General Practice Clinical Sessions Podcast

Host: Michelle Odayan (My Health Academy) Guest Expert: Dr. Nicholas Mehan (Urological Surgeon specializing in prostate cancer, robotic surgery, and laser ablation) Episode Summary Dr. Nicholas Mehan provides an overview of how prostate cancer care has evolved over the past two decades. The discussion covers the shift away from broad PSA screening toward targeted early detection, modern diagnostic tools (mpMRI and transperineal biopsy), updated Australian clinical guidelines (PCFA & RACGP Red Book), and harm-minimizing treatments like focal laser ablation and robotic surgery. Key Discussion Topics & Highlights The PSA Screening Dilemma & Historical ContextPre-PSA Era: Before blood testing in the 1990s, prostate cancer was typically detected at late, metastatic stages with high mortality. Overdiagnosis & Overtreatment: The introduction of PSA testing increased early detection but led to 20–40% overdiagnosis of indolent, low-risk cancers , subjecting many men to aggressive treatments that caused incontinence and erectile dysfunction. Guideline Re-evaluation: Confusion following the 2012 US Preventive Services Task Force (USPSTF) recommendation against PSA testing led to long-term trial analyses that confirmed the value of targeted early detection. Diagnostic Breakthroughs (The Past 10 Years)Multiparametric MRI (mpMRI): Used as a triage tool before biopsy. Federally funded in Australia since 2018, allowing ~50% of low-risk men to safely avoid biopsy altogether . Transperineal (TP) Biopsy: Replaced transrectal (TRUS) biopsies, reducing post-procedure sepsis risk from up to 2–5% down to ~1 in 1,000 . Active Surveillance: Standard of care for low-risk (Grade Group 1) disease, with ~90% of eligible Australian men choosing monitoring over immediate surgery or radiation. Updated Clinical Guidelines (PCFA & RACGP 10th Edition Red Book)Risk-Based Approach: Recommends baseline PSA testing from age 45–49 for high-risk men (family history, BRCA2 gene mutation, Black ancestry). Routine Testing: Recommended every 2 years for well-informed men aged 50–69 (with re-testing triggered at PSA > 3.0). Digital Rectal Exam (DRE): No longer recommended for routine screening in asymptomatic men. Treatment Innovations & Harm MinimizationFocal Therapy (Organ Preservation): Targets the MRI-visible "index lesion" while preserving surrounding prostate tissue, resulting in 0% incontinence and low erectile dysfunction rates . Dr. Mehan highlights Nepean Hospital’s ProFocal laser ablation trial , which achieved an 84% cancer-free rate in treated areas. Robotic Surgery: Robotic-assisted radical prostatectomy reduces blood loss, complication rates, pain, and hospital stays compared to open surgery. Radiotherapy & Hydrogel Spacers: Stereotactic body radiation (SBRT over 5 days) combined with hydrogel spacers (e.g., SpaceOAR) protects the rectum from collateral radiation damage. Advanced Disease: PSMA PET scans enable precise staging and recurrence tracking, while novel anti-androgens significantly extend survival in castrate-resistant disease. Key Audience Q&A Does a prostate biopsy cause cancer to spread? No. Prostate biopsy utilizes a closed true-cut needle system and is completely safe. Focal Therapy Modalities (NanoKnife vs. Laser vs. HIFU): Different energy sources (electrical pulses, laser thermal heat, ultrasound) are chosen based on the lesion's specific anatomical location inside the prostate. Post-Surgical Erectile Dysfunction Management: Treated using daily low-dose PDE5 inhibitors (tadalafil), vacuum pumps, intracavernosal injections, or penile implants. Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 Access your favourite conferences by podcast: https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information. ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts

First Trimester & Screening Host/Speaker : Dr. Jackie Chua (Director, Queensland Ultrasound for Women) Episode Summary : Early pregnancy scans involve far more than checking for a heartbeat. Dr. Jackie Chua breaks down why the first trimester offers a crucial diagnostic window for pregnancy dating, risk assessment, and mother-baby wellness. In This Episode, You'll Discover : The Dating Dilemma : Why relying on a last menstrual period can be misleading and when an ultrasound crown-rump length measurement should officially change an estimated due date. Diagnostic Red Flags : The specific ultrasound thresholds required to accurately diagnose early pregnancy loss without jumping to premature conclusions. Scar & Ectopic Emergencies : Why Caesarean section scar pregnancies are on the rise and how early transvaginal imaging catches them before severe complications occur. Beyond Chromosomes : Why Non-Invasive Prenatal Testing (NIPT) cannot replace a detailed structural anatomy scan or preeclampsia risk evaluation Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Plant based diet in diabetes Vivien Yiu In this podcast, Vivian Yiu explores the prevention and management of Type 2 diabetes through plant-based eating. She presents evidence-based strategies, emphasizing the benefits of plant-based diets, including improved insulin sensitivity and weight management. Yiu categorizes these diets and discusses their nutritional advantages, highlighting the importance of fiber and whole foods in diabetes management. She presents data linking plant-based eating to reduced diabetes risk and dispels myths regarding nutrients typically associated with animal products. Practical tips for transitioning to plant-based diets are provided, with an overall call for healthcare professionals to promote these dietary changes as a means to enhance patient health. Enjoyed Today's Clinical Sessions Podcast? Imagine if your favourite medical conferences were available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditoriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.ion.

