The Good GP

In this episode, host Dr Maria Li is joined by Associate Professor Antonio Di Dio, a practicing GP and Director of the Professional Services Review (PSR), to discuss Medicare compliance, a topic of growing relevance and concern for Australian general practitioners.Associate Professor Antonio Di Dio explains the role and remit of the PSR in Australia, outlining how it operates independently from Medicare and exists to protect both patients and the Commonwealth from inappropriate or unnecessary healthcare.Key points: The origins and legislative framework of the PSR and its place within Australia’s compliance ecosystem.The mechanisms that trigger Medicare referrals to the PSR, including unusual billing patterns (data triggers) and external tip-offs.The structured review process, possible outcomes (including no action, agreement under Section 92, or referral to a committee), and criteria for progressing cases.Reassurances for GPs that a PSR referral does not automatically mean adverse findings, with many cases resulting in no further action.The role of peer input throughout the process, and emphasis on seeking mitigating circumstances.Consequences of adverse findings, including financial repayments and restricted billing, while clarifying that the PSR does not impact a doctor’s licence to practise (though it may refer cases to AHPRA under certain circumstances).Practical advice for GPs if subject to a PSR review: notify medical defence organisations early, seek support from trusted colleagues and family, and, if necessary, access doctors’ health services.This episode is aimed at demystifying the PSR process, reducing unnecessary fear, and empowering GPs with knowledge on best practices for engagement and self-protection if under review.Links & Resources: https://www.psr.gov.au/Medicare compliance | Australian Government Department of Health, Disability and Ageinghttps://www.health.gov.au/topics/medicare/compliance/how-to-comply?language=enThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode, host Dr Krystyna De Lange is joined by Dr Ashley Bowden, ACRRM registrar and exercise science graduate, to discuss the growing interest in peptides, particularly those promoted in the fitness and wellness sectors.Dr Ashley Bowden defines peptides as short chains of amino acids and distinguishes between regulated, TGA-approved peptides (such as insulin and GLP-1 analogues) and unregulated, research-use-only peptides commonly discussed online and in gyms. Exploring the demographics of peptide users in Australia, noting that use extends from athletes to recreational gym users, occupational groups, and young adults influenced by social media trends.They also addressed the limited evidence for the efficacy and safety of unregulated peptides, highlighting that most claims are based on anecdotal reports rather than robust clinical trials. Associated risks include potential side effects, the dangers of unregulated products, and complications related to injection practices.Dr Bowden provides a practical harm-minimisation approach for GPs whose patients raise questions about or disclose use of peptides. He stresses the value of a non-judgemental, curious approach to build rapport, assess risks, offer regular monitoring, and support overall patient health, while recognising the ethical complexities faced when evidence is lacking.Links & Resources:Healthy Male article: https://healthymale.org.au/health-article/peptides-australia-what-you-need-knowWebinar: Understanding the use of androgens, SARMS and peptides by Australian males: https://medcast.com.au/courses/1153The 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode, host Dr Krystyna De Lange speaks with Sydney-based cardiologist Dr Natasha Gorrie from St Vincent's Hospital and the Victor Chang Cardiac Research Institute. They discuss cardiac amyloidosis, an under-recognised cause of heart failure in older adults and a condition with evolving diagnostic and treatment approaches.Dr Natasha Gorrie outlines the basics of amyloidosis, emphasising that it is an umbrella term for disorders characterised by the deposition of abnormal protein fibrils in tissues and organs. Key Points:Understanding Amyloidosis: The pathology and range of organ involvement; why diagnosis depends on identifying the causative protein.Epidemiology and Prevalence: Recent recognition that transthyretin-related amyloidosis (ATTR) is more common than previously thought, with prevalence as high as one in six in certain heart failure populations.Key Clinical Clues: Red flag features in patients (particularly those over the age of 65), including heart failure with preserved ejection fraction, left ventricular wall thickening, atrial fibrillation, aortic stenosis, carpal tunnel syndrome, and unexplained changes in blood pressure medication requirements.Diagnostic Pathway: The importance of timely suspicion, appropriate specialist referral, and the role of the monoclonal screen (serum and urine electrophoresis and serum free light chains) to rule out AL (light chain) amyloidosis. The role of bone scintigraphy and when tissue biopsy is indicated.Therapeutic Options: Overview of disease-modifying treatments available for different amyloid subtypes, including the PBS-approved medication tafamidis for ATTR cardiac amyloidosis.The GP’s Role: GPs are essential for early suspicion, referral, initiation of screening tests, and, following diagnosis, ongoing care; including regular review, heart failure management, coordination of multidisciplinary care, and supporting the patient’s mental health and quality of life.Dr. Natasha Gorrie also highlighted an upcoming Australian Prescriber article (due for publication mid 2026) on cardiac amyloidosis, which expands on today’s discussion with practical flowcharts and insights into the central role of GPs. Well worth checking out! https://australianprescriber.tg.org.au/Links & Resources: St Vincents Heart Health Amyloidosis page: https://www.svhhearthealth.com.au/conditions/cardiac-amyloidosisAustralian Amyloidosis Network: https://aan.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode, Dr Tim Koh speaks with Dr Grace Phua, a GP and public health clinician from the Health Department of Western Australia’s Syphilis Response Team, to provide an update on syphilis in Australia and practical guidance for general practitioners.Key Points:Changing Epidemiology: They highlight the recent increase in syphilis, with cases now extending beyond traditional higher-risk groups. All sexually active patients may be at risk, making ongoing awareness in general practice essential.Clinical Presentation: The primary, secondary, latent, and tertiary stages of syphilis, noting the diverse and often atypical presentations. Classic signs such as ulcers and rashes may vary, and neurological symptoms can occur at any stage.Screening and Testing: GPs are reminded to include syphilis serology in routine STI screening and to swab any ulcer for syphilis PCR (using a dry swab and requesting “syphilis PCR” on the form). Pregnant people require syphilis screening in early and late pregnancy, and higher-risk groups need more frequent testing.Serology Interpretation and Treatment: The use of treponemal and non-treponemal tests. Benzathine benzylpenicillin is the recommended treatment. Empirical treatment of contacts, especially for hard-to-reach patients, is encouraged.Further Resources and Support: GPs are advised to access national guidelines and decision-making aids for detailed management and to consult public health units as required.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode of The Good GP, host Julia Rawlinson welcomes Dr Erin Horsley, an experienced GP anaesthetist, to provide practical guidance on pre-anaesthetic medication management for general practitioners. Focusing on how to prepare patients for elective surgery by knowing which medications to pause, continue, or adjust.Highlights include:SGLT2 inhibitors: Advice on withholding these medications prior to surgery, especially for diabetic patients, due to risk of euglycaemic diabetic ketoacidosis.Diabetes medications and insulin: Specific instructions for perioperative management in procedures such as colonoscopy and gastroscopy.GLP-1 receptor agonists: Discussion on Ozempic, Wegovy, and Mounjaro. They emphasise that stopping them is not routinely required. Instead, they recommend clear fluid fasting protocols.Anticoagulants and antiplatelet agents: Practical approaches for managing DOACs, warfarin, and antiplatelet therapy based on procedure risk, including guidance on bridging and specialist consultation.Other medications: Tips on ACE inhibitors, opioids, and pain medications regarding continuation or withholding.Useful GP actions: An accurate medication list, allergy documentation, and direct communication with anaesthetic teams or pre-admission clinics.Providing concise, evidence-based recommendations for medication management in the perioperative setting to assist GPs and ensure safer outcomes for their patients.Links & Resources: NSW CEC Guidelines on Perioperative management of anticoagulant and antiplatelet agentsWA Country Health Service Anaesthetic Services, Pre-operative Assessment and Investigations Guideline(good summary)Australian Diabetes Society Periprocedural DKA with SGLT-2 inhibitorAustralian Diabetes Society Perioperative Diabetes and Hyperglycaemia GuidelinesThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode, Julia Rawlinson speaks with Professor Paul Little, is a Professor of Primary Care Research at the University of Southampton and a practising GP with over 20 years of clinical experience, about his landmark research on acute respiratory tract infections and its relevance for general practice.Professor Little summarises the Lancet Respiratory Medicine trial involving nearly 14,000 participants at risk of respiratory infections. The trial compared usual care, two nasal sprays (Vicks First Defense and isotonic saline), and a digital lifestyle intervention. Both nasal sprays resulted in fewer days ill, reduced antibiotic use by around 30%, and were well tolerated. The saline spray was highlighted as a first-choice option due to its effectiveness and minimal side effects.Giving practical advice on counselling patients to use nasal sprays at the first sign of illness, with discussion around challenges to adherence and the rationale for early use. They also explore the antiviral mechanism of saline spray and the continued value of stress management and physical activity in infection prevention.Professor Little discusses how setting realistic expectations about infection duration can help reduce unnecessary presentations and prescribing, and how these simple interventions contribute to antibiotic stewardship in primary care.Links & Resources:https://www.southampton.ac.uk/people/5wzg2s/professor-paul-little#publications12 month follow-up of a randomised open label trial of nasal sprays and a behavioural intervention for respiratory tract infections (RTIs) in primary care: https://eprints.soton.ac.uk/507356/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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode of This Could Save Your Life podcast, Dr Catherine Bourke discusses the