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In this episode of The Good GP, Karin Sekhon speaks with Professor Jayashri Kulkarni, a renowned psychiatrist, about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD).
Professor Kulkarni explains the distinctions between PMS and PMDD, emphasising that PMS is more prevalent and generally involves physical symptoms like bloating and headaches, while PMDD affects a smaller percentage of women and includes severe psychological symptoms such as major depression, anxiety, and brain fog. She talks about the genetic and environmental factors contributing to PMDD, highlighting a specific gene complex that may be activated by trauma.
Discussing the primary pharmacological treatments for PMDD, Professor Kulkarni advises starting with hormonal treatments like the combined oral contraceptive pill; she recommends the pill "Zoely" for its balanced hormone levels. She also elaborates on the use of SSRIs like sertraline for additional support and gives a stepped approach to treatment, including the possible need for hormone replacement therapy (HRT) or menstrual suppression in complex cases.
They also touched on the potential role of complementary therapies and the importance of holistic care, involving psychological support and lifestyle modifications. Professor Kulkarni provides guidance on when GPs should consider referring patients to specialists and emphasises the collaborative role of GPs in managing PMDD effectively.
If you want to learn more about this topic, consider the HER Centre Australia's online short course on Women's Mental Health: https://www.monash.edu/medicine/translational/psychiatry/short-courses/womens-mental-health
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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Join The Good GP host Dr Krystyna de Lange in an episode with Dr Rebecca Starkie as they discuss the topic of cervical screening and the self-collection method in Australia.
Dr Starkie, a GP, practice owner, academic, medical educator, and researcher with a specific interest in women's health, shares her expertise on the success of self-collection for cervical screening. With the uptake of self-collection, especially among older women and those in remote areas, we have seen a reduction in barriers to cervical screening and improved access
They delve into the eligibility criteria for self-collection, discussing those who can opt for this method and those who still require clinician-collected samples. Expected changes in guidelines for the cervical screening program are also touched upon, emphasising the upcoming recommendations for test-of-cure processes.
Sharing insights for GPs on how to effectively explain and guide patients through the self-collection process, including the use of instructional resources and addressing possible patient concerns. Dr Starkie offers practical tips for handling abnormal test results and troubleshooting sampling challenges.
Dr Starkie recommended adopting a whole-of-team approach in general practice to support cervical screening efforts, underscoring the importance of involving practice managers, nurses, and reception staff in creating a positive patient experience.
Links & Resources:
https://acpcc.org.au/practitioners/resource-hub/The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode of The Good GP, host Dr Karin Sekhon is joined by Dr Jana Combrinck, an experienced women's health GP working in Perth and the current GP lead of Oasis Fertility Centre. They delve into the GP's role in fertility management.
Dr Combrinck discusses the prevalence of fertility issues, noting that one in six couples of reproductive age in Australia are affected by subfertility. Identifying advanced maternal age as a common cause, along with conditions such as polycystic ovarian syndrome (PCOS), ovulation disorders, and endometriosis. She emphasises the importance of considering male factors, which are responsible in at least 50% of cases.
Giving insights on the process for couples experiencing infertility. Dr Combrinck outlines a systematic approach, which includes taking a thorough history, conducting necessary blood tests, and performing imaging investigations. For male patients, a semen analysis is recommended as the first step.
Dr Combrinck also discusses the medications and supplements that GPs can prescribe to aid in fertility. For PCOS patients, metformin and myoinositol are suggested as first-line treatments. She provides a comprehensive guide on the use of letrozole for ovulation induction, emphasising the need for close monitoring. Supplements like CoQ10 and melatonin are recommended for women with reduced ovarian reserve, and Menivit is suggested for male patients with suboptimal semen analysis.
They also touched on when to refer patients to a fertility specialist. Referral timelines vary based on the age of the female partner and any known fertility-impacting conditions.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.
If you have any questions or would like to contact The Good GP, send an email to [email protected].
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In this episode of The Good GP podcast, host Dr Karin Sekhon talks to Dr Alex Shivarev, a public health physician from the WA Department of Health, to discuss the emerging public health concern of monkeypox, now also referred to as Mpox. Providing insights for GPs on the epidemiology, transmission, and clinical manifestations of the monkeypox virus, along with the distinction between the clade Ib and clade IIb strains.
