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The Good GP

The Good GPwww.thegoodgp.com.au
The Good GP, the education podcast for busy GPs; brought to you by Dr Tim Koh, Dr Krystyna DeLange and Dr Sean Stevens. The Good GP 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. Disclaimer: The Good GP podcasts are for informational purposes only and do not constitute medical advice. Always seek the advice of a specialist GP or other qualified health provider with any questions you may have regarding a medical condition.
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Episodes

Endometriosis presentations and diagnosis - Episode 86

In this two-episode series, The Good GP interviews Associate Professor Anusch Yazdani on the topic of Endometriosis. The first episode focuses on endometriosis presentations, including the common and not-so-common symptoms and presentations. This episode also covers investigations and assessment. A/Prof Anusch Yazdani is a subspecialist in reproductive endocrinology and infertility and is an advanced reproductive endosurgeon.

Dec 15, 202019 min

Polycystic Ovary Syndrome: Management - Episode 85

Dr. Ben Kroon discusses the principles of managing PCOS, focusing on addressing presenting problems like acne or fertility issues while also implementing long-term screening for complications such as diabetes, cardiovascular disease, and endometrial cancer. The episode delves into detailed lifestyle advice on diet and exercise, followed by pharmacological interventions like oral contraceptive pills, metformin, and progestogens, including their indications and considerations for use. It concludes by recommending valuable resources for both general practitioners and their patients, ensuring a holistic approach to PCOS care.

Nov 24, 202020 min

Polycystic ovary syndrome: Diagnosis - Episode 84

Dr. Ben Kroon, a fertility specialist, provides an in-depth look at Polycystic Ovary Syndrome (PCOS). This episode explores its high prevalence, genetic and environmental factors, and the three key Rotterdam criteria for diagnosis. Dr. Kroon highlights challenges in ultrasound reporting, discusses complexities in adolescent diagnosis, and outlines essential investigations and differential diagnoses for accurate patient care. Tune in to learn more about this common condition affecting many women.

Nov 19, 202020 min

Generalised Anxiety Disorder - Episode 83

In this episode, The Good GP interviews Dr Lisa Chantler on generalised anxiety disorder (GAD). Dr Chantler is a senior clinical psychologist with particular interests in treating depression, anxiety and complex trauma. This episode explores GAD and covers identifying and diagnosing GAD in the primary care setting. This episode also explores the questions GPs can ask patients to help differentiate GAD from other disorders and the key signs to consider. Dr Chantler provides an update on the evide...

Oct 21, 202015 min

Post-Acute COVID - Episode 82

This episode features Professor Tricia Greenhalgh on post-acute COVID-19 management in primary care. She details the condition's varied presentations, from fatigue and brain fog to cardiorespiratory issues, emphasizing the importance of distinguishing it from other serious conditions using existing GP skills. The discussion covers the role of home oximetry, tailored rehabilitation approaches, and crucial advice for GPs on recognizing silent hypoxia in acute COVID cases.

Sep 23, 202021 min

Lichen Sclerosus - Episode 81

Dr. Christina Delange provides a detailed overview of female lichen sclerosus, a chronic skin disorder primarily affecting the genital area. She explains its common presentation with severe itch, the importance of a thorough examination to avoid misdiagnosis, and key differential diagnoses to consider. The episode emphasizes the crucial role of biopsy for a definitive diagnosis and outlines a comprehensive treatment approach using topical steroids, along with essential general vulval care for long-term management and complication prevention.

Sep 06, 202019 min

Perinatal Palliative Care - Episode 80

This episode delves into perinatal palliative care, defining its scope from pregnancy through the first 28 days of life, and explaining the three main pathways into this specialized model of care. Sonya Criddle highlights the guiding principles of family-centered, multidisciplinary support and emphasizes the critical role of GPs in sensitive communication, assisting with difficult decisions like post-mortem examinations, and connecting families to vital community grief support services like SANDS and Red Nose. The discussion also covers practical advice for GPs on managing postnatal care and understanding legal aspects of funeral arrangements, stressing the importance of ongoing professional development in this evolving field.

Aug 13, 202030 min

Stillbirth and neonatal death: Supporting the family - Episode 79

In this two-episode series, The Good GP interviews Dr Ashleigh Smith on the topic of stillbirth and neonatal death. Dr Smith is an O&G registrar practicing in Queensland. This second episode focuses on the psycho-social and mental health aspects of pregnancy loss, including how to communicate with families and supporting families during this difficult time. This episode also explores the resources and services that are available for GPs to recommend to their patients and the medical support ...

Jul 16, 202014 min

Stillbirth and neonatal death: Causes and reducing risk – Episode 78

In this first part of a two-episode series, Dr. Ashleigh Smith, an O&G registrar with personal experience, delves into the medical facets of stillbirth and neonatal death. The discussion clarifies definitions, highlights concerning incidence rates in Australia, and identifies key fetal and maternal risk factors and causes. Crucially, the episode outlines clinical presentations and provides actionable prenatal and antenatal strategies, including the "Safer Baby Bundle," to reduce these devastating outcomes.