new lung cancer screening program in Australia and its importance for early cancer detection. Dr Bourke explains that lung cancer remains the leading cause of cancer-related death in Australia, largely because most cases are detected too late. She reviews recent evidence supporting screening, such as the Nelson Study and National Lung Screening Trial, which show significant reductions in mortality with the use of low-dose CT.Key eligibility criteria for the screening program are ages 50–70, current or recent smokers (within 10 years of quitting), and a history of at least 30 pack-years. Providing guidance on enrolment, the screening process, and clarifies pack-year calculation. She also addresses misconceptions about lung cancer only affecting smokers and explores the impact of stigma and nicotine dependence.Detailing the essentials for general practice, including how to refer patients, what to expect from the CT scan process, and how results and nodule management protocols inform follow-up and specialist referral. GPs are encouraged to support eligible patients to participate for better outcomes through early detection and advances in lung cancer treatment.Links & Resources: The heart of Australia: https://heartofaustralia.com.au/National lung cancer cancer screening program: https://www.health.gov.au/our-work/nlcsp?gclsrc=aw.ds&gad_source=1&gad_campaignid=23576447207&gbraid=0AAAAA_Hdu8ldTc75J8nw1zqot-Q-9Peic&gclid=Cj0KCQjw7IjOBhDyARIsAFzrWQz0u-84xCTnyQspBM7pE0tkVszhnlnMuCMcyRVZOJ8uSpoG3AjwAUwaAkBoEALw_wcBThis Could Save Your Life Podcast is under The Good GP podcast, 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode, Dr Krystyna de Lange is once again joined by Dr Karen Spielman and Dr Rachel Kalman, GPs with a special interest in eating disorders, for part two of this series on eating disorders. Their conversation centres on the ongoing management of patients with eating disorders in general practice.Dr Kalman provides guidance on the frequency and nature of medical monitoring, including when to order blood tests and ECGs. Dr Spielman discusses how to assess and respond to medical instability, particularly cardiovascular risks and rapid weight loss, while emphasising clinical judgment and individualised care.They discuss common medical complications associated with eating disorders, such as cardiovascular, gastrointestinal, and endocrine issues, along with practical tips for symptom management and patient education. The importance of the GP’s role in long-term management, continuity of care, and maintaining hope for recovery.A detailed walkthrough of the Eating Disorder Treatment Plan (EDP), addressing eligibility, use of templates, and the expanded access to psychological and dietetic support. They encourage GPs to utilise the EDP and Medicare Safety Net to make comprehensive care more accessible for patients.Dr Rachel Kalman also discusses the review of an eating disorder management plan. Please note that this review can occur via a psychiatrist or paediatrician, not a psychologist as mentioned in the episode.Links & Resources: Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.auCEED Table for medical monitoring: https://ceed.org.au/wp-content/uploads/2025/03/Medical-Monitoring-in-Eating-Disorders.pdfEating Disorders Family Australia: https://edfa.org.auSick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.comThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode, Dr Krystyna de Lange speaks with Dr Karen Spielman and Dr Rachel Kalman about the screening and assessment of eating disorders in general practice. This is the first episode of a two part series on eating disorders. Both Dr Spielman and Dr Kalman have a special interest in psychological medicine, specifically eating disorders and work with the Inside Out Institute for Eating Disorders.In this episode, there is a discussion about the importance of early recognition and intervention, noting the high morbidity, mortality, and economic impact of eating disorders. High-risk groups for GPs to consider are identified and include young people, those involved in visual sports, hormonal change periods, neurodivergence, and comorbid mental health conditions.Screening strategies are explored, including the Inside Out Screener, a validated, patient-friendly tool designed for primary care. Giving practical advice on engaging patients in open, non-judgmental conversations about their relationship with food.Dr Rachel Kalman outlines how to conduct a thorough assessment, including relevant history, physical examination, and investigations such as blood tests, ECG, and bone density scans. The importance of sensitive communication about test results and understanding medical and psychiatric risk factors is emphasised.This equips GPs with practical approaches and reliable resources for early screening and assessment of eating disorders.Links & Resources: Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.auInside Out screening tool: https://insideoutinstitute.org.au/screenerEating Disorder Examination Questionnaire (EDE-Q): https://insideoutinstitute.org.au/resource-library/eating-disorder-examination-questionnaire-ede-qCentre for Clinical Interventions including patient information and worksheets: https://www.cci.health.wa.gov.au/resources/looking-after-yourself/disordered-eatingEating Disorders Family Australia: https://edfa.org.auSick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.comThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode of The Good GP, Dr Krystyna de Lange welcomes Dr Jonathon Mitchell, hepatologist from Cairns Base Hospital, to discuss metabolic dysfunction-associated steatotic liver disease (MASLD), formally known as Non Alcoholic Fatty Liver Disease or NAFLD. They explore the updated terminology, highlight the role of GPs in diagnosis and management, and frame MASLD as largely a metabolic rather than a primary liver disease.Dr Mitchell outlines the main risk factors for MASLD, including excess weight, metabolic syndrome, dietary quality, and family history. The importance of screening for other liver conditions in patients with abnormal LFTs, including viral hepatitis, autoimmune liver diseases, haemochromatosis, and coeliac disease.Non-invasive fibrosis assessment, primarily through the FIB-4 score, is discussed as an accessible tool for GPs. Liver biopsy is rarely required and reserved for cases with diagnostic uncertainty. Management focuses on lifestyle interventions, mainly dietary change and weight loss, with no approved pharmacological treatments currently available in Australia. Monitoring frequency depends on fibrosis status and response to lifestyle changes.They reinforce the importance of holistic care in primary practice, addressing both liver health and associated metabolic risks.Links & Resources:https://www.racgp.org.au/afp/2013/july/fatty-liver-diseaseThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode of This Could Save Your Life Podcast, Dr Anna Mullins and Dr Catherine Bourke provide a comprehensive and practical overview of the first antenatal visit, building on their previous discussion about preconception care. Aimed at supporting GPs to deliver optimal care at this early stage of pregnancy.Opening with the importance of timely antenatal care, ideally within the first 10 weeks of pregnancy, and the benefits of early and regular antenatal visits on maternal and child health outcomes. Dr Mullins and Dr Bourke detail the process of confirming pregnancy dates, discussing past obstetric history, and creating a supportive environment for patients to express any concerns or fears regarding the current pregnancy.Outlining the value of taking a thorough medical history, including a review of current medications and the management of any chronic medical conditions. Lifestyle factors including smoking, alcohol intake, illicit drug use, and exposure to passive smoking were also discussed, and the role of the GP in facilitating cessation and support services where required. Screening for intimate partner violence was also discussed as a standard part of the first antenatal visit.Preventative health advice with evidence-based guidance on folic acid and iodine supplementation; calcium and low-dose aspirin for women at risk of preeclampsia. Encouragement of regular aerobic and strength exercise unless contraindicated. Referral to women’s health physiotherapy, particularly for pelvic floor assessment and education, is also recommended.Nutrition, weight management, management of pregnancy-related symptoms such as nausea, vomiting, and constipation, and the importance of maintaining dental health were also discussed. They also emphasise the role of multidisciplinary care and the involvement of GPs, physiotherapists, dentists, and obstetricians in high-quality antenatal care.This Could Save Your Life Podcast is under The Good GP podcast, 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

In this episode of The Good GP, Dr Sean Stevens interviews Dr John Kramer OAM, an experienced rural general practitioner and Chair of the RACGP ASD, ADHD, and Neurodiversity Specific Interest Group, they talked about the evolving role of GPs in ADHD care in Australia.Covering the recent Victorian reforms allowing specialist GPs to diagnose and manage ADHD, and what these changes mean nationally. Dr Kramer explains the current complexities of state-based stimulant prescribing regulations and ongoing efforts to establish a more consistent, national approach. Dr Stevens shares insights from Western Australia’s training initiatives, demonstrating high interest from general practitioners. Giving practical advice for GPs starting out in ADHD diagnosis and management, such as the importance of a detailed developmental history, identification of comorbidities, and collaboration with specialists.Dr Kramer concludes by encouraging GPs to consider a greater role in ADHD care, emphasising the positive impact well-supported general practice can have on patient outcomes.Links & Resources: RACGPhttps://www.racgp.org.au/advocacy/position-statements/view-all-position-statements/health-systems-and-environmental/adhd-initiation-modification-continuation-by-gpshttps://gpl.racgp.org.au/d2l/le/lessons/7367/units/13000https://gpl.racgp.org.au/d2l/le/lessons/7367/units/12650AADPAhttps://aadpa.com.au/https://aadpa.com.au/adhd-resources/https://aadpa.com.au/free-adhd-clinical-resources/OTHER SOURCEShttps://aci.health.nsw.gov.au/projects/adhd-in-general-practicehttps://beyondgp.com.au/https://aaadhdig.com.au/INTERNATIONALhttps://www.caddra.ca/https://www.additudemag.com/CONSUMER GROUPShttps://www.adhdaustralia.org.au/https://adhdfoundation.org.au/https://www.adhdwa.