Dr Shivarev explained what monkeypox is, its origins, and the different strains that have emerged. Discussing the recent increase in monkeypox cases globally and the response from both international bodies and local health authorities. He also highlighted the differences in transmission routes and the populations most at risk, including gay, bisexual, and other men who have sex with men.
Dr Shivarev mentions the vaccination with the JYNNEOS vaccine, which is available and recommended for eligible individuals. He also provided detailed guidance on the clinical presentation and diagnosis of monkeypox, emphasising the importance of history-taking and examination findings in identifying potential cases.
Lastly, they touched upon the future of monkeypox outbreaks and the potential for control measures to prevent further spread. Dr Shivarev reassures listeners that the risk of a wide-scale outbreak akin to the COVID-19 pandemic is low, given the effective public health measures in place and the community's prior successful response to the 2022 outbreak.
Resources and Links:
ASHM Mpox Resource Toolkit - https://ashm.org.au/resources/mpox-resource-toolkit/ Mpox Quick guide for primary health care workers WA - https://www.health.wa.gov.au/~/media/Corp/Documents/Health-for/Infectious-disease/Monkeypox/Monkeypox-quick-guide-for-clinicians.pdf Mpox (monkeypox) (health.wa.gov.au) (clinician focus)Mpox (monkeypox) (healthywa.wa.gov.au) (consumer focus)The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode of The Good GP, host Karin Sekhon engages in an insightful conversation with Dr Judith Thompson, specialist continence and pelvic health physiotherapist and clinical director of BodyLogic Pelvic Health Clinic in Perth. She shares her knowledge on the benefits of pelvic floor physiotherapy and its broad applications across various stages of life and conditions.
Dr Thompson elaborates the training in becoming a pelvic health physiotherapist and outlines the range of conditions managed, including bladder and bowel continence, pelvic organ prolapse, and pelvic floor dysfunction in both women and men. They also covered management strategies for men post-prostate surgery and children with continence issues.
They also talked about the management of endometriosis-related pelvic pain. Dr Thompson explains the holistic approach taken, considering bladder, bowel, and pain management, and emphasises the importance of exercise, pelvic floor muscle assessment, and pacing plans. She also addresses the psychosocial elements, using tools like the 3PSQ for early identification of psychological factors influencing pain.
Financial barriers to accessing pelvic physiotherapy were also discussed, with Dr Thompson offering practical advice on leveraging public system referrals, EPC programs, and telehealth services to make treatment more accessible. Highlighting resources such as the Matilda app for endometriosis care and the Coast to Country program for rural patients.
Dr Thompson also touched upon the often-overlooked needs of young men experiencing lower urinary tract symptoms and pelvic pain, advocating for early physiotherapy assessment and holistic management.
Links & Resources:
The Pelvic Pain Psychological Screening Questionnaire (3PSQ) - https://www.wmhp.com.au/sites/default/files/3PSQ.pdfMatilda Health - Home | Endometriosis surgery: care before and after to optimise outcomes. (matilda.health)Coast to Country Pelvic Health Clinic - https://pelvichealth.physio/wp-content/uploads/2023/12/Poster.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/network.
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode of The Good GP, host Dr Sean Stevens sits down with Dr Jenny Brockis and Dr Amandeep Hansra to discuss their upcoming keynote presentations at GP24 in Perth. Providing insightful perspectives on the evolving landscape of general practice and the essential role that GPs play in the healthcare system.
Dr Jenny Brockis introduced her keynote address, "Happy, Healthy, and Fulfilled: Reimagining Practitioner Wellbeing," where she emphasises the importance of self-care for general practitioners. She discusses the complexities and challenges GPs face today, including the rapid changes in medical information, the increasing prevalence of chronic diseases, and evolving patient expectations. Dr Brockis advocates for a shift in practice to better support GP wellbeing to prevent burnout and ensure the highest quality of patient care.
Dr Amandeep Hansra shares her experiences in the digital health and innovation space and shares a preview of her keynote. Dr Hansra talks about her journey towards integrating digital solutions in general practice and the significant impact it can have on patient care. She highlights upcoming initiatives, including a hackathon designed to foster innovative solutions from frontline GPs. Dr Hansra also discusses her role as the Chief Clinical Advisor for the Australian Digital Health Agency, focusing on how government initiatives are building foundational tools to enhance digital health innovation.
