reduction of medication strength, changing dosing intervals, and identifying prescribing cascades.

Additionally, Deborah mentions the availability of tools and guidelines, such as the:

- Drugs Burden Index Calculator (DBI)

- Beers Criteria

- CEASE

- ERASE

You can find links to deprescribing guidelines at the Australian Deprescribing Network ( https://www.australiandeprescribingnetwork.com.au/) and the Primary Health Network in Tasmania (https://www.primaryhealthtas.com.au/resources/deprescribing-resources/)

Exploring home medication reviews, their benefits, and reasons for referral, such as polypharmacy and cognitive issues. Hawthorne emphasises the value of conducting medication reviews in a patient's home to assess medication use, storage, and techniques and to provide education and confidence in managing medications.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization.

Learn more at: Talking HealthTech

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins discuss a critical and often overlooked aspect of health: Bone Health. They begin with clarifying the terms osteoporosis and osteoarthritis, which are often confused by patients. 

Dr Bourke and Dr Mullins present statistics highlighting the grave consequences of untreated osteoporosis, reinforcing the urgent need for awareness and early diagnosis. While also outline the risk factors, including age, family history, hormonal imbalances, vitamin D deficiency, and low body weight.

Emphasising the importance of prevention through nutrition, particularly calcium intake, lifestyle changes such as quitting smoking and reducing alcohol consumption, and specific exercises like resistance and balance training. Practical advice is provided to help patients incorporate these into their daily routines. They also discuss the bone mineral density test (DEXA scan), which is crucial for diagnosing osteoporosis and monitoring bone health over time.

They then discussed treatment, including medications and multi-disciplinary care involving GPs, dietitians, and exercise physiologists. The long-term impact of fractures on independence and quality of life is stressed, making this a valuable resource for GPs aiming to improve patient outcomes in bone health.

Links & Resources:

• Healthy Bones Australia: https://healthybonesaustralia.org.au

This Could Save Your Life Podcast is under The Good GP podcast and is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode of The Good GP, Dr Sean Stevens and Dr Rebecca Goadby welcome Dr Alison Creagh to discuss the differences between older progesterone-only pills - such as levonorgestrel and norethisterone - and the newer drospirenone ones. Alison outlines how the older pills primarily work through cervical mucus and, to some extent, blocking ovulation, while the newer drospirenone pills are more effective at blocking ovulation and have a wider window of time for pill intake. The impact on bleeding is also highlighted, with the drospirenone pills leading to more regular bleeding during the withdrawal section.

Discussing the cost and payment options for the different pills, with the older pills being more cost-effective for those with healthcare cards, while the newer ones are more forgiving in terms of timing. Additionally, contraindications and missed pill windows for the two types of pills are explored, with specific attention to potassium levels in relation to the newer drospirenone pills.

Alison further delves into the advice for the missed pill window and the potential side effects for both types of progesterone-only pills. The variability in individual responses to these pills is highlighted, as well as the potential need to try different types if hormonal side effects arise.

The episode concludes with Sean Stevens thanking Alison Creagh for her valuable insights and highlighting the important takeaways from the discussion.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. Learn more at Talking HealthTech.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit

In this episode, Dr Ranita Siru Sabatino, a clinical endocrinologist and expert in chemical pathology and endocrinology, speaks with host Dr Tim Koh and provides valuable insights into the diagnosis of secondary hypertension. 

Dr Siru Sabatino starts by defining what secondary hypertension is and share common indicators that may suggest a patient has secondary hypertension. The discussion covers the prevalence, causes, and risk factors associated with secondary hypertension, including renal and endocrine causes, renal vascular diseases, obstructive sleep apnea, drug and medication causes, and more. Dr Siru Sabatino also highlights the significance of a comprehensive physical examination and the importance of specific investigations to confirm the diagnosis.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

In the final episode of this three-part series on atrial fibrillation (AF), Dr Tim Koh speaks with Dr Ben King from Advara HeartCare about non-pharmacological management. They focus on lifestyle adjustments like weight loss, sleep apnea treatment, and alcohol moderation.

The conversation shifts to procedural options, discussing catheter ablation techniques such as cryoballoon and radiofrequency. Dr King underscores the key role of isolating pulmonary veins. They also touch on pulse field ablation and its use of DC current, as well as the efficacy and limitation of electrical cardioversion and how it may need to be complemented by anti-arrhythmic drugs. 

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network, the premier audio destination for incisive insights and expert opinions in healthcare delivery, digital health, and innovation. Learn more at www.talkinghealthtech.com/podcast/network

For any queries or to get in touch with The Good GP, send an email to thegoodgp@gmail.com.

In this episode of The Good GP, Dr Tim Koh is joined by Dr Linny Kimly Phuong, a paediatric infectious diseases physician, researcher, and academic tutor, to discuss Kawasaki disease.

They began by explaining Kawasaki disease as an inflammatory vasculitis with potential long-term cardiac consequences. Dr Phuong notes that one child is diagnosed with Kawasaki disease every day. While the disease is more common in children under the age of five, it can present at any age and across all ethnic groups, with a higher incidence in children of Asian ethnicity.

They discussed the clinical picture of Kawasaki disease, commonly remembered by the mnemonic "CRASH and burn." This includes Conjunctivitis, Rash, Adenopathy, Strawberry tongue, and Hand/feet changes—all accompanying a prolonged fever. Dr Phuong emphasises the importance of recognising these symptoms even if they do not manifest simultaneously.

They move onto diagnosis, highlighting the absence of diagnostic tests and the reliance on clinical evaluation supported by laboratory tests such as full blood count, inflammatory markers, and liver function tests. Dr Phuong also elaborates on differential diagnoses, including both infectious (e.g., scarlet fever, adenovirus) and non-infectious conditions (e.g., drug hypersensitivity, systemic juvenile idiopathic arthritis).

Finally, outlining the long-term clinical impact of Kawasaki disease, emphasising the importance of treatment with intravenous immunoglobulin and low-dose aspirin to reduce the risk of coronary artery aneurysms. Highlighting the necessity for long-term cardiology follow-up due to the potential for severe complications like coronary artery stenosis and myocardial infarction.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at Talking HealthTech.

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

Mentioned in this episode:

The Bp Premier Summit is back this August in Brisbane!

The Bp Premier Summit is back this August in Brisbane! Get hands-on training, CPD points, and connect with 40+ vendors. Early bird tickets close 30 April – grab yours here https://bit.ly/44732tX.

Best Practice Summit