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/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode of The Good GP, host Dr Sean Stevens speaks with Professor Nick Zwar, Chair of the RACGP Travel Medicine Specific Interest Group, to discuss the state of travel medicine in Australia post-COVID-19 pandemic.Professor Zwar outlines how the pandemic led to a sudden halt in international travel and impacted travel medicine practice. Many have adapted by shifting their focus back to general practice, advising patients stranded overseas, and planning for a resumption of travel. He also notes the practical implications, such as unused vaccine stock and the adoption of telehealth.Also discussing the resumption of international travel, with Australians returning to pre-pandemic travel levels, including higher-risk activities like cruise ship travel. They observe that despite the risks of infectious diseases, most patients are eager to travel and may not be as concerned about COVID-19 as practitioners might expect.Looking ahead, Professor Zwar identifies several challenges in travel medicine. These include changing patterns of infectious diseases (notably respiratory infections, dengue fever, Japanese encephalitis, and measles), emerging threats like monkeypox (Mpox), and the increasing prevalence of antimicrobial resistance affecting management of traveler's diarrhoea. He also highlights the complexity of advising immunocompromised travellers, particularly those on biological therapies.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode of The Good GP, Dr Krystyna de Lange is joined by Anisa Varasteh, a clinical sexologist, psychotherapist, and former president of the Society of Australian Sexologists, to discuss the topic of female sexual dysfunction and its management in general practice.Anisa Varasteh provides a thorough overview of the multifaceted nature of female sexual dysfunction, emphasising the complex interplay between biological, psychological, relational, and social factors. Highlighting the impact of chronic stress, nervous system overload, and the relational context on sexual function. Psychological factors such as anxiety, depression, trauma, and body image concerns are explored, as well as the influence of cultural myths and social conditioning on female sexuality across the lifespan.Anisa identifies everyday factors influencing desire and arousal, including sleep deprivation, mental load, lack of pleasure outside of sex, unresolved grief, and body image issues. She shares practical strategies for GPs when supporting patients, such as normalising fluctuations in desire, exploring the biopsychosocial context, shifting the focus towards pleasure and connection, and promoting nervous system regulation. Early referral to sexologists or related professionals is suggested, as is the value of providing patients with language and frameworks to have open conversations with their partners.The episode concludes with strategies for empowering patients to discuss their sexual wellbeing without shame or guilt and the benefits of reframing intimacy outside the goal of intercourse.Potential questions to use in assessment of sexual function:What is the concern, and what does it mean to the patient?Is there distress around it?How long has it been present?What is the impact on their life or relationship?In what contexts is it not present?Have they sought help before?How is their general health and mental wellbeing?How do they feel in their relationship?Why is this a concern 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/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates

In this episode of This Could Save Your Life Podcast, hosts Dr Catherine Bourke and Dr Anna Mullins provide an overview of preconception care, and the key considerations for GPs when supporting patients who are planning a pregnancy.Key discussion points include:Initial Assessment: Consider age, reproductive history, and duration of attempts to conceive. Referral for fertility investigation recommended for women over 35 trying for 6 months, or any age trying for 12 months, or women aged 40+.Review of Medical History: Assess chronic conditions: diabetes, hypertension, cardiovascular disease, epilepsy (and medication management), thyroid disease, polycystic ovarian syndrome, and asthma.Medication Management: Identify and remove teratogenic medications prior to conception (e.g., isotretinoin, some weight loss medications). Recognise medications that are safe/necessary during pregnancy (such as inhalers for asthma).Dietary Advice: Encourage a balanced diet rich in vegetables, lean meats, fruits, grains, nuts, and dairy; minimise processed foods.Alcohol Consumption: Advise abstinence from alcohol in the period of actively trying to conceive and during early pregnancy.Lifestyle Modification: Smoking cessation strongly recommended for both partners to improve fertility and prevent harm to the fetus and child.Pre-Pregnancy Investigations: Which include routine tests: full blood count, iron studies, electrolytes, liver and kidney function. Check immunity to rubella and varicella; advise vaccination if necessary before pregnancy.Consultation Advice: Recommending dedicated, extended preconception consultations to address medical, lifestyle, and individual patient factors.Links & Resources:For information about listeria is: https://www.betterhealth.vic.gov.au/health/healthyliving/food-poisoning-listeriaFor information about fragile x: https://www.cdc.gov/fragile-x-syndrome/index.htmlThis Could Save Your Life Podcast is under The Good GP podcast, 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode of The Good GP podcast, Dr Ramya Raman, Vice President of the RACGP and GP, is joined by Dr Sean Stevens, Chair of the RACGP Digital Health and Innovation Specific Interest Group, and Dr Amandeep Hansra, Deputy Chair and esteemed digital health expert, for a discussion about the upcoming RACGP Hackathon event.Beginning with the introduction of what a hackathon is, particularly in the context of general practice. Dr Amandeep describes hackathons as intensive, collaborative events where clinicians, technologists, and entrepreneurs come together to solve real-world problems faced in general practice and develop practical solutions.The unique focus of the RACGP Hackathon on clinically-relevant issues, highlighting the importance of clinician-led innovation. Reflecting on previous events, including the significant outcomes for past participants such as product development, enhanced professional networks, and entry into healthcare innovation accelerator programs.Dr Sean mentions who should consider applying, emphasising that the hackathon is not only for those with technical expertise but is open to any general practitioners interested in innovation, regardless of experience in technology or entrepreneurship.They address the broader challenges facing general practice, including workforce shortages, burnout, patient complexity, and emerging disruptive technologies. Discussing the role of innovation and digital solutions in maintaining the central importance of general practice and improving patient care.Key event information:The RACGP Hackathon will be held in Sydney from 13th to 15th March, 2026Applications close on 29th January, 2026Successful applicants will have the opportunity to compete for a significant cash prize (to be announced) and potential entry into an innovation accelerator program.Join the RACGP Hackathon here: https://hackathon26.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/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our instagram page: @thegoodgppodcast. Follow us for more updates!

In this episode, host Dr Maria Li is joined by Dr Parth Shah, an adult and paediatric ophthalmologist based in Canberra and Sydney, to discuss paediatric squints, also known as paediatric strabismus.Beginning with an overview of why paediatric squints can seem daunting for general practitioners, and the importance of a systematic approach to assessment. Outlining GPs responsibilities when encountering a child with possible eye misalignment: diagnosing whether a true squint or pseudo-squint is present, assessing visual function, and determining the urgency of referral to a specialist.Practical steps for eye examination in babies, particularly at the routine six-week check. Dr Parth Shah offers guidance on inspecting eye alignment, performing the corneal reflex test using a pen torch or ophthalmoscope, and checking the red reflex to rule out conditions such as congenital cataract.As babies develop, the use of dynamic tests such as the cover test becomes more reliable, generally from three to six months of age, allowing for assessment of fixation and equal visual development between the eyes. GPs are advised to initiate urgent referral at any stage if there is concern about poor visual function, abnormal red reflex, or significant limitations in eye movement.Further exploring referral processes, noting that detailed documentation of GP observations, supported by photos or videos from parents, greatly assists ophthalmology triage and assessment.Links & Resources: http://www.squintclinic.com/https://www.schn.health.nsw.gov.au/eye-problems-children-factsheethttps://www.aapos.org/resource-catalog/educational-resourceshttps://medicinetoday.com.au/mt/2017/april/feature-article/assessing-eye-problems-children – GPs can access this article via a free online Medicine Today subscription.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode, host Dr Sean Stevens is joined by Dr Paul Effler, Senior Medical Advisor at the WA Department of Health and Adjunct Dr at the University of Western Australia. Dr Effler is an experienced public health physician with extensive expertise in vaccine safety surveillance and has been a longstanding member of the WHO Global Advisory Committee for Vaccine Safety.They explore the use of intranasal vaccines for influenza and COVID-19, which are now available in Australia. Dr Effler explains the mechanistic advantages of intranasal vaccines compared to traditional intramuscular injections, highlighting their ability to create mucosal immunity at the site where respiratory pathogens enter the body. Offering the dual possibility of preventing both clinical infection and onward transmission which is a key public health benefit.Practical aspects of administering intranasal vaccines in general practice are discussed, including ease of use, absence of sharps and associated risks, and specific technique considerations. Looking ahead, they also covered potential future developments in intranasal immunisation, including vaccines for RSV and pertussis, and the promise of platforms that do not rely on live attenuated virus. Dr Effler describes emerging models of self-administration and the possible implications for increasing vaccine uptake, while reaffirming the ongoing role of GPs in supporting safe and effective 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 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life Podcast, hosts Dr Catherine Bourke and Dr Anna Mullins discuss Chlamydia trachomatis, the most common sexually transmitted infection (STI) in Australia. Providing an in-depth, evidence-based overview tailored for general practitioners.Key discussion points include:Epidemiology: Chlamydia remains highly prevalent in Australia, with over 100,000 recorded cases in 2024. The majority of cases occur in individuals aged 15 to 29.Clinical Presentation: The infection is frequently asymptomatic, with 85-90% of individuals not displaying symptoms. When present, symptoms can include vaginal or penile discharge, dysuria, pelvic pain, testicular pain in men, intermenstrual or post-coital bleeding in women, and, less commonly, conjunctivitis and reactive arthritis.Complications: Untreated chlamydia can result in serious complications such as pelvic inflammatory disease (PID) and infertility in women, epididymo-orchitis in men, and other sequelae including ectopic pregnancy, premature birth, and low birth weight in affected pregnancies.Screening Recommendations: Outlining current Australian guidelines, recommending annual opportunistic screening of all sexually active women under 25, women with new partners over 25, sexually active men based on individual risk, anyone who requests screening, and individuals with a history of STIs or higher risk exposures.Treatment: Uncomplicated chlamydia is typically treated with a one-week course of doxycycline. Complicated or extra-genital infections may require longer courses or intravenous antibiotics. Contact Tracing: The importance of notifying and treating recent sexual partners (up to six months prior), offering tools such as anonymous online partner notification services to aid this process.Prevention: Reinforcing the importance of barrier protection and patient education to reduce STI transmission.This Could Save Your Life Podcast is under The Good GP podcast, 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