Early bird registrations for the GP24 in Perth close on Monday, 7th of October. Visit racgp.org.au to secure your discounted rates!
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Marita Long, as they discuss dementia risk factors and prevention.
Dr Long says that dementia is a chronic disease, with its pathology starting 20 to 30 years before symptoms appear. Delving into the importance of intervention and maintaining brain health throughout life, Dr Long explains that dementia encompasses multiple symptoms with around 100 different causes, of which Alzheimer’s disease is the most common in Australia.
They then focus on non-modifiable risk factors, such as age and sex, noting that women are twice as likely as men to develop dementia. Exploring the global modifiable risk factors identified by the Lancet Commission, which include educational attainment, hearing impairment, traumatic brain injury, alcohol, obesity, smoking, hypertension, depression, social isolation, physical inactivity, diabetes, and air pollution. Data from the Lancet Commission implies that addressing these modifiable risk factors could prevent or delay 40% of dementia cases globally.
Dr Long suggests beneficial lifestyle practices such as maintaining a varied diet, regular exercise, limited alcohol consumption, no smoking, and consistent social engagement to help prevent dementia. The BrainTrack app, developed by Dementia Australia, is highlighted for its role in raising brain health awareness and measuring cognitive performance through interactive travel games aimed at promoting timely diagnosis of dementia.
They then addressed the increasing concerns about memory changes and dementia worries, suggesting opportunities for risk factor assessment during health assessments and at various life stages, including among individuals with intellectual disabilities and the Indigenous population. The COG DRISK online assessment tool, developed in Australia, is recommended for its comprehensive evaluation of modifiable dementia risk factors, providing a personalised risk score and tailored brain health recommendations for individuals over 40.
Resources mentioned in the episode:
Dementia in Practice podcast - https://dta.com.au/news/2021/dementia-in-practice-now-were-talking/Dementia Training Australia website (free online courses and resources) - https://dta.com.au/Dementia Australia - https://www.dementia.org.au/Lancet article on dementia risk factors - https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltextCogDRisk Tool - https://cogdrisk-tool.neura.edu.au/Preventing Dementia Mook - https://www.utas.edu.au/wicking/preventing-dementiaDementia Braintrack app - https://www.dementia.org.au/braintrackCognitive training - https://www.cognifit.com/Cognitive training - https://www.brainhq.com/Some extra resources Dr Marita Long recommends:
https://www.mup.com.au/books/secrets-of-womens-healthy-ageing-paperback-softbackhttps://lisamosconi.com/the-menopause-brainThe 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]
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In this episode of The Good GP, host Rebecca Goadby interviews Dr Andrew Martin, a consultant paediatrician at Perth Children's Hospital and an expert in paediatric lipid disorders. Dr Martin has led a paediatric lipid disorders clinic for the past 15 years, specialising in the detection and management of children and adolescents with familial hypercholesterolemia (FH) to prevent coronary artery disease.
Dr Martin explains what FH is and discusses its prevalence in children. Sharing that around 20,000 children under the age of 16 are affected by FH in Australia, and emphasises the genetic nature of this condition, highlighting its autosomal dominant inheritance pattern.
They then shift to the critical role GPs can play in diagnosing FH in children. He notes that most children are diagnosed following the identification of an adult index case in their family and underscores the importance of cascade genetic testing, which GPs can facilitate using a Medicare Benefits Schedule (MBS) item number.
Elaborating on the management strategies for FH in children, starting with heart-healthy lifestyle changes and progressing to pharmacological interventions, primarily statins, from the ages of 8 to 10. He highlights that early intervention with statins can significantly reduce the risk of future coronary events.
Additionally, Dr Martin describes the forthcoming launch of FH Australia, a national peak body aimed at supporting individuals and families with FH. Explaining that this organisation will provide resources, education, and advocacy, serving as a valuable resource for both patients and healthcare professionals.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode of The Good GP, Dr Sean Stevens interviews Dr Hester Wilson, GP & Chief Addiction Medicine Specialist for New South Wales, and Dr Chris Davis, a GP with a special interest in alcohol and other drugs and founder of Clean Slate. They discussed addiction medicine, particularly alcohol use disorders, and the innovative solutions offered by the Clean Slate program.
