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The Medical Republic

The Medical Republicmedicalrepublic.com.au
A podcast for curious GPs

Hosted on Acast. See acast.com/privacy for more information.

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Episodes

Rare cancers get a new, genomic pathway

If Caitlin Delaney hadn’t pushed for genomic testing and off-label therapies, she might not have been around to share her insights on The Medical Podcast this week. As a health professional she also had the benefit of health literacy and a personal assertiveness that may have well also helped her be at her daughter’s 10th birthday. “There were lots of ‘sliding door’ moments. If I hadn't asked a certain question or pushed for a different answer or gotten a second or third opinion, then the outcom...

Jul 16, 202418 minSeason 5Ep. 158

Treating LGBTQI+ patients: a mini-masterclass

With so much to learn in so little time, managing LGBTQI+ patients isn’t yet high on the priority list at medical schools. Dr Asiel Adan Sanchez is a GP and clinical tutor at the university of Melbourne. He knows first-hand that clinical environments can be off putting for people who are queer, trans and gender diverse. He’s also created a solution for that called Wavelength: a learning tool that builds clinician skills and makes general practices safer for LGBTQI+ folk. Dr Sanchez gives a quick...

Feb 13, 202420 minSeason 5Ep. 155

Spinal fusions: why, when, how and who pays

The number of spinal fusions performed in Australia has skyrocketed over the past few decades, with the number of privately funded procedures far outstripping those done in the public system. Spinal fusions, which help stabilise the spine by surgically joining two or more vertebrae together, can be used following traumatic injury, or to help correct scoliosis in children. But the most common use for spinal fusions is in degenerative conditions of the spine. This episode of The Medical Republic P...

Aug 30, 202318 minSeason 5Ep. 154

The AI will see you now

Future overlords or really helpful assistants? Hosted on Acast. See acast.com/privacy for more information.

Aug 09, 202321 minSeason 5Ep. 153

The rise and rise of Health Apps

Does an app a day keep the doctor away or make them worried? Hosted on Acast. See acast.com/privacy for more information.

Jul 26, 202313 minSeason 5Ep. 152

Hero doctors

Voluntourism is an enticing form of travel: exotic locales, cultural immersion, serving needy populations with your skills – all wrapped up in your four weeks’ annual leave. Not so fast. Before packing your passport and mosquito net tune in to The Medical Republic podcast to hear from two guests who might make you reconsider. Dr Andrew Browning has been doing fistula surgery in Africa through the Barbara May Foundation for around 25 years. He says its life changing for patients who start to live...

Jul 12, 202323 minSeason 5Ep. 151

What women want

The latest episode of The Medical Republic podcast is a special insight into female parts across the age spectrum. We speak first with Associate Professor Melissa Kang who was, for 23 years, the iconic Dolly Doctor in Dolly magazine – the Australian teen-girl’s bible for many decades. Professor Kang said that teenagers want to know how to navigate the health system and that young women are keen to talk about sexual health but need the GP to raise the topic first. “Research has also told us that ...

Jun 28, 202317 minSeason 5Ep. 150

Show me the money!

Do you struggle to keep your practice running like a well-oiled machine? Our line-up of experts today share insights on how to earn more profit, retain staff, cover your risk and level up your practice management. Guests include an accountant, lawyer and cybersecurity guru. We also hear from a health economist and a GP who has scaled their clinic to good financial and patient reward. Their advice includes how to optimise billing, hours of operation, and the value of a monthly review meeting with...

Jun 14, 202318 min

Alternatives to the knife for OA

When the choice is between writing a script for pain killers and a 45 consultation about weight management, which one do you choose? According to Associate Professor Kade Paterson, University of Melbourne, scripts for pain killers and referrals to orthopaedic surgeons are unnecessarily common for patients with osteoarthritis (OA). Professor Paterson says everyone who has osteoarthritis should be offered some sort of therapeutic exercise that suits them, and his fitness focus is backed by evidenc...

May 31, 202316 minSeason 5Ep. 149

Should women be warned on breast density?

