The Good GP

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:National1800 RESPECTCounselling, information and referral for people experiencing abuse, friends and family and healthprofessionals. 1800 737 732MensLine AustraliaFor men with concerns about abuse, including those who are abusive. 1300 789 978White RibbonLists national helplines available according to needs. whiteribbon.org.au/helplines ACTDomestic Violence Crisis Service 02 6280 0900NSWNSW Domestic Violence LineCounselling and referrals for women experiencing DV 1800 656 463NSW Department Communities and JusticeOnline information source, with quick exit buttonshttps://dcj.nsw.gov.au/children-and-families/family-domestic-and-sexual-violence.html Women’s Domestic Violence Court Advocacy ServicesProvide information, advocacy and referrals for women and children, and support accessing restraining orderslegalaid.nsw.gov.au/about-us/our-partners/womens-domestic-violence-court-advocacy-program NTDomestic, family and sexual violence page from NT governmentLists local support services according to regionnt.gov.au/law/crime/domestic-family-and-sexual-violence/get-help-for-domestic-family-and-sexual-violence QLDDVConnect WomenslineSupport, accommodation, counselling and referrals for women experiencing family or domestic violence 1800 811 811DVConnect MenslineSupport, counselling and referrals for men affected 1800 600 636Government Domestic & Family Violence pageInformation about services availableqld.gov.au/community/getting-support-health-social-issue/support-victims-abuse/domestic-family-violence Domestic Violence Prevention CentreCounselling, practical support, safety planning and referrals 07 5532 9000SADomestic and family violence & sexual assault support servicesListings of supports available for specific issuessa.gov.au/topics/family-and-community/safety-and-health/domestic-violence-and-sexual-assault/support-services Domestic Violence Crisis LineCrisis counselling, support and accommodation referrals 1800 800 098TASFamily Violence Counselling and Support ServiceInformation, support, safety planning, assistance with police, referrals 1800 608...

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 doctorsGuidelines - https://www.medicalboard.gov.au/Codes-Guidelines-Policies/Telehealth-consultations-with-patients.aspxFor 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.comMentioned in this episode:Proudly supported by Medtech Global:The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information: Medtech Global

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/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.comMentioned in this episode:Proudly supported by Medtech Global:The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information: Medtech Global

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-survivorshipAustralian Cancer Survivorship Centre based at Peter MacCallum Cancer Centre https://www.petermac.org/patients-and-carers/support-and-wellbeing/life-after-treatmentThe 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.comMentioned in this episode:Proudly supported by Medtech Global:The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information: Medtech Global

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.comMentioned in this episode:Proudly supported by Medtech Global:The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information: Medtech Global

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.comMentioned in this episode:Proudly supported by Medtech Global:The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information: Medtech Global

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/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.comMentioned in this episode:Proudly supported by Medtech Global:The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information: Medtech Global

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/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 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/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, 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/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, 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/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.comLinks & 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 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/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, 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/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, 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/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 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.auDown 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/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, 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.auThe 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 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/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 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, 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 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/networkIf you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com