In this episode of The Good GP, host Dr Tim Koh is joined by Dr Jeff Ecker, an orthopaedic surgeon with over 35 years of experience specialising in complex hand and wrist conditions. Focusing on the assessment and management of finger fractures, an injury commonly encountered by general practitioners, but often associated with diagnostic dilemmas and management challenges.Dr Ecker highlights the potential seriousness of finger fractures, noting that even minor injuries can result in permanent impairment, significant hand dysfunction, and long-term complications if not managed appropriately. Discussing the importance of maintaining a high index of suspicion with finger injuries, recognising that early recognition and appropriate follow-up are essential to achieving optimal outcomes.Providing the typical types of finger fractures and their clinical features. Subungual hematoma and associated terminal phalanx fractures. Mallet finger deformities (with and without fractures). PIP (proximal interphalangeal) joint injuries and their complications, such as boutonniere and swan neck deformities. Along with less common injuries around the MCP (metacarpophalangeal) jointDr Ecker provides practical tips for clinical assessment, stressing the importance of plain X-rays in all suspected cases, and the utility of CT scans or ultrasound if there is diagnostic uncertainty or persistent symptoms. He also addresses when to refer to a specialist, focusing on signs of instability, articular involvement, or tendon injury.The episode concludes with practical advice on materials and techniques for conservative fracture management, with an emphasis on working closely with qualified hand therapists and prioritising early functional use.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP Podcast, host Dr Tim Koh is joined by Dr Jeff Ecker, an experienced orthopaedic surgeon based in Perth, to discuss the complexities of assessing and managing wrist conditions in general practice.Dr Ecker outlines the importance of a thorough history and clinical assessment in patients presenting with wrist pain, emphasising that pain may originate from structures beyond the wrist itself, such as the distal radioulnar joint or even referred from the neck. He highlights common causes of wrist pain that GPs are likely to encounter, including arthritis, ligament injuries, and overuse conditions, and discusses the challenges associated with diagnosis.Focusing on wrist arthritis, as a common cause of pain in older patients. He described key clinical features and examination findings, alongside considerations for distinguishing arthritis from other conditions. The approach to imaging, including the use of CT scanning to detect bony changes and calcium pyrophosphate deposition, is covered. He also outlined management options, from conservative measures, through to surgical intervention. Dr Ecker stresses the importance of patient-centred decision making, informed consent, and multidisciplinary collaboration between surgeons, therapists, and GPs. Surgical options including arthroscopy, joint replacement, and wrist fusion are explained, with considerations for patient selection and postoperative rehabilitation.They conclude with practical advice for GPs supporting patients to maintain function and quality of life, emphasising resilience, adaptation, and the value of ongoing measurement and rehabilitation.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP Podcast, host Dr Tim Koh is joined by Dr Jeff Ecker, an experienced orthopaedic surgeon based in Perth with over 35 years of expertise in complex hand and wrist conditions. Discussing the assessment and management of wrist fractures, with advice tailored for general practitioners.Exploring the most common wrist fractures encountered in general practice, particularly among older adults after low-energy falls. Dr Ecker emphasises a careful history and examination, and attention to associated injuries to the elbow and shoulder. He also discusses the challenges of seemingly minor wrist injuries in younger patients and the need for an accurate and early diagnosis to prevent complications such as non-union and advanced arthritis.Reviewing imaging strategies, with recommendations on when to use plain X-rays, CT scans, or MRIs based on clinical suspicion and fracture characteristics. Dr Ecker calls attention to the limitations of MRI, especially in detecting ligamentous wrist injuries, and the need for ongoing clinical vigilance.They also talked about management principles for minimally displaced wrist fractures, and the practical use of back slabs, thermoplastic splints, ensuring proper hand function throughout immobilisation. Effective analgesia choices and the critical role of rehabilitation in preventing stiffness and chronic pain syndromes were also discussed. Concluding with practical considerations for managing wrist fractures in aged care settings, reinforcing the need for individualised assessment and the avoidance of age-related bias in treatment planning.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Tegan Allin, rural generalist and GP obstetrician from Thursday Island live from the GP25 Conference, to discuss the topic of foetal rhesus screening and recent changes in Australian guidelines.They began with an overview of anti-D prophylaxis and its importance for women who are rhesus negative. Dr Tegan Allin explains the pathophysiology of rhesus disease, risks associated with sensitisation during pregnancy, and the traditional approach of universal prophylaxis with anti-D immunoglobulin.They then shift to the new availability of non-invasive prenatal screening (NIPS) for foetal rhesus status. Dr Tegan Allin describes how this serum-based test examines cell-free foetal DNA in maternal blood from 11 weeks gestation. With sensitivity and specificity over 99%, it allows for more targeted administration of anti-D only to those carrying a rhesus positive fetus.Covering key practicalities of ordering foetal rhesus screening, including the appropriate gestational window (after 11 weeks and before 29 weeks), the importance of lab-specific request forms, and consideration of slight lab-to-lab differences in recommended timing.Highlighting the ongoing changes in first trimester antenatal management and the need for GPs to remain up to date with evolving testing protocols. Reinforcing the necessity of confirming neonatal rhesus status at birth via cord blood testing, even when negative results are obtained antenatally.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Terri-Lynne South live from the GP25 Conference, to deliver an overview of obesity management, with a specific focus on the use of GLP-1 and GIP dual incretin therapies in general practice.Dr Terri-Lynne South outlines the current Therapeutic Goods Administration (TGA)-approved indications for these treatments in Australia. These include use in patients with type 2 diabetes, overweight with complications, chronic kidney disease and type 2 diabetes, obesity with obstructive sleep apnoea, and secondary prevention of cardiovascular disease. Noting that this field is rapidly evolving, with recent changes in indications and ongoing international developments.Addressing the importance of setting realistic patient expectations regarding weight loss outcomes and the duration of treatment, emphasising that clinical obesity is a chronic, complex condition requiring long-term management. Evidence shows that weight loss achieved with GLP-1 therapies can be maintained over four years if the patient remains adherent, while early discontinuation often leads to significant weight regain.Practical strategies for managing common side effects, mainly gastrointestinal symptoms like nausea and constipation, are described in detail. Dr Terri-Lynne South provides useful tips for patients, including hydration, dietary modifications, and mindfulness around portion size and satiety cues. The importance of a multidisciplinary approach is reinforced, including psychological assessment (screening for eating disorders, depression, anxiety, and complications like sleep apnoea), dietitian involvement, and possible referral to exercise physiology and psychology services where also clinically 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/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life Podcast, hosts Dr Anna Mullins and Dr Catherine Bourke provide a comprehensive overview of cervical cancer screening and prevention.They start with the epidemiology of cervical cancer, outlining that it affects approximately 1 in 175 women or people with a cervix. Explaining the anatomy of the cervix and discussing the primary cause of cervical cancer: human papillomavirus (HPV) infection. They clarify that while HPV is very common and transmitted through sexual contact, most strains are cleared by the body and only a subset are associated with cancer development. Covering common patient questions regarding HPV transmission, family history, and the relevance of these factors to individual risk. They emphasise that unlike many other cancers, a family history does not increase risk for cervical cancer.Practical advice is presented around recognising possible symptoms of cervical cancer, such as abnormal vaginal bleeding, pelvic pain, and changes in vaginal discharge.Exploring the details of cervical screening in Australia, which has shifted from Pap smears to HPV-based testing. Outlining the process and options for HPV testing, including both clinician-collected and self-collected swabs. Screening start age (25) and end age (74) are clarified, as well as earlier screening for those sexually active before age 14, and the importance of starting screening upon sexual activity.They also discussed cervical cancer prevention through vaccination. Referencing the development of the Gardasil vaccine in Australia, its almost 100% effectiveness against several HPV strains, and its routine administration to both girls and boys under the National Immunisation Program. This Could Save Your Life Podcast is under The Good GP podcast, 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