There’s been a swell of advocacy lately around breast density, which increases cancer risk while reducing the sensitivity of mammograms. The FDA in the US has recently mandated that women be notified by mammogram providers if they have dense breasts, giving them the opportunity to arrange supplemental testing. But BreastScreen Australia’s 2020 position statement does not recommend the routine recording of breast density or the provision of supplemental testing for women with dense breasts. Profe...

May 17, 202328 minSeason 5Ep. 148

Long covid pathways keep GPs close in SA

South Australia’s long covid clinic loves GPs and keeps them close. Dr Angela Molga is a clinical pharmacologist and geriatrician at the long covid clinic at Royal Adelaide Hospital. “We engage the GPs very early on, from the moment we receive the referrals. The patients are kept updated on the length of the waitlist and we also send them out resources specifically around self-rehabilitation,” she says. Dr Molga says the average age of the patients who were seen in the South Australian clinic la...

May 10, 202323 minSeason 5Ep. 147

Putting the ally into allied health

What do you get when you cross advice from a health economist with that from a leading physiotherapist? Increased revenue and a better patient experience, say our guests on today’s episode of The Tea Room. Scott Willis is president of the Australian Physiotherapists Association and a proud Palawa man. He says better results come from general practices who genuinely embrace allied health as part of the team. “If you have social events, invite them. Let them be part of your strategy of the practic...

May 03, 202316 minSeason 5Ep. 146

Capitalism, but not as we know it

Professor Rob Moodie describes himself as “an eternal optimist”. He needs to be. A long and distinguished career in public health has seen Professor Moodie tackle the “big four” industries – alcohol, tobacco, junk food, and fossil fuel – and these days he’s added a fifth to the list, gambling. Those industries and corporate multinationals make up a large slice, but by no means all, of the commercial determinants of health – defined by Professor Moodie and his colleagues as “the products and prac...

Apr 26, 202322 minSeason 5Ep. 145

The bush medicine secret to better business

Struggling to hang on to doctor staff? This episode offers more than a few gems of wisdom from the most unlikely location. Today, The Tea Room travels to Crystal Brook, a rural town 200 kilometres north of Adelaide. There we meet Dr Richard McKinnon co- owner of Crystal Brook Medical Practice – a small-town clinic that is anything but small. After 35 years in this farming community, he knows the hacks to running a thriving practice that allows plenty of time to play golf. The secret, it appears,...

Apr 12, 202314 minSeason 5Ep. 143

Making sense of asthma handbook changes

The recent shake-up in asthma management and what that might mean for GPs. Hosted on Acast. See acast.com/privacy for more information.

Jun 06, 202115 minSeason 3Ep. 63

'Watch and wait' better for collapsed lung

An award-winning Australian trial has changed how we treat pneumothorax. Hosted on Acast. See acast.com/privacy for more information.

May 28, 202112 minSeason 3Ep. 62

The true COVID death toll

We may never really know how many excess deaths the pandemic has caused, but it is well worth trying to find out. Hosted on Acast. See acast.com/privacy for more information.

Nov 30, 202018 minSeason 3Ep. 60

Please regulate us

Transvaginal ultrasounds are among the most invasive procedures women will undergo in their lives - but, surprisingly, the healthcare practitioners performing these procedures are almost entirely self-regulated. Now, the peak bodies representing sonographers are calling on AHPRA to regulate the profession. Our reporter, Sonia Kohlbacher, has the full story... Hosted on Acast. See acast.com/privacy for more information.

Nov 16, 202012 minSeason 3Ep. 59

From rheumatologist to Oz's first wellness officer

As Australia’s first ever wellness officer, rheumatologist Dr Bethan Richards has focused on meeting the basic needs of hospital staff – offering protected lunch breaks, access to water, functioning rest areas and moments of human connection. It all sounds tragically obvious but has required deep changes in governance and culture. Hosted on Acast. See acast.com/privacy for more information.

Nov 11, 202017 minSeason 3Ep. 58

Thalidomide survivors - Where are they now?