Dr Hester Wilson begins by explaining the prevalence of alcohol consumption in Australia, highlighting that while most people drink within safer guidelines, a significant percentage exceed these limits. She also discusses the health risks associated with alcohol use, including its role as a toxin and its contribution to medical conditions such as cancer.
Dr Chris Davis outlines the benefits of a home detox compared to residential inpatient detox, emphasising patient acceptability and cost-effectiveness. He explains how the Clean Slate program works, detailing the importance of support systems, the role of the GP, and the use of telehealth for safe detoxification. Dr Davis also touches on the program's affordability and accessibility options, including private insurance rebates and government funding.
Delving into patient selection criteria for home detox and the comprehensive, ongoing support provided by the Clean Slate program. Dr Wilson elaborates on the collaboration between the Clean Slate program and general practitioners, as well as its integration with the RACGP Addiction Specific Interest Group.
Dr Davis concludes by sharing future plans for Clean Slate, which includes expanding access to vulnerable populations and forming the Digital Alcohol Alliance to further improve treatment accessibility.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.
If you have any questions or would like to contact The Good GP, send an email to [email protected].
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In this episode, host Dr Krystyna de Lange welcomes Associate Professor Erin McMenimen, a clinical dermatologist with appointments at the University of Queensland Medical School and Princess Alexandra Hospital, to discuss Hidradenitis Suppurativa (HS).
Defining HS as a chronic auto-inflammatory condition, highlighting its similarities to inflammatory bowel disease and psoriasis. A/Prof McMenimen explains the disease's pathophysiology, noting that inflammation starts in the hair follicles and leads to scarring and sinus tract formation. Key associated factors are smoking, obesity, family history, and secondary infections.
They then shift to the signs and symptoms of HS, emphasising the importance of early recognition by GPs. A/Prof McMenimen outlines the diagnostic criteria, focusing on abscesses and boils in body folds and the significance of multiple episodes over time.
She also explains the Hurley staging system used to assess HS severity and describes the impact of HS on patients' quality of life, including pain, mental health issues such as depression and anxiety, and social isolation.
On the topic of management, They covered lifestyle interventions, including avoiding heat and friction, dietary adjustments, and smoking cessation strategies, followed by stepwise medical treatments like antiseptic washes, topical and oral antibiotics, and anti-androgen therapy. She also discusses advanced treatments for severe cases, including intralesional steroids, de-roofing surgery, and biologics like adalimumab and secukinumab.
A/Prof McMenimen underscores the importance of early referral to dermatologists for effective management and better patient outcomes, advocating for a multidisciplinary approach to care.
Links and Resources:
Dermnet page on HS: https://dermnetnz.org/topics/hidradenitis-suppurativaUQ Dermatology Research Centre page on HS: https://dermatology-research.centre.uq.edu.au/research/hidradenitis-suppurativaHS Patient Brochure: https://dermatology-research.centre.uq.edu.au/files/1915/HS-patient-education-and-treatment-guide-pamphlet.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/network
If you have any questions or would like to contact The Good GP, send an email to [email protected].
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In this episode, Dr Anna Mullins speaks with Professor Claire Jackson, a professor of general practice and primary care reform at the University of Queensland, about the e-consultation model and its impact on rural healthcare.
Professor Jackson describes the early days of the e-consult model, inspired by a successful program in San Francisco, and how it was initially trialled with positive results at Camp Hill Healthcare. The model, involving advice provided to GPs via a shared electronic medical record and email communication, has since expanded across Western Queensland and includes various clinicians from multiple medical specialties.
Delving into the role of Queensland Health in funding the e-consult model and discusses the importance of scaling the service statewide. Professor Jackson highlights the critical mass of referrals needed for service efficacy, as evidenced by experiences in Canada. She also addresses the challenges faced in getting GPs to notice and use the e-consult service.
They then discuss the broader challenges in general practice, such as administrative workload and funding issues. Professor Jackson reflects on how funding for general practice has evolved over the last 40 years and the current struggle to lobby for affordable support. The conversation emphasises the significance of maintaining a strong patient-GP relationship, especially during changes in practice models, and the unique mentorship and growth opportunities within the profession.