Gestational Weight Gain Why is it Important Dr Robyn Barnes The podcast examines the importance of gestational weight gain in managing gestational diabetes mellitus (GDM), highlighting medical nutrition therapy (MNT) as the primary treatment. The speaker emphasizes the need for balanced carbohydrate intake, suggesting a requirement of 185 to 210 grams daily to support maternal and fetal health. A systematic review indicates dietary modifications significantly improve GDM management, reducing blood glucose levels and medication needs. The discussion also covers the interplay between maternal weight gain and pregnancy outcomes, stressing the need for tailored weight gain targets and early intervention strategies. Ultimately, the lecture advocates for a compassionate approach to GDM care that incorporates weight management while supporting nutritional requirements. Enjoyed Today's Clinical Sessions Podcast? Imagine if your favourite medical conferences were available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditoriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Co-Hosts: Professor Nicholas Zwar (Executive Dean & GP) & Dr. Alexander Sweetman (Senior Research Fellow & Sleep Psychologist) and Michelle Odayan (MyHealth Academy) Episode Overview While up to 10–15% of Australian adults suffer from chronic insomnia , primary care has historically relied on sedative-hypnotics, writing prescriptions in up to 90% of insomnia presentations . In this episode, Prof. Nicholas Zwar and Dr. Alexander Sweetman unpack the critical clinical shift toward Cognitive Behavioral Therapy for Insomnia (CBT-I), the global gold-standard first-line treatment. They discuss the massive barrier to accessing CBT-I (only 1% of chronic sufferers currently receive it) and reveal how a free, Australian-developed digital program called Bedtime Window is giving GPs an effective, evidence-based pathway to cure insomnia and support elegant de-prescribing. Key Clinical Takeaways for GPs Insomnia is a Chronic Disorder, Not Just a Symptom: Chronic insomnia is defined as sleep dissatisfaction occurring 3+ nights a week for 3+ months . It is highly comorbid with depression, anxiety, chronic pain, and cardiovascular diseases, and is a significant predictor of future depressive episodes. CBT-I is the First-Line Cure, Not Sleep Hygiene: Standard sleep hygiene advice (e.g., avoiding caffeine, regular wake times) rarely resolves chronic insomnia. CBT-I is a multicomponent therapy heavily focused on behavioral techniques like stimulus control and bedtime restriction therapy. The Power of Digital CBT-I: To bypass the severe shortage and cost of trained sleep psychologists, GPs can utilize Bedtime Window , a free, 5-session digital CBT-I program that uses personalized algorithms and clinician-led videos to achieve a 90% mild-to-normal sleep remission rate for completers. An Elegant De-Prescribing Helper: Digital CBT-I is highly effective whether patients are actively taking sleeping pills or not. In a trial of 950 patients referred by GPs, 45% of patients completely stopped using sedative-hypnotics by the end of the Bedtime Window program. Navigating Patient Resistance & Stigmas: The "It's Not in My Head" Objection: If patients reject "psychological" help, reframe CBT-I as a practical, behavioral routine program (like physical rehab for sleep) rather than talk therapy. The Tapering Tussle: Do not make medication cessation a prerequisite to starting CBT-I. Run them concurrently; as behavioral therapy fixes the sleep architecture, patients naturally find their medications become redundant. Medicare Eligibility: GPs can initiate an Australian Medicare Mental Health Treatment Plan using chronic insomnia disorder as the primary mental health diagnosis. Resources for Your Practice Refer Patients to Active Trials: The Sleep Drive Trial (for metropolitan/urban GPs): Offers immediate, free patient access to Bedtime Window. https://www.bedtimewindow.com/contact-us The Rest Up Trial (for regional/rural GPs in MM 2–7): Investigates GP-assisted digital CBT-I with clinical practice and patient reimbursements. https://bond.qualtrics.com/jfe/form/SV_ea089FomERd5pkO Screening & Assessment Tools: Visit the Australasian Sleep Association's "Sleep Central" portal to access sleep diaries and screening tools like the Insomnia Severity Index (ISI) and OSA-50. https://sleepcentral.org.au/Central/Contents/GP/GP-landing.aspx Up-Skill in CBT-I: GPs and clinical psychologists can access a 6-hour online training course on the Australian Psychological Society website. https://psychology.org.au/event/24371 Bedtime Window: https://www.bedtimewindow.com/ Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 Access your favourite conferences by podcast: https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Management, medications and role of CGM Assoc Professor Tang Wong In this lecture, Assoc Professor Tang