In this episode of the Good GP, host Dr Maria Li welcomes back Dr Katherine Wyld, endocrinologist, for the third and final part of the series on hormone pseudoscience. Focusing on adrenal hormone-related misinformation, commonly encountered both in general practice and on social media.Dr Wyld tackles the adrenal hormone-related prevalent misinformations, including:The widespread misinformation about adrenal hormones, especially related to cortisol, circulating on social media and online platforms. Cortisol testing requires careful consideration of context and timing, as cortisol levels fluctuate significantly throughout the day.Dr Wyld clarifies that single-point cortisol measurements are rarely clinically meaningful, and that salivary and urine cortisol tests should only be used in specific, evidence-based situations.Dutch testing (dried urine testing for hormones) is not supported by endocrine societies due to lack of evidence, questionable logic, and high cost.“Adrenal fatigue” is not a real or recognized medical condition; there is no scientific evidence or data to support this concept.High cortisol is commonly blamed for stress, anxiety, weight gain, and fatigue, but it is rarely the cause unless clear evidence of Cushing’s syndrome is present. Features of Cushing’s syndrome to look for include diabetes, hypertension, significant unexplained weight gain, skin changes, and proximal myopathy.Sharing strategies for GPs when faced with unfamiliar symptoms or patient requests based on pseudoscientific information. Dr Wyld encourages clinicians to be honest about knowledge gaps, consult reputable sources, and maintain open communication with patients.Links & Resources: Endocrine Society of Australia - https://www.endocrinesociety.org.au/US Endocrine Society - https://www.endocrine.org/Adrenal Fatigue patient handout - https://www.endocrine.org/patient-engagement/endocrine-library/adrenal-fatigueThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Maria Li continues her conversation with Dr Katherine Wyld, a Queensland-based endocrinologist, exploring the topic of menopause pseudoscience and its impact on patient care. This second part in the hormones series explores the growing prevalence of misinformation around menopause and hormone therapy, and practical guidance for general practitioners.Dr Wyld discusses several areas of menopause care commonly affected by false or misleading information, including:The use of hormone monitoring during treatment. Dr Wyld clarifies that routine measurement of estrogen and progesterone levels is not recommended for guiding menopause treatment. Dosing should be based on symptoms.Testosterone therapy in menopause. Evidence supports its use only for hypoactive sexual desire disorder; benefits for other menopause symptoms are not proven. Common side effects include acne, excess hair growth, and skin oiliness.Bioidentical hormone therapy. The term is unregulated and used as a marketing tool. Standard, regulated formulations are safer and more effective.Use of high-dose estrogen. Prescribing above recommended limits increases risk and is not backed by safety data. Referral to a specialist is advised for complex cases.Strategies for GPs when encountering unfamiliar therapies or requests for non-evidence-based treatments.When unsure, consult guidelines or colleagues and use trusted resources for evidence-based answers.They aim to support GPs in navigating menopause-related consultations, equipping them to communicate clearly, critically evaluate new trends, and provide safe, evidence-based care to their patients.Links & Resources: Australian Menopause Society - https://www.menopause.org.au/British Menopause Society - https://thebms.org.uk/International Menopause Society - https://www.imsociety.org/Bioidentical Hormone Therapy information sheet - https://menopause.org.au/health-info/fact-sheets/bioidentical-hormone-therapy?highlight=WyJiaW9pZGVudGljYWwiXQ==Menopause complementary therapy information sheet - https://menopause.org.au/hp/information-sheets/complementary-medicines-and-therapies-for-hot-flushesProf Susan Davis Instagram - https://www.instagram.com/professorsusandavis/?hl=enThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the topic of prostate cancer, which affects one in five men by the age of 85. Emphasising the importance of understanding this common yet complex disease, particularly focusing on the significance of early screening.Dr Mullins and Dr Bourke begin by explaining the function and anatomy of the prostate gland, highlighting its role in fertility and common changes that occur with age. The nature of prostate cancer, distinguishing between slow-growing forms, which may not require treatment but need surveillance, and more aggressive types that can be life-limiting if not treated early.Gaining insights into the symptoms associated with prostate cancer, such as urinary difficulties, blood in urine or semen, and unexplained weight loss. They also address risk factors, including age, genetics, family history, and the role of obesity in aggressive cancer forms.They also provided an overview of the screening process, which involves the PSA (Prostate-Specific Antigen) blood test, now recommended over the previously standard digital rectal examination. They clarify the importance of screening guidelines based on risk categories, to ensure that everyone is informed about the appropriate age to begin testing based on individual risk profiles.They discuss potential false positives in PSA testing, the next steps if a high PSA level is detected, and the significance of individual consultations for family history outside standard categories. While prevention of prostate cancer remains challenging due to a lack of modifiable risk factors, the importance of screening and early detection is underscored to improve patient outcomes.This Could Save Your Life Podcast is under The Good GP podcast, 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

In this episode of The Good GP, host Dr Maria Li welcomes Dr Katherine Wyld, a Queensland-based endocrinologist, for the first installment of a three-part hormones series addressing health misinformation in endocrinology. The episode focuses on thyroid and thyroid hormone-related pseudoscience, which is increasingly prevalent in social media and online health discussions.Dr Wyld shares her experiences from clinical practice, and the most common misinformation trends, including:The use of thyroid extracts, supplements, and compounded thyroid treatments marketed as “natural” alternatives to standard therapy.The popularity of reverse T3 testing as a perceived superior diagnostic, despite a lack of supporting clinical evidence.The rise of restrictive diets (such as gluten-free and lactose-free) claimed to improve thyroid health without population-level evidence.The use of urine iodine level assessment in individual diagnosis, its limitations, and when it may or may not be appropriate.Explaining why thyroxine (T4) remains the gold standard treatment for hypothyroidism, emphasising its safety, efficacy, and consistent dosing. Dr Wyld covers strategies for GPs when responding to patient requests for non-evidence-based tests and treatments. Providing practical advice on how to educate patients, maintain rapport, while reinforcing the value of evidence-based care. As well as when to consider referral to an endocrinologist for complex cases.Links & Resources: American Thyroid Association - https://www.thyroid.org/Thyroid test (including reverse T3) patient information sheet - https://www.thyroid.org/thyroid-function-tests/ESA position statement on thyroid extracts / desiccated thyroid - https://www.endocrinesociety.org.au/downloads/20200903%20ESA_Position_Statement_Natural_Desiccated_Thyroid_Peter_R_Ebeling.pdfThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Tim Koh welcomes Dr Michael Wright, President of the RACGP, for a discussion centred on the recently released Health of the Nation report. Now in its ninth year, the report serves as a key barometer for the state of general practice in Australia, covering trends in service provision, access, key challenges, and broader implications for practitioners.Key Points: Australian GPs delivered over 170 million services last year and saw nearly 23 million Australians, with more than 2 million visits each week.Survey data show 99% of patients reported being able to access a GP when needed, although some were unable to see their preferred GP, at their preferred time, or faced out-of-pocket costs.The top reason for GP consultations is psychological conditions (e.g., depression, anxiety).GPs are treating older populations and more chronic illnesses, resulting in longer and more complex consultations. Now lasting close to 20 minutes.Despite increased workload and complexity, per-person expenditure on general practice has remained flat for a decade, while hospital spending has increased.Nearly one-third of GPs have witnessed racism within the health system, and one in five have experienced it personally.The RACGP is committed to recognising, measuring, and addressing racism, guided by findings from its Aboriginal and Torres Strait Islander faculty.Continued efforts are needed to ensure long-term sustainability and quality care for Australian 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Jo-Lyn McKenzie, an ENT surgeon, researcher, and university lecturer based in Brisbane, for a discussion on chronic rhinosinusitis and its management in primary care.Dr McKenzie begins by outlining the key clinical features that distinguish chronic rhinosinusitis from other common nasal conditions. Highlighting the importance of chronic nasal obstruction and persistent discharge, and that chronicity, which is greater than three months of symptoms, is a critical factor in making the diagnosis. Dr McKenzie also addresses the challenges of differentiating between chronic sinusitis and allergic rhinitis, its differences in symptom persistence, the nature of the discharge, and the utility of detailed history-taking.They discuss the value and technique of medical management in the general practice setting. Detailing the use of high-volume saline nasal irrigation and intranasal corticosteroids as first-line treatments, providing practical tips to improve patient compliance and effectiveness. She stresses the importance of correct technique and regular use, addressing common misconceptions about side effects. Referral to ENT is discussed, with Dr McKenzie explaining when specialist review is indicated. She also comments on the accessibility of ENT services in both public and private settings.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins explore the important topic of dementia prevention. With an aging population, dementia is becoming increasingly prevalent. The episode delves into what dementia actually is, addressing common misconceptions that it is solely a memory issue. They explain that dementia is a progressive condition characterised by a range of symptoms including memory changes, shifts in mood or behavior, and challenges in thinking.Highlighting early signs of dementia, Dr Mullins categorises symptoms into memory changes, alterations in thinking, and shifts in personality, mood, or behavior. Notably, unusual placement of everyday items and confusion about time and place are also discussed. They stress the importance of early intervention and the benefits of speaking to a healthcare provider for advice, treatment, and supportive resources.For those seeking proactive ways to prevent dementia, Dr Bourke introduces the CogDrisk tool from Neuroscience Research Australia, which provides evidence-based guidance on reducing risk factors. Prevention strategies cover a lifespan perspective, addressing early life education, lifestyle choices like managing cholesterol, diabetes, and blood pressure, as well as the significance of addressing hearing and vision issues. They also highlight depression, traumatic brain injuries, and social isolation as risk factors.The episode also includes the importance of lifestyle habits like exercise, healthy eating, and maintaining social connections, alongside addressing any existing health conditions. Concluding with a reminder to take control of one's health and to utilise the available resources for reducing dementia risk.Links & Resources:https://www.dementia.org.au/get-support/national-dementia-helplinehttps://www.dementia.org.au/https://cogdrisk.neura.edu.au/This Could Save Your Life Podcast is under The Good GP podcast, 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