She notes the environmental benefits of e-consults, with a significant reduction in face-to-face visits and carbon footprint in rural areas. Furthermore, over 90% of GPs reported that the e-consult service greatly assisted in their management of cases and provided them with valuable educational advice.
Concluding with a discussion on the expansion plans for the e-consult service and the collaboration with the University of Ottawa to incorporate more specialties, thereby encouraging greater use among GPs.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected].
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In this episode, host Dr Anna Mullins speaks with Dr Preeya Alexander, a GP based in Melbourne who is passionate about preventative health. Dr Alexander utilises social media to debunk health myths and provide reliable health information to the public. She is also the author of "Rainbow Plate," "Eat Sleep Play Love," and "Full Plate," and the host of the podcast "Happy to Health."
Dr Alexander discusses the motivations behind her social media presence, which began in 2016 as a response to the spread of health misinformation. She shares her experiences managing her clinical practice, media engagements, and the challenges that come with addressing health misinformation online. Despite facing significant negativity from certain groups, including anti-vaccination activists, Dr Alexander remains committed to promoting evidence-based health information.
They also covered her approach to giving practical health advice on social media and her emphasis on preventative health. She highlights the importance of GPs providing small, actionable health tips to their patients, especially in areas like nutrition and physical activity. Discussing her books that focus on parenting and cooking, which provide practical, budget-friendly health advice.
Dr Alexander shares insights into her podcast, "Happy to Health," aimed at the general public. The podcast covers various health topics with expert guests, making complex medical information accessible and engaging for listeners.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode, host Dr Tim Koh welcomes back Dr Michael Wright, Chief Medical Officer for AVANT, for an insightful discussion on the future of general practice. Dr Wright brings his extensive experience and perspective, having grown up in a family of GPs and having served as a GP for over two decades.
Dr Wright delves into the evolving landscape of general practice, comparing the experiences of new GP fellows with those of previous generations. He emphasises the importance of defining the scope of practice for GPs, highlighting the need for comprehensive, coordinated, and continuous care. They also address the pressures on Medicare funding and the necessity for alternative funding models to support the sustainability of general practice.
Dr Wright shares his thoughts on technological advancements, such as AI and data integration, which could significantly transform the way GPs provide care. He also touches upon the rise of corporate ownership in general practices and the need to maintain various practice models to serve diverse populations effectively.
Finally, they discuss the future GP workforce, exploring concerns about declining trainee numbers and the steps required to make general practice a more attractive career path for medical students and junior doctors.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode, host Dr. Tim Koh, joins Dr. Michael Wright, Chief Medical Officer for Avant to discuss the emerging role of artificial intelligence (AI) in general practice, specifically focusing on AI scribes.
Dr. Wright outlines the benefits and potential risks of integrating AI scribes into medical practice. He highlights how AI scribes can enhance consultation notes by accurately recording patient interactions, thus allowing GPs to focus more on patient care and less on administrative tasks. However, he also points out the medico-legal and privacy considerations that GPs must keep in mind, such as data storage and compliance with state regulations.
Delving into professional and ethical considerations. Dr. Wright advises GPs to thoroughly investigate how AI scribes function, including data handling and storage, and to ensure patient consent is obtained. He also emphasises the importance of verifying AI-generated notes for accuracy before they are saved as part of the patient’s medical record.
They conclude with Dr. Wright's outlook on the future applications of AI in general practice. He envisions AI supporting administrative efficiency, improving billing processes, and potentially revolutionising how patient data is integrated and utilised across healthcare systems. He encourages GPs to approach AI scribes with an open mind, to trial these tools in their practice, and to be mindful of ensuring that the quality and safety of patient care are maintained.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode of The Good GP, hosts Dr Tim Koh and Dr Sean Stevens speak with Geoffrey Sayer, CEO of Medtech, at the Digital Health Festival 2024. Geoffrey introduces Medtech, an electronic health record system designed to service practices in Australia and New Zealand, providing a comprehensive patient practice management system (PMS).
Beginning with an overview of Medtech's capabilities and its market presence. Geoffrey highlights the importance of having a flexible and future-proof PMS that allows for customization and integration with other software applications adaptable to the diverse needs of general practices.