Wong, an endocrinologist at the Bankstown-Lidcombe Diabetes Centre, provides an in-depth analysis of gestational diabetes (GDM) management, highlighting the importance of early intervention for both mothers and infants. He discusses the historical context behind GDM treatment, the complications arising from maternal hyperglycemia, and the long-term health implications for mothers and children. Key studies like the A-Choice and MFMU are reviewed, reinforcing the benefits of GDM treatment in reducing adverse outcomes. Assoc Professor Tang Wong advocates for a multidisciplinary care approach, emphasizing tailored dietary strategies and the possible role of continuous glucose monitoring (CGM) technology in improving patient management. He concludes by stressing the necessity of ongoing care that addresses the broader metabolic health of women, aiming to mitigate long-term risks associated with GDM. Enjoyed Today's Clinical Sessions Podcast? Imagine if your favourite medical conferences were available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditoriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

1. Episode Overview and the Strategic Imperative In the current digital landscape, cybersecurity has shifted from a backend technical luxury to a non-negotiable "must-have survival factor" for general practices. As patient records become increasingly digitized, the protection of this data is no longer just an IT task—it is a fundamental business imperative. This episode provides a strategic roadmap for clinic owners to safeguard their operations against a rising tide of professionalized cybercrime. Speaker Profile: Henry McLaughlin Henry McLaughlin is a veteran IT and cybersecurity specialist with over 20 years of experience specifically supporting the medical industry. As the Managing Director of Green Umbrella Technology. Core Directive The goal of this session is to transform dense technical cybersecurity concepts into actionable business strategies. It aims to empower clinic managers and owners to treat digital defense as a core pillar of business continuity, rather than an optional expense. Understanding the gravity of this challenge begins with recognizing why general practices have become the premier target for global criminal syndicates. 2. Healthcare: The High-Value Target Healthcare is not merely an incidental target; it is the most targeted sector in Australia. This risk profile is a strategic reality confirmed by the Office of the Australian Information Commissioner (OAIC). Data Vulnerability Analysis According to OAIC notifiable data breach reports, healthcare consistently ranks as the #1 targeted industry. The reason is the "complete patient identity profile" found in clinical records. Unlike a credit card that can be canceled, a clinical record contains permanent data points: Full names and residential addresses. Dates of birth. Medicare card numbers. Sensitive, often blackmail-worthy, medical histories. On the dark web, this "goldmine" of data is used to facilitate sophisticated identity theft, fraudulent financial accounts, and targeted extortion. Because these identity markers cannot be changed, their value to criminals remains high indefinitely. The Invisible Threat Cyberattacks are no longer the work of lone hackers; they are industrialized. Henry McLaughlin observes that when a new system is connected to the internet, it is subjected to thousands of automated hacking attempts within minutes. These attacks occur 24/7, invisible to the staff but relentless in probing for a single vulnerability. The "So What?" Layer: Business Survival The impact of a breach is often terminal for a practice. Beyond the immediate technical failure, the compounding effects of legal liability, massive regulatory fines, and the irreparable loss of patient trust can force a clinic to close. McLaughlin warns that for many practices, their cybersecurity strategy over the next 12 months will be the sole determining factor in whether the business continues to exist. To combat these high-stakes threats, practices must adopt the standardized framework used by the Australian Department of Defence. 3. The Essential Eight: An International Standard for Defense The "Essential Eight" is a defense-in-depth strategy developed by the Australian Signals Directorate (ASD). This framework serves as the baseline for securing any professional computer network. Framework Evolution The ASD originally issued 32 recommendations. To prevent "analysis paralysis" among organizations, they distilled these into eight core pillars. This framework is now recognized as an international standard for cybersecurity excellence. The Eight Pillars Application control: Whitelisting only approved software. Patch applications: Keeping software (like Best Practice or MS Office) updated. Office macro settings: Blocking unvetted or malicious macros. User application hardening: Restricting high-risk browser and office functions. Restrict administrative privileges: Limiting "god-mode" access to only necessary IT staff. Patch operating systems: Ensuring Windows or macOS is always current. Multi-Factor Authentication (MFA): Requiring a second form of ID to log in. Regular backups: Ensuring a reliable safety net for recovery. Implementation Strategy These pillars are "must-do" items. They are not optional tasks for when time permits; they are the mandatory foundation of clinical IT infrastructure. The first line of defense in this framework focuses on the most common point of failure: human-managed access. 