In this special live episode of The Good GP, Dr Sean Stevens and Dr Catherine Bourke are interviewed by Dr Bethany Reynolds, Chair of the WA New Fellows Committee, at the RACGP Early Career GPs Conference in the Swan Valley, on Whadjuk Nyongar Country. Discussing key lessons and insights for GPs transitioning from fellowship training to early career practice.Key topics covered:Business and Administration for New Fellows: The importance of setting aside funds for the first tax bill when transitioning to contractor status, and key considerations for thinking about oneself as a business, setting appropriate fees, and effectively communicating billing with patients.Understanding Risk and Wellbeing: Discussing not only financial and legal risks but also the psychological demands of general practice. Which includes practising within a supportive team environment and prioritising professional longevity.Shaping Your Practice and Case Mix: Exploring practical strategies for finding enjoyment and meaning in daily work. Mentioning the value of understanding personal drivers (ikigai), developing niche areas of clinical interest, and using support networks and mentors for ongoing professional development.Managing Challenging Consultations: Strategies for handling heart-sink patients and complex consults, and the importance of setting boundaries, reframing expectations, and developing strong consultation management skills.Mentorship in Early Career: Both Dr Stevens and Dr Bourke share their experiences with mentors and the benefits of both formal and informal mentorship relationships. Encouraging to seek out mentors in various aspects of general practice and practice ownership.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Julia Rawlinson is joined by Dr Lynette Griffiths, GP registrar and perinatal clinical psychologist, and Dr Erin Seeto, clinical and counselling psychologist and Clinical Services Manager at the Gidget Foundation. Discussing the topic of perinatal mental health, focusing on the impact on families, the healthcare system, and the broader community.Beginning with an overview of the prevalence and spectrum of perinatal mental health conditions, covering not only postnatal depression and anxiety but also a range of issues such as PTSD, birth trauma, OCD, and the significance of intrusive thoughts. Highlighting the effects of untreated perinatal mental health issues, including disruptions to parent-infant bonding, relationship stress, and risks to the mental and physical wellbeing of children. Providing practical strategies and advice for GPs to support and assess parents. The importance of routine screening for mental health concerns during both antenatal and postnatal visits. As well as the necessity of validating parents’ experiences, normalising mental health struggles, and engaging both mothers and partners in screening, to which their mental health may be different across genders.Discussing key resources and support available for families and GPs across Australia, including telehealth services, group programs, public mental health services, and helplines such as those provided by the Gidget Foundation and PANDA.Links & Resources:For Clients: Fact Sheets: https://www.gidgetfoundation.org.au/resources/fact-sheetsBlogs: https://www.gidgetfoundation.org.au/gidget-blogPodcast: https://www.gidgetfoundation.org.au/resources/1-in-5-mothers-1-in-10-fathersReal Stories: https://www.gidgetfoundation.org.au/real-stories/gidget-angel-stories For Health Professionals: How To Refer: https://www.gidgetfoundation.org.au/health-professionals/how-to-refer-a-patientResource Library: https://www.gidgetfoundation.org.au/resource-libraryOther support services: https://www.gidgetfoundation.org.au/support/other-support-servicesThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Maria Li speaks with Dr Katherine Wyld, an obstetric physician and endocrinologist, about hyperemesis gravidarum (HG). Outlining the distinction between common nausea and vomiting in pregnancy and the more severe and debilitating hyperemesis gravidarum.Dr Wyld discusses the prevalence of HG, affecting about 1% of pregnancies, and its risk factors such as the history of HG and multiple gestations. She reviews tools for assessment, including the PUQE score, and says the need for clinical judgement, particularly where weight loss and electrolyte abnormalities are present.Discussing management strategies as well; starting with single agents for mild cases, but initiating multiple antiemetics and supportive care early for moderate to severe cases. Dr Wyld covers the safety of first-line medications, as well as practical prescribing tips, monitoring frequency, and the importance of regular dosing.Providing guidance on when to refer or escalate care, including red flag symptoms and criteria for hospital admission. They also talked about the mental health impact of HG, the importance of patient education and support, and assurance regarding typical pregnancy outcomes for most women with HG.Links & Resources:Summary of nausea & vomiting and Hyperemesis, including medication list: SOMANZ-Management-of-NVP-Position-Statement-Updated-Oct-2023-FINAL-1.pdfPatient information sheets (including PUQE score):Hyperemesis-gravidarum.pdfNauseaAndVomitingInPregnancy_2024.pdfList of obstetric physicians: Obstetric Physicians - Society of Obstetric Medicine Australian and NZThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the topic of overweight and obesity. Exploring the intricate relationship between body weight and health, emphasising that body fat alone does not define an individual's health status. Along with the importance of considering various health aspects, including mental, emotional, and social well-being, beyond just physical health.Dr Bourke and Dr Mullins provide an overview of the multi-faceted causes of obesity, highlighting genetic, lifestyle, and environmental factors. Explaining that obesity is a chronic disease influenced by a society that promotes sedentary lifestyles and convenient access to high-calorie foods. They also cover the different methods used to assess whether someone is overweight or obese, including waist measurement, waist-to-hip ratio, and Body Mass Index (BMI), noting the situations where these tools may provide inaccurate results. They further explain the health risks associated with being overweight or obese, such as high blood pressure, diabetes, and certain cancers.Addressing the challenges of weight loss, Dr Mullins and Dr Bourke discuss the body's natural mechanisms that work against weight loss, and they emphasise the need for a personalised approach to treatment. They explore various interventions, including dietary changes, exercise, medication, and bariatric surgery, and stress the importance of seeking professional medical advice for weight management.This Could Save Your Life Podcast is under The Good GP podcast, 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

In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Brad McKay, a Sydney-based GP with extensive experience in HIV treatment, to discuss HIV pre-exposure prophylaxis (PrEP) and its vital role in general practice. This episode is produced in collaboration with the Australian Society of HIV, Viral Hepatitis and Sexual Health Medicine (ASHM).Dr McKay provides an in-depth overview of what PrEP is, who it is suitable for, and addresses common misconceptions about patient eligibility. Discussing that while PrEP has traditionally been targeted towards gay men and men who have sex with men, there are other groups at risk of HIV who may benefit, including heterosexual individuals, people with partners living with HIV, and people who inject drugs. They emphasise the importance of a non-judgmental and inclusive approach, encouraging GPs to routinely take sexual histories and offer PrEP when appropriate, reducing stigma and improving patient outcomes.Providing practical guidance on baseline investigations, including HIV, Hepatitis B and C, syphilis, gonorrhoea, chlamydia screening, and renal function assessment. Dr McKay explains the considerations for both daily and on-demand PrEP regimens, outlining which patients are suitable for each based on sexual practices, and addresses key points around adherence and management of missed doses. He also touches on newer options such as long-acting injectable PrEP, providing insights into future directions for HIV prevention in Australia.Includes advice for GPs on ongoing follow-up, including recommendations for quarterly review, repeat sexual health screening, and renal monitoring.Links & Resources:ASHM HIV PrEP Decision Making Tool: https://ashm.org.au/wp-content/uploads/2025/07/ASHM_HIV_PrEPtool__July-2025_WEB.pdfASHM National PrEP Guideline: https://ashm.org.au/wp-content/uploads/2025/08/ASHM-PrEP-guidelines-2025_FINAL.pdfPrEP Access Now website: https://www.pan.