Geoffrey explains the concept of APIs (Application Programming Interfaces) and their role in enabling third-party software to interact with Medtech's system. He introduces Medtech’s Application Layer Exchange (ALEX®), a sandbox environment where developers can create and test new applications that integrate with their PMS. This fosters an ecosystem of innovation, allowing practices to customise their systems to meet specific requirements.
Dr Sean Stevens queries about the potential of an app store for PMS, to which Geoffrey acknowledges the growing trend but emphasises the need for standardised APIs to ensure cross-vendor compatibility. They then explore the technical feasibility for GPs to develop or commission customised applications, enhancing their practice management experience.
Geoffrey predicts a hybrid model of PMS combining local servers with cloud-based services, advancements in inbox management, and an increase in AI-assisted functions. He acknowledges the appetite amongst GPs for more innovative, flexible solutions and the role that smarter data integration, particularly with wearable devices, will play in the future.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.
If you have any questions or would like to contact The Good GP, send an email to [email protected].
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In this episode, host Dr Catherine Bourke is joined by Dr Gill Cowen, a multi-talented expert with roles including a senior lectureship at Curtin Medical School and a clinical research fellow at the Curtin Health Innovation Research Institute, to discuss advancements in concussion management.
Defining concussion and elaborating on the latest Australian Sports Commission concussion guidelines released in February 2024. They covered various aspects of concussion, including preventive measures in sports, the importance of strict adherence to game rules, and the role of mouthguards and helmets. Dr Cowen clarifies that loss of consciousness is not required for a concussion diagnosis and outlines the serious conditions that GPs must not overlook.
Gaining insights into available diagnostic tools such as the post-concussion symptom score, SCAT 6, and the Vestibular Ocular Motor Screening Tool (VOMS). Dr Cowen also updates on current recommendations for post-concussion management, moving away from complete rest and instead advocating for relative rest and limited screen time in the initial 48 hours. They also discussed return-to-play protocols, particularly the revised 14-day symptom-free period before re-engaging in contact sports and a minimum 21-day interval for returning to play.
They emphasise a conservative approach to repeated concussions within a season and acknowledge ongoing research on chronic traumatic encephalopathy (CTE) and its association with repetitive head trauma. Dr Cowen highlights that, in the current absence of predictive tools, a cautious management approach should be employed.
References:
Concussion guidelines: https://www.connectivity.org.au/clinical-guidance/health-guidelines/Concussion Fact Sheets: https://www.connectivity.org.au/guidance-for-clinicians/fact-sheets/Free short concussion courses: https://www.connectivity.org.au/courses/State Head Injury Unit Concussion Program: https://www.nmhs.health.wa.gov.au/Hospitals-and-Services/Public-Health/Head-Injury/ConcussionmTBI Healthpathway: https://wa.communityhealthpathways.org/246668.htmVestibular oculomotor screening (VOMS): https://www.youtube.com/watch?v=CJF6kJcFGqESport-related concussion: https://sma.org.au/resources/concussion/The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected].
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In this episode of The Good GP, host Dr Anna Mullins welcomes back Dr Chris Conyard, an upper limb surgeon based in Brisbane, to discuss elbow tendinopathies. He shares his expertise on the natural history of elbow tendinopathies, their examination, and effective management strategies.
They begin with an overview of elbow tendinopathies, including their prevalence, clinical presentation, and challenges associated with treatment. Dr Conyard highlights the importance of rest and specific eccentric loading exercises in rehabilitation and explains the typical clinical course.
Delving into the physical examination of the elbow, touching on specific tests such as Cozen's test to diagnose tennis elbow and techniques for identifying golfer's elbow. They discuss the relevance of imaging in diagnosis, specifically when it should be considered, particularly in cases of suspected arthritis or when initial management fails.
Dr Conyard also provides valuable insights into non-operative management, including the use of topical NSAIDs, physiotherapy, and braces. He advises caution against steroid injections and suggests PRP injections as a potential second-line treatment. Concluding with advice on when to refer patients to specialists and the utility of specific imaging and nerve conduction studies.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode, Dr Anna Mullins speaks with Dr Chris Conyard, an orthopaedic surgeon with a fellowship in upper limb surgery, about the management of rotator cuff tears and frozen shoulders.