4. Defensive Fundamentals: Passwords, Managers, and MFA Human-managed passwords are the weakest link in any security chain. Three in five cyber breaches begin with a compromised or stolen password, often obtained through phishing or "brute-force" attacks. The Human Element: A Cautionary Tale The risk is often internal and accidental. McLaughlin recounts an instance at a medical center where a nurse, returning from leave, found her password expired. To solve the immediate problem, the clinic called a doctor on holiday and wrote his credentials on a sticky note for the nurse to use. This "credential sharing" creates massive security holes that attackers exploit with ease. Brute-Force Comparison Table The strength of a password is a matter of mathematics. Modern computers can guess simple passwords almost instantly. The Password Manager Solution "If you can remember your password, it is too simple and, therefore, unsafe." It is impossible for the human brain to memorize unique, 16-character passwords for every account. A Password Manager is a digital vault that generates and stores these complex keys, allowing the user to only remember one "master" key. Secondary Defenses (MFA) Multi-Factor Authentication (MFA) is your insurance policy. Even if a criminal steals a password from a sticky note, they cannot enter the system without the second factor (usually a code sent to a mobile device). Actionable Check: Have I Been Pwned? Visit haveibeenpwned.com and enter your professional email. If Compromised: This means your data is being sold on the dark web. Immediately change the password for that service and any other site where you reused that password. The "So What?" Layer Shifting from memory-based passwords to vault-based management moves a practice's risk profile from "vulnerable" to "resilient," effectively closing the front door to three-fifths of all potential attacks. Protecting access is vital, but we must also control what "work" is allowed to happen once the door is open. 5. Beyond Antivirus: The Shift to Application Control Legacy antivirus is no longer sufficient. It relies on "blacklisting", recognizing a virus that has been seen before. In an era of custom-coded malware, if the "mugshot" isn't in the database, the antivirus lets it through. The Bouncer Analogy Antivirus (Blacklisting): A bouncer with a book of known troublemakers. If a new troublemaker isn't in the book, they get in. Application Control (Whitelisting): A bouncer with a guestlist. If your name (the software) isn't on the list, you don't get in. Operational Impact Application Whitelisting ensures that only explicitly approved programs (e.g., Best Practice, Medical Director) can run. Even if a staff member accidentally downloads ransomware, the system will block its execution because it is not on the "guestlist." As we harden our internal "guestlists," criminals are turning to emerging technology to find the cracks we haven't patched yet. 6. The AI Arms Race and the Five Eyes Warning Artificial Intelligence is "supercharging" cybercrime, shifting the threat from targeted hacking to industrialized exploitation . Criminals now use AI to scan thousands of systems simultaneously, finding loopholes at a speed that manual security cannot match. The Unprecedented Warning The "Five Eyes" security agencies (Australia, Canada, New Zealand, UK, and US) issued a rare collective warning stating that AI-driven threats require immediate defensive action. Manual or legacy security methods are officially obsolete against AI-powered exploits. This rapid evolution of threats makes prevention difficult, which is why the "Yang" to cybersecurity’s "Ying" is recovery. 7. Disaster Recovery (DR): Planning for the Inevitable Disaster Recovery (DR) focuses on business continuity—how quickly you can resume seeing patients after a breach or system failure. Cybersecurity is about prevention; DR is about survival after the "unthinkable" happens. Debunking "Wishful Thinking" A backup log that says "Successful" is not a guarantee of safety. It is merely "wishful thinking." A backup is only valid if it has been successfully restored and tested. Furthermore, modern ransomware is now designed to "hunt out" and encrypt backups if they are connected to the main network, rendering legacy systems...