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/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, Dr Krystyna de Lange is once again joined by Dr Karen Magraith, for the second part of a two-part series focusing on the pharmacological management of osteoporosis. Dr Magraith is a member of the Medical and Scientific Advisory Committee with Healthy Bones Australia and the immediate past president of the Australasian Menopause Society.They begin with a review of the clinical criteria for initiating pharmacological treatment in osteoporosis, highlighting the latest RACGP and Healthy Bones Australia guidelines. Outlining which patient groups should be considered for treatment, including those with minimal trauma fractures, based on T scores, and those assessed using FRAX risk calculations.Providing insights into choosing between these treatments, taking into account the patient's age, fracture risk profile, comorbidities, potential adherence, cost, and PBS eligibility. Discussing risk-benefit considerations for each class of medication, as well as patient education, monitoring for side effects, and specific prescribing considerations such as dental health and renal function.Dr Magraith addresses the importance of ongoing monitoring, including when to repeat bone mineral density testing, the rationale behind “drug holidays” for bisphosphonates, and the need for continuous therapy with denosumab. Highlighting key guidance points around therapy duration, transitioning between agents, and when to involve specialist care.Links & Resources:Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopauseRACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, Dr Krystyna de Lange is joined by Tasmanian General Practitioner and medical educator Dr Karen Magraith for a two-part series on osteoporosis. Discussing on the current Australian approaches to osteoporosis screening, assessment, and diagnosis, with emphasis on practical considerations for GPs.Dr Magraith outlines the latest guidelines from the RACGP and Healthy Bones Australia, including distinctions between population screening and case finding for osteoporosis. Providing criteria for bone density assessment, such as age thresholds, specific medical conditions, and medication use. Identifying patients with minimal trauma fractures is highlighted, as well as groups who may be at high risk due to factors like glucocorticoid use, early menopause, and various systemic diseases.They also discussed the use of risk assessment tools, namely the FRAX and Garvan calculators, to better predict fracture risk in patients with non-modifiable and lifestyle-related factors. Dr Magraith also provides a clear overview on interpreting bone mineral density (BMD) reports, including the significance of T-scores and Z-scores and when to investigate for secondary causes of osteoporosis.Dr Magraith emphasises patient education and non-pharmacological management strategies, including nutrition (adequate calcium and protein intake), vitamin D sufficiency, exercise (resistance, impact, and balance training), and falls prevention. Links & Resources:Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopauseRACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Tim Koh speaks again with Dr Bhavesh Patel, a Queensland-based paediatric surgeon, about foreskin problems in boys, an area where general practitioners often face questions from families but might have limited training or exposure.Dr Patel outlines the normal development of the foreskin, clarifying common misunderstandings around the expected age of retraction. He explains that full retraction occurs at a median age of 10.4 years, with wide normal variation, and describes how outdated perceptions have contributed to anxiety and misinformation among families.Giving practical advice for parents regarding hygiene and caring for the foreskin, he emphasises avoiding forced retraction and outlining appropriate bathing routines. They identify normal findings such as the presence of smegma and occasional ballooning during urination, and distinguish them from signs that may indicate pathology.Treatment options were also discussed, starting with conservative management such as topical steroid creams, highlighting a regime that achieves a high rate of success. Dr Patel also touches on the management of preputial adhesions and when to consider surgical intervention.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the importance of the four-year-old health check. The value of continuing care from pregnancy through the first five years of life and how these regular check-ups play a critical role in monitoring a child's health and development.Anna and Catherine provide a detailed overview of the key components involved in a four-year-old health check. Including screening for developmental milestones across four major areas: gross motor function, cognition and fine motor skills, communication, and social and emotional development. They emphasise that early intervention helps in addressing any concerns that may arise during these assessments.They also covered the physical examination aspect of the health check, focusing on ears, eyes, dental, growth charts for height and weight, and the importance of discussing bowel health with children and their families.They share insights into preventative health measures for this age group, topics such as sun safety, sleep hygiene, screen time, physical activity, and the benefits of reading with children. Along with the significance of these measures in promoting long-term health and school readiness.Links & Resources: https://raisingchildren.net.au/toddlers/nutrition-fitness/physical-activity/physical-activity-how-muchhttps://raisingchildren.net.au/babies/play-learning/media-technology/screen-timeThis Could Save Your Life Podcast is under The Good GP podcast, 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

In this episode of The Good GP, host Dr Tim Koh is joined by Dr Bhavesh Patel, a Queensland-based paediatric surgeon, to discuss the assessment and management of scrotal problems in boys, a common area of concern for general practitioners.Dr Patel outlines the common scrotal issues encountered in newborns and children, including hydroceles, inguinal hernias, undescended testes, and varicoceles. He explains the typical presentations of these conditions and highlights key distinctions, such as the differences between retractile and undescended testes, as well as the nuances of diagnosing these conditions in a clinical setting.Providing guidance on the natural history and management of hydroceles, saying that most hydroceles resolve without intervention within the first 1–2 years of life.On the subject of undescended and retractile testes, Dr Patel advises on clinical assessment, the importance of careful examination, and when follow-up is necessary. They also address counselling parents regarding potential long-term risks, monitoring strategies, and indications for referral.Additionally, they also covered the evaluation of inguinal hernias presenting as scrotal swellings and the differential diagnosis of other less common scrotal conditions, such as lymphatic malformations and testicular tumours.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Maria Li welcomes Dr Arthur Price, an immunologist based in Wellington, New Zealand, to discuss penicillin allergy—one of the most frequently reported and commonly misunderstood drug allergies in general practice.Dr Price clarifies the true prevalence of penicillin allergy, explaining that while approximately 10% of patients admitted to hospital carry a penicillin allergy label, only about 10% of those actually have a genuine allergy. Emphasising that most patients with a penicillin allergy label can be safely de-labelled after proper assessment.They address the typical presentations of penicillin allergy. Outlining three main patient groups: those who clearly are not allergic based on history (such as patients with only gastrointestinal side effects or late-onset rashes), those with uncertain or vague histories (including childhood reactions where details are unclear), and those with definitive immediate or severe delayed reactions (such as anaphylaxis or severe cutaneous adverse reactions like Stevens-Johnson syndrome). Dr Price provides practical advice on history-taking to help GPs risk stratify and identify true penicillin allergy, including key questions to ask about timing, symptoms, and the nature of the reaction.Discussing the investigation and referral pathways for suspected penicillin allergy. Dr Price recommends that patients with unclear or potentially significant histories should generally be referred to an immunologist for assessment, rather than managed solely in primary care. He highlights the limitations of current tests and the importance of specialist input.For general practitioners, Dr Price advocates a proactive approach to reviewing penicillin allergy labels and encourages considering referral for possible de-labelling where appropriate. They highlight the value of accurate documentation and patient education in ensuring safe and effective future care.Links & Resources:The ASCIA guidelines Arthur referred to in the podcast: https://www.allergy.org.au/images/stories/hp/info/ASCIA_HP_Consensus_Penicillin_Allergy_2020.pdfAimed at immunologists, so while GPs may find it useful for context and interest, it’s not something intended for day-to-day practice in primary careThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Maria Li speaks with Dr Arthur Price, a clinical immunologist with expertise spanning food allergy and immunodeficiency, on the frequently overlooked condition known as oral allergy syndrome (OAS).Dr Price begins by defining oral allergy syndrome as a mild form of food allergy where symptoms—typically oral itching—are limited to the mouth, lips, and throat following the consumption of raw fruits, vegetables, or certain nuts. He highlights the prevalence of OAS, noting that it affects up to 10% of the general population and is even more common among patients with hay fever and eczema.Covering typical clinical presentations seen in general practice, commonly triggered foods (such as apples, stone fruits, and hazelnuts), and the distinct lack of systemic symptoms in classic OAS cases. They provide practical advice on recognising OAS, taking a thorough history, and distinguishing it from more severe or systemic food allergies. Dr Price emphasises the importance of a clinical diagnosis and discusses why routine allergy testing is seldom indicated unless the case is atypical. They also talked about the management of OAS, the role of dietary avoidance, the use of antihistamines if symptoms do not resolve quickly, and reassurance regarding the very low risk of severe or life-threatening reactions.Discussing the impact of food preparation (e.g. tolerance of well-cooked fruits vs. raw forms), when to consider referral to allergy specialists, and how to support patients in making sensible, evidence-based decisions about food avoidance while maintaining good quality of life.Links & Resources:https://www.allergyuk.org/wp-content/uploads/2022/03/Oral-Allergy-Syndrome-v5.pdfhttps://www.allergy.org.au/patients/food-other-adverse-reactions/oral-allergy-syndromehttps://www.bsaci.org/wp-content/uploads/2024/03/Pollen-Food-Syndrome-PIL.pdfThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Julia Rawlinson is joined by Dr David Manners, respiratory consultant and lung cancer and bronchoscopy subspecialist at Midland Hospital, to discuss the National Lung Cancer Screening Program launching across Australia on 1 July. To outline the rationale behind the new guidelines, highlighting that lung cancer remains the leading cause of cancer-related mortality in Australia, typically presenting at a late stage when curative treatment is less likely.Dr Manners explains the evidence base for low-dose CT screening, referencing the US-based NLST and European Nelson studies, both of which demonstrated a significant reduction in lung cancer mortality among high-risk individuals. He also provides an overview of international screening efforts, comparing Australia’s rollout with programs in the