Jul 13, 202015 min

Wart treatments - Life hacks for GPs - Episode 77

Dr. Sean Stevens provides GPs with invaluable "life hacks" for treating warts, drawing from his extensive experience. He details best practices for cryotherapy, including avoiding common mistakes and minimizing collateral damage. The episode also covers the specific challenges of plantar warts and offers a step-by-step guide for using Upton's paste. Finally, Dr. Stevens discusses the management of genital warts with podophyllin paint, along with general advice on patient counseling and other treatment modalities.

Jun 21, 202016 min

Eye disease with Vision Australia – Episode 76

GPs gain essential knowledge on identifying common adult eye diseases like cataract and macular degeneration, alongside crucial pediatric conditions such as strabismus. The discussion highlights practical screening methods for vision impairment and clarifies the roles of various eye care professionals. Additionally, the episode details Vision Australia's comprehensive low vision services, outlining referral processes, available resources, and support for patients, including financial assistance and addressing barriers.

May 14, 202016 min

Smoking cessation: NRT in pregnancy and non-NRT treatments - Episode 75

In this continuation on smoking cessation, the episode provides advice for GPs on safely prescribing nicotine replacement therapy to pregnant and breastfeeding women, emphasizing its efficacy over continued smoking. It also covers the practical aspects of prescribing varenicline, addressing common concerns like nausea and psychiatric side effects. The discussion extends to the benefits of combination therapies, the critical role of close patient follow-up, and strategies for addressing psychological barriers like weight gain fears and stress management with additional support resources.

May 07, 202014 min

Smoking cessation: assessment and NRT – Episode 74

In this first part of a two-episode series, Kym Yuke shares her expertise on helping patients quit smoking. The discussion covers updated guidelines for assessing a patient's readiness to quit and their nicotine dependence using the "Five A's" model and a modified Fagerström scale. Kym details various nicotine replacement therapy (NRT) options, emphasizing combination therapy, appropriate dosing for patches, and the crucial role of counseling and services like Quitline in a successful quitting journey.

May 07, 202020 min

RACGP SPECIAL COVID-19 PODCAST | Ethical issues that arise in a pandemic

In this special COVID-19 podcast, the Good GP interviews Prof Angus Dawson on the ethical issues that arise in a pandemic. In this episode, Prof Dawson also explains the publication, An ethics framework for making resource allocation decisions within clinical care: Responding to COVID-19. This ethics framework is designed to help clinicians, hospital administrators and policy makers decide how to allocate clinical health resources as they become scarce within a pandemic. Professor Angus Dawson i...

Apr 27, 202017 min

RACGP SPECIAL COVID-19 PODCAST | COVID-19 in the paediatric population

In this special COVID-19 podcast, The Good GP interviews Dr Angie Berkhout, Paediatric Infectious Diseases Fellow, Queensland Children’s Hospital, on COVID-19 and the impacts on the paediatric population This episode looks at the current data and number of cases in the paediatric population, as well as the risk factors, the spread and the symptoms in paediatric cases. This episode also provides practical advice for parents, including advice for breastfeeding mothers. This episode was recorded on...

Apr 19, 202015 min

RACGP SPECIAL COVID-19 PODCAST | Telehealth update

In this special COVID-19 podcast, The Good GP interviews Dr Aaron Chambers again for an update on telehealth. This podcast covers: - Updates to the MBS for video consultations - Tips for transitioning toward video consultations - Tips and practicalities for carrying out a video consultation - Triaging patients - An update on e-scripts and radiology requests This episode was recorded on Monday 6 April 2020. As information on COVID-19 changes daily, please note that some of the advice in this podc...

Apr 08, 202021 min

RACGP SPECIAL COVID-19 PODCAST | Doctors’ mental health

In this special COVID-19 episode, the Good GP interviews Dr Sarah Newman on doctors’ mental health. Dr Newman is an RACGP WA council member and Assistant Director for Doctors’ Health Advisory Service of Western Australia (DHAS WA). This episode explores doctors’ mental health in the setting of disasters and in particular COVID-19. Dr Newman covers how GPs can prepare themselves, including useful tips and resources and explains the three levels of psychological support strategies and mental healt...

Apr 01, 202014 min

RACGP SPECIAL COVID-19 PODCAST | Educating patients on self-isolation

In this special COVID-19 episode, the Good GP interviews Dr Penny Burns on self-isolation. Dr Burns is a GP and the RACGP representative on the GP Roundtable with Australia’s Chief Medical Officer. This episode explores what self-isolation means, including the practical advice and resources GPs can provide their patients. This episode was recorded on Monday 30 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the...

Mar 29, 202013 min

RACGP SPECIAL COVID-19 PODCAST | The role of practice nurses during COVID-19

In this special COVID-19 episode, The Good GP interviews Karen Booth, Australian Primary Health Care Nurses Association President, on the role of practice nurses during the COVID-19 pandemic. This episode was recorded on 27 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening. The RACGP managing pandemic toolkit mentioned is available on the RACGP website. https://www.racgp.org.au/download/Docu...