GLP 1 and Other Incretin Analogues Assoc Professor Samantha Hocking In this lecture, Sam Hocking focuses on incretin-based therapies for managing cardiometabolic diseases, particularly obesity and type 2 diabetes. He discusses the roles of GLP-1 and GIP in insulin regulation and appetite control, and highlights their potential beyond diabetes, including benefits for heart failure and chronic kidney disease. Hocking evaluates the effectiveness of agents like semaglutide and tizepatide, showcasing significant improvements in glycemic control and weight loss from clinical trials. He also addresses the cardiovascular benefits of these therapies, alongside practical considerations for clinicians in managing side effects and economic accessibility. The lecture concludes with a call for the clinical application of incretin therapies to enhance patient health outcomes. ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Host: Michelle Odayan (My Health Academy) Guest Speaker: Dr. Clinton Colaco (Infectious Diseases & Consultant Physician) Watch the video version with slides at Spotify https://open.spotify.com/episode/4fOSlJ5aLu2ijIKhmlGTZg Episode Overview Join us as Sydney infectious diseases physician Dr. Clinton Colaco shares clinical pearls and fascinating case studies from his time completing the prestigious Gorgas Course in Clinical Tropical Medicine in Lima, Peru. While these cases originate in South America, their diagnostic lessons are highly relevant for any primary care clinician treating travelers, immigrants, or dealing with local tropical pathogens. From navigating the diagnostic pitfalls of syphilis testing to removing botfly larvae, this episode equips general practitioners (GPs) with the essential skills to spot overlooked tropical diseases and ask the right social and travel questions. High-Yield Chapter Markers [00:00] Introduction Host Michelle Odayan introduces Dr. Clinton Colaco and his background. [05:30] Case 1: Syphilis, HIV, & The "Prozone Effect" A 41-year-old male presents with a widespread psoriasiform rash and a negative RPR test. Dr. Colaco explains the prozone effect —how an excess of antigen-antibody complexes can cause false-negative serology in secondary syphilis—and how to overcome it with serum dilution. [09:15] Case 2: Cryptococcal Meningitis & Bedside Eye Ultrasound A 26-year-old law student presents with severe headaches, seizures, and an astronomical lumbar puncture opening pressure of 136 cm H₂O. Learn how point-of-care ultrasound (POCUS) over the eye can detect optic nerve sheath thickening to screen for raised intracranial pressure. [14:40] Case 3: Hydatid Lung Cysts (Echinococcus) A 20-year-old from the Bolivian border presents with hemoptysis and a massive fluid-filled cavity in his lung. Dr. Colaco outlines the Echinococcus lifecycle, its link to livestock and dogs, and the surgical management of hydatid disease. [18:10] Case 4: Myiasis (Botflies in the Skin) A patient presents with painful, non-healing skin nodules. Using real-time bedside ultrasound, the team visualizes moving botfly larvae ( Dermatobia hominis ) beneath the skin, requiring occlusion with Vaseline to force the maggot to emerge for extraction. [21:25] Cases 5 & 6: Pulmonary Tuberculosis vs. Bilateral Psoas Abscesses Why is Peru a hotbed for TB? Hint: it's all about overcrowded public transit. Dr. Colaco contrasts classic pulmonary tuberculosis with a rare presentation of bilateral psoas abscesses and spinal discitis in a non-compliant HIV patient. [25:50] Case 7: Leprosy (Hansen’s Disease) A sibling pair presenting with severe facial disfigurement and thickened nerves. Dr. Colaco explains how to perform a quick slit skin smear to identify acid-fast bacilli and reviews the three-drug combination therapy. [29:10] Case 8: Cutaneous Leishmaniasis How to approach a non-healing, crater-like ulcer. The key diagnostic takeaway: perform a punch biopsy on the active, raised border of the lesion (not the necrotic center) to successfully find amastigotes. [32:45] Case 9: Leptospirosis Meningoencephalitis A patient with high viral load HIV presents with severe neurological symptoms linked to river exposure and rodent droppings. Discover the two-step diagnostic testing process (screening serology followed by the Microscopic Agglutination Test, or MAT). [35:20] Case 10: Paragonimiasis (Lung Flukes) A school teacher presenting with chronic cough and peripheral nodules after eating ceviche . Learn why coastal, saltwater ceviche is safe, whereas inland freshwater ceviche (made with freshwater crabs or crayfish) carries a major risk for lung flukes. [38:15] Case 11: Fascioliasis (Liver Flukes) & Watercress A patient presenting with epigastric pain and a massive blood eosinophil count of 10. Dr. Colaco details the lifecycle of Fasciola hepatica contracted from contaminated watercress, showing dramatic ERCP footage of living worms being extracted from the common bile duct. [41:30] Case 12: Pelvic Actinomycosis & Lost IUDs A woman presenting with chronic yellow vaginal discharge and a cervical mass. The culprit? A copper intrauterine device (IUD) left in situ for 30 years, resulting in a tumor-mimicking actinomycosis infection showing the classic Splendore-Hoeppli phenomenon on pathology. [44:55] Case 13: Neurocysticercosis (Brain