US, Europe, and Canada.Eligibility criteria for the Australian program are detailed: patients aged 50 to 70 years, with a smoking history of 30 or more pack years, and for ex-smokers, having quit within the past 10 years. The reporting pathway and follow-up guidelines for detected nodules are also covered, including the importance of family history in risk assessment.They also covered why the Australian eligibility criteria were chosen, based on international evidence and local health economics analysis, and emphasises that the screening program is intended for asymptomatic individuals. For further information and resources about the National Lung Cancer Screening Program, please refer to the resources below:CPD and training: https://lungfoundation.com.au/health-professionals/training-and-events/national-lung-cancer-screening-program-health-workforce-education/?utm_source=Google&utm_medium=PerformanceMax&utm_campaign=NLCSP_2025&utm_content=PMAX&gad_source=1&gad_campaignid=22441651848&gbraid=0AAAAABIcwmqPnfnhOcrfcfcgRcZryqtqb&gclid=EAIaIQobChMI-vuFxd-TjgMVtahmAh2vtAmiEAAYASAAEgLwK_D_BwEProgramme Guidelines - pdf download: https://www.health.gov.au/sites/default/files/2025-04/national-lung-cancer-screening-program-guidelines.pdfPack year calculator: https://www.mdcalc.com/calc/10187/pack-years-calculatorThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life podcast, Dr Catherine Bourke and Dr Anna Mullins delve into the topic of diabetes mellitus, focusing primarily on type 2 diabetes and its prevention. They begin with what diabetes is and the key differences between type 1 and type 2 diabetes. Type 1 diabetes is described as an autoimmune condition where the body attacks its own insulin-producing beta cells, whereas type 2 diabetes is more linked to lifestyle and genetic factors over a prolonged period.Dr Bourke and Dr Mullins highlight the symptoms of diabetes such as excessive thirst, hunger, frequent urination, and the more severe long-term risks like cardiovascular disease, kidney failure, and nerve damage. They emphasise the significant impact both types of diabetes can have on individuals' quality of life.They focused on the causes of type 2 diabetes, discussing the interplay between genetic predispositions and lifestyle choices. Along with emphasising the risk factors that contribute to developing type 2 diabetes, including a sedentary lifestyle, poor diet, obesity, smoking, and certain medical conditions.They also explain that pre-diabetes is a stage where intervention can successfully prevent the progression to full-blown diabetes. Dr Bourke and Dr Mullins advocate for weight loss, regular exercise, and possibly guided dietary changes as effective measures to prevent diabetes or even put it into remission.They outlined who should be screened for diabetes, focusing on risk stratification based on various factors such as age, weight, family history, and ethnicity. Dr Bourke provides guidance on the screening process, especially for those in high-risk categories.Links & Resources:https://www.health.gov.au/resources/apps-and-tools/the-australian-type-2-diabetes-risk-assessment-tool-ausdrisk/tool This Could Save Your Life Podcast is under The Good GP podcast, 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

In this episode of The Good GP, Dr Krystyna de Lange is joined by Dr Marita Long, to discuss recent advances in the treatment of cognitive impairment, particularly mild cognitive impairment due to Alzheimer’s disease.Dr Long outlines the approval of the first anti-amyloid therapy in Australia—approved by the TGA for use in patients with mild cognitive impairment or early Alzheimer’s dementia. Covering the evidence base for this new therapy, focusing on data from the Trailblazer Two clinical trial, which demonstrated a modest slowing in cognitive decline for patients treated with the anti-amyloid agent compared to placebo. Dr Long emphasises that these are not curative treatments, but may offer an extended period of independence and delay transition into residential care, especially if administered at an earlier stage of disease.They also addressed the challenges in identifying suitable patients for anti-amyloid therapy, given the complexities in diagnosing mild cognitive impairment and Alzheimer’s disease. Dr Long provides practical tips for GPs on recognising early cognitive symptoms and outlines the importance of thorough cognitive assessments and timely specialist referral for further diagnostic evaluation and access to new therapies.Accessibility and eligibility criteria for anti-amyloid therapy were also discussed, including the current requirements for specialist confirmation of an Alzheimer’s diagnosis (often via PET scan), and certain exclusions, such as high vascular risk or mixed dementia pathology.Dr Long also provides an overview of how these new disease-modifying therapies compared to existing symptomatic treatments (such as cholinesterase inhibitors), and notes the ongoing evolution of practice as further data become available.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, Dr Sean Stevens and Dr Julia Rawlinson are joined by Dr Lauren Breen, community psychologist, researcher, and professor at Curtin University, and Shelly Skinner, CEO and founder of Lionheart Camp for Kids, to discuss childhood grief.They explore the prevalence and impact of childhood bereavement in Australia, it is estimated that approximately 235,000 children have lost one or both parents. They emphasise that it is important for GPs to recognise and address grief in children and adolescents.Dr Breen outlines the developmental differences in how children, adolescents, and adults experience and express grief. Covering common presentations in children, such as somatic symptoms (e.g., headaches, stomach aches, sleep disturbances). Adolescents may display increased anxiety, vigilance, or engage in risk-taking behaviours.Communication is highlighted as a key intervention: encouraging open conversations within families and using direct language around death can support healthy grieving. Shelly Skinner shares insights from Lionheart Camp for Kids on the value of early interventions, including upskilling not just parents, but also grandparents, teachers, and coaches, to ensure grief literacy across the community. GPs are reminded that while grief is not a medical condition, it is both common and significant. Early, ongoing, and comprehensive support—both within the family and with community organisations—can minimise negative impacts and foster resilience and growth in bereaved children and their families.Links & Resources:Lionheart Camp for Kids is a not-for-profit organisation empowering bereaved children, teens and families to navigate their grief journey through education, peer-support, strength-building and resilience. See the website: https://lionheartcampforkids.com.au/ for lots of information about programs and other resources.Lauren Breen’s website: https://www.drlaurenbreen.com/ also has lots of resources like infographics and videos relevant to supporting grieving children, teenagers and young adults.Lauren and Shelly’s study on the questions bereaved children ask about death and grief can be found here: https://doi.org/10.1007/s10826-023-02694-x.  Lauren’s study on what works to reduce anxiety and depression for grieving youth can be found here: https://doi.org/10.1016/j.jad.2023.05.032.Supporting Adolescents in Loss Project SKIL is a website that hosts a free, CBT-based, online treatment for grieving teenagers. You can find it here www.sailgrief.com. Curtin University researchers are also developing a similar one for grieving children, and people can sign up here: www.skilgrief.comThe 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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of The Good GP, host Dr Sean Stevens is joined by colleagues from the Innovations Specific Interest Group at the Digital Health Festival (DHF25). Dr Amandeep Hansra, Janice Tan, Darren Foo, Kimberly Hamilton, and Mel Smith, all share their experiences and insights from the conference and recent RACGP Hackathon.Key Points: Dr Amandeep Hansra highlights the increased GP participation and the growing movement among clinicians to innovate and improve healthcare delivery in DHF25.Kimberly Hamilton shares her first experience at the RACGP Hackathon, describing the collaborative environment, solution-focussed discussions, and getting inspired seeing peers developing innovative ideas.Mel Smith comments on the positive momentum and pride among GPs at the hackathon, and their drive for practical solutions.Darren Foo outlines findings from a recent study comparing AI-generated scribe documentation to human-generated documentation in simulated general practice settings. Results suggest that AI documentation was rated as higher quality, he highlights the need for more robust research to inform future practice.Janice Tan shares insights from moderating a panel on building trust in digital health solutions. She included the importance of trust and trustworthiness, cautioning against hype cycles, and collaboration among patients, clinicians, and industry.They conclude with reflections on the benefits of networking at such events, the importance of collaborative problem-solving, and anticipation for future opportunities including the next RACGP Hackathon, Creative Careers in Medicine in Melbourne, and GP25 in Brisbane.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 [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.

In this episode of This Could Save Your Life podcast, hosts Dr Catherine Bourke and Dr Anna Mullins delve into the essential topic of high cholesterol and cardiovascular risk assessment. They explore how cholesterol impacts cardiovascular health and the strategies GPs can adopt to manage and mitigate these risks.They begin with an overview of the Australian Cardiovascular Risk Calculator, which integrates various risk factors such as cholesterol levels, blood pressure, and lifestyle habits to estimate a patient's risk of experiencing a cardiovascular event within the next ten years. Dr Bourke and Dr Mullins discuss the significance of this calculator in routine GP practices for patients aged 45 to 79 who do not have existing cardiovascular diseases.Delving deeper into the subject, Dr Mullins explains the vital role cholesterol plays in the body and differentiates between good (HDL) and bad (LDL) cholesterol. They also emphasise the importance of non-fasting cholesterol tests and how these more accurately reflect typical cholesterol levels.Extending to lifestyle approaches that can positively influence cholesterol levels, including exercise, healthy eating patterns, and the avoidance of smoking and excessive alcohol consumption. Specific dietary recommendations are provided, such as incorporating whole grains, legumes, and healthy fats while also the nuances of dairy consumption and its impact on cholesterol levels.Dr Mullins and Dr Bourke stress the importance of individual patient assessments, especially noting familial risk factors and potential genetic influences on cholesterol. This Could Save Your Life Podcast is under The Good GP podcast, 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