The story of thalidomide is etched into the minds of every doctor and drug manufacturer. It serves as a warning of what can go wrong. The thalidomide mistake is why drugs are now so rigorously tested for safety. Decades after thalidomide was banned from being given to pregnant women, survivors are a living cohort still fighting to be seen and acknowledged. They’ve recently secured a major win with the federal government announcing to compensate them for the disabilities and difficulties they hav...

Nov 09, 202015 minSeason 3Ep. 57

Legal considerations of recording consults

In this episode, Dr Megan Prictor from Melbourne Law School discusses the legal considerations of recording medical consults, how the files should be stored, and strategies to decline being recorded by a patient. Hosted on Acast. See acast.com/privacy for more information.

Nov 06, 202012 minSeason 3Ep. 56

Déjà vu or subtle seizures?

Subtle seizures can involve people zoning out from the conversation, experiencing unusual sensations, odd emotions, an intense feeling of déjà vu, or just not remember what they were doing and then coming back into the room like nothing has happened. The seizures may seem innocuous, but they can be quite dangerous if the patient happens to be driving a car, holding a cigarette or making a cup of tea. Hosted on Acast. See acast.com/privacy for more information....

Nov 03, 202011 minSeason 3Ep. 55

GP, don't be a hero

Breaking down the stoicism that often prevents GPs from looking after their mental health is more important than ever during COVID-19. Doctors are notoriously bad at being patients. This podcast contains a few tips… “We should share the secret code with everyone,” says Dr Kathryn Hutt, a GP and the Medical Director at the Doctors Health Advisory Service in NSW. “You don’t need to have a diagnosis to see your GP. You don’t need to have anything wrong with you. “Just come in and say, ‘I’m just her...

Sep 25, 202022 minSeason 3Ep. 54

What we can learn from inclusive research?

People with intellectual disabilities often feel like the passive subject of scientific studies. And it turns out we can render much more valuable results about individuals experiences when they are part of the research team, rather than just a participant. Hosted on Acast. See acast.com/privacy for more information.

Sep 11, 202022 minSeason 3Ep. 53

Looking back on the AMA Presidency: Dr Tony Bartone

Very few AMA presidents spend their two-year tenure first dealing with extreme summer bushfires, and then a majorly disruptive pandemic. This was the reality for immediate past president of the AMA, Dr Tony Bartone. He joins the show to talk about his time as leader of the AMA and the events which have defined the AMA’s work over the last eight months. Hosted on Acast. See acast.com/privacy for more information.

Sep 02, 202033 minSeason 3Ep. 52

The threat of DIY bioweapons

It’s no wonder that some look at COVID-19 and ask: could you ask for a better result if you wanted to sow massive disruption and chaos? Fortunately, the evidence suggests that this latest coronavirus occurred naturally . But it is worth asking, how at risk are we of a bioterrorist attack? Hosted on Acast. See acast.com/privacy for more information.

Sep 01, 202019 minSeason 3Ep. 51

Meet the RACGP candidates: Associate Professor Ayman Shenouda

There might be five RACGP candidates, but only one can be your next president.This episode features Associate Professor Ayman Shenouda, a GP from Wagga Wagga NSW and the RACGP vice president. Hosted on Acast. See acast.com/privacy for more information.

Aug 19, 202017 minSeason 3Ep. 50

Meet the RACGP candidates: Dr John Buckley

We are inviting all candidates onto the podcast to answer questions about telehealth, GP advocacy and what needs to change for the college to keep its members now, and into the future. This episode features Dr John Buckley, a Queensland-based GP and director of GP training at GPTQ. Hosted on Acast. See acast.com/privacy for more information.

Aug 16, 202019 minSeason 3Ep. 49

Meet the RACGP candidates: Dr Chris Irwin

We are inviting all candidates onto the podcast to answer questions about telehealth, GP advocacy and what needs to change for the college to keep its members now, and into the future. This episode features Dr Chris Irwin, a Victorian GP, and practice owner of two clinics, in Diamond Creek and Ivanhoe. Hosted on Acast. See acast.com/privacy for more information.

Aug 12, 202018 minSeason 3Ep. 48
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