Mar 26, 20209 min

RACGP SPECIAL COVID-19 PODCAST | GP Registrar examinations update

In this special COVID-19 episode, The GoodGP interviews RACGP GP in Training Faculty Chair, Dr Krystyna De Lange about the postponement of RACGP examinations and the changes and impacts this has on GP registrars as a result of COVID-19. This episode was recorded on 26 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

Mar 25, 202017 min

RACGP SPECIAL COVID-19 PODCAST | COVID-19 and disaster management: What GPs can do

In this special COVID-19 episode, the Good GP interviews Dr Penny Burns, GP and disaster medicine specialist, on the disaster management of COVID-19 and what GPs can do to prepare. This episode explains the current situation as of 24 March, the main aims in managing this pandemic and the phases of a pandemic, including what the current phase looks like and what GPs can do to prepare for the next phase. This episode was recorded on Tuesday 24 March 2020. As information on COVID-19 changes daily, ...

Mar 23, 202018 min

RACGP SPECIAL COVID-19 PODCAST | Impacts of COVID-19 on pregnancy

In this special COVID-19 episode, the Good GP interviews obstetrician and gynaecologist Dr Robyn Aldridge on the impact of COVID-19 on pregnant women, pregnancy and the unborn child. This episode covers recommendations for pregnant women including potential changes to their daily activities. This episode also explores changes to consultations and advice GPs can offer pregnant women to help prepare them for labour whilst the COVID-19 pandemic continues. This episode was recorded on Friday 20 Marc...

Mar 19, 202017 min

RACGP SPECIAL COVID-19 PODCAST | Practicalities of video consultations

There is an updated podcast on Video consulations and telehealth – recorded on 6 April 2020. In this special COVID-19 podcast, The Good GP interviews Dr Aaron Chambers about video consultations. This podcast covers: - The practicalities of getting started with video consultations - Criteria for new MBS items - Screening patient eligibility for telehealth and video consults - Tips for video consultations and documentation This episode was recorded on Tuesday 17 March 2020. As information on COVID...

Mar 19, 202015 min

RACGP SPECIAL COVID-19 PODCAST | Irrational behaviour in pandemics

The Good GP interviews Professor Julie Leask, current winner of the Australian Financial Review’s 100 Women of Influence, on the psychology and societal behaviour of pandemics, and what we as GPs can do to improve this. This episode was recorded on Wednesday 18 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

Mar 18, 202016 min

RACGP SPECIAL COVID-19 PODCAST | WA Health COVID-19 update

In this special COVID-19 episode, the Good GP interviews Professor Paul Effler, Senior Medical Advisor, Communicable Disease Control Directorate, Department of Health, on the current COVID-19 pandemic. This podcast covers: - Flattening the curve and what Australia can learn from other countries - The current implications and recommendations for recovered cases (particularly for recovered GPs) and immunity - Update on preparing patients at higher risk or with comorbidities This episode was record...

Mar 17, 202012 min

RACGP SPECIAL COVID-19 PODCAST | The effects of COVID-19 on GP training

In this special COVID-19 episode, The GoodGP interviews RACGP GP in Training Faculty Chair, Dr Krystyna De Lange on the effects of COVID-19 on GPs in training. This episode was recorded on Sunday 15 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

Mar 15, 202017 min

RACGP SPECIAL COVID-19 PODCAST | Adapting your practice for telehealth

In this special COVID-19 episode, the Good GP interviews Dr Todd Cameron about how GPs can use telehealth to adapt to the coronavirus pandemic. This podcast does not have details about the recent MBS Item numbers; that will be addressed in a future epiode. This episode was recorded on Saturday 14 March 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

Mar 15, 202014 min

ADHD in general practice – Episode 73

In this episode, the Good GP interviews Dr Nicole White, specialist GP with an interest in paediatrics on ADHD in the primary care setting. Dr White has a special interest in children’s health, general family medicine and women’s health and runs medical practice gp4kids in Brisbane. This episode explores ADHD, how the disorder is perceived and the types of patients that present. We also cover the history and examination of ADHD, including potential comorbidities. Dr White explains the assessment...

Mar 11, 202019 min

PrEP prescribing for HIV prevention – Episode 72

In this episode, the Good GP speaks with Dr Scott Allison about pre-exposure prophylaxis (PrEP) prescribing for HIV prevention. This episode explores what is PrEP, identifying patients that could be considered for PrEP and taking a non-judgmental history. Dr Allison explains the testing required, assessing the suitability of a patient and the practicalities for prescribing. Ongoing monitoring and options for people that do not have access to Medicare subsidies is also covered. Dr Scott Allison i...

Feb 18, 202014 min

Novel Coronavirus - Episode 71

In this episode, WA Health experts Professor Paul Effler and Dr David Spiers discuss the Novel Coronavirus (2019-nCoV) and the current situation as at 4 February 2020. In this podcast, the GoodGP explores the background on the coronavirus and the theories about how a virus such as this can start in the human population. The podcast also covers: • infectivity, transmissibility and severity • what we can learn from the SARS and MERS virus and how this can help us • prevention in Australia and what...

Feb 04, 202023 min
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