Dr Conyard sheds light on the natural history of shoulder conditions, particularly the prevalence and progression of rotator cuff tears. He highlights the significance of various risk factors, including hand dominance, manual labour, diabetes, and smoking. Dr Conyard also discusses the impact of muscle atrophy and fatty infiltration on surgical outcomes.
Providing a detailed overview of the shoulder examination for rotator cuff tears, covering essential tests such as the supraspinatus test, external rotation test, and subscapularis tests. Dr Conyard emphasises the role of functional assessment and the importance of early intervention in acute tears.
They also covered imaging and first-line treatments, including the use of steroid injections. Dr Conyard explains when to consider steroid injections and the implications of repeat injections. He offers guidance on when GPs should refer patients to specialists, particularly in cases of acute tears, symptomatic progression, and failed non-operative interventions.
Dr Conyard addresses the management of frozen shoulder, highlighting the usefulness of steroid injections and hydrodilatation, particularly in the initial phases of the condition. He also discusses when to consider referral for surgical interventions such as manipulation under anaesthesia (MUA) and arthroscopic release, backed by evidence from the UK Frost Trial.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode, Dr Krystyna de Lange is joined again by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute post-streptococcal glomerulonephritis (APSGN).
Dr Hempenstall begins by defining APSGN and explaining how it is an acute autoimmune kidney condition triggered by a group A strep (GAS) infection. She elaborates on the socio-economic risk factors and the presence of nephrotoxic strains of group A strep that increase susceptibility to APSGN. Comparison is made with acute rheumatic fever, noting both similarities and differences.
Covering the classic triad of symptoms for APSGN – hypertension, haematuria, and oedema – and how to diagnose the condition through clinical presentations and laboratory investigations. Dr Hempenstall explains the importance of identifying haematuria through urine analysis and performing necessary tests for recent strep infections and complement levels (C3 and C4).
They then move to the appropriate management strategies, including the use of intramuscular penicillin for eradicating strep and symptom management through antihypertensives and fluid management. Dr Hempenstall emphasises the necessity of involving paediatricians for cases requiring hospitalisation and mentioning that any persistent hypertension in children should be addressed promptly.
Lastly, outlining longer-term follow-up protocols, stressing the importance of regular blood pressure and urine checks post-diagnosis and the role of health education in preventing future occurrences. Special attention to the importance of contact tracing and prophylactic measures for household contacts in order to curb the spread of nephrotoxic strains of group A strep.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Allison Hempenstall, a General Practitioner and Public Health Physician from Far North Queensland, to discuss acute rheumatic fever and rheumatic heart disease.
Dr Hempenstall begins by defining acute rheumatic fever as an immunological response to group A streptococcus, which can lead to a constellation of symptoms impacting the heart and joints. She explains the progression from acute rheumatic fever to rheumatic heart disease, a condition characterised by permanent valvular damage to the heart following of acute rheumatic fever.
Outlining the symptoms and diagnostic criteria for acute rheumatic fever, referencing the Jones criteria and the helpful tools available such as the Rheumatic Heart Disease Guidelines and the ARF and RHD app. She also provides insight into the criteria's major and minor manifestations, including carditis, polyarthritis, Sydenham’s chorea, Erythema marginatum, subcutaneous nodules, fever, elevated inflammatory markers, and prolonged PR interval on ECG.
Highlighting the necessary steps for diagnosing acute rheumatic fever, including auscultating the heart, documenting fever, performing a 12-lead ECG, and obtaining relevant blood tests. The need for bedside documentation and comprehensive differential diagnosis is also covered.
In terms of management, Dr Hempenstall focused on creating a culturally safe environment and initiating treatment for suspected acute rheumatic fever promptly. This includes administering intramuscular penicillin and managing symptoms with paracetamol, with specialist consultation as needed. She also stresses the importance of early echocardiograms and the involvement of public health units.
For long-term management, Dr Hempenstall discussed the necessity of secondary prophylaxis with penicillin injections and regular echocardiograms. She emphasises the continuing role of primary care practitioners in follow-up care, ensuring adherence to prophylaxis schedules, and coordinating ongoing specialist reviews and yearly dental checks.
The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network
If you have any questions or would like to contact The Good GP, send an email to [email protected]
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