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 medica...
Aug 26, 2024•22 min•Ep. 171
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 sp...
Aug 19, 2024•22 min•Ep. 170
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 scop...
Aug 12, 2024•19 min•Ep. 169
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...
Aug 05, 2024•15 min•Ep. 168
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...
Jul 29, 2024•13 min•Ep. 167
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 s...
Jul 22, 2024•11 min•Ep. 166
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...
Jul 15, 2024•11 min•Ep. 165
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 atro...
Jul 08, 2024•13 min•Ep. 164
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 suscepti...
Jul 01, 2024•14 min•Ep. 163
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 d...
Jun 24, 2024•18 min•Ep. 162
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 th...
Jun 17, 2024•24 min•Ep. 161
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 ...
Jun 10, 2024•25 min•Ep. 160
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...
Jun 03, 2024•21 min•Ep. 159
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 th...
May 27, 2024•18 min•Ep. 158
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 invo...
May 20, 2024•14 min•Ep. 157
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 caus...
May 13, 2024•22 min•Ep. 156
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 shar...
May 06, 2024•12 min•Ep. 155
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...
Apr 29, 2024•15 min•Ep. 154
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 bleedin...
Apr 22, 2024•9 min•Ep. 153
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 pa...
Apr 15, 2024•14 min•Ep. 152
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, p...
Apr 01, 2024•23 min•Ep. 151
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...
Mar 25, 2024•18 min•Ep. 150
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 h...
Mar 18, 2024•20 min•Ep. 149
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...
Mar 04, 2024•13 min•Ep. 148
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 nee...
Feb 19, 2024•23 min•Ep. 147
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 RAC...
Feb 05, 2024•22 min•Ep. 146
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. K...
Jan 01, 2024•14 min•Ep. 145
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 i...
Dec 18, 2023•16 min•Ep. 144
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 Entr...
Dec 06, 2023•24 min•Ep. 143
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 a...
Nov 13, 2023•17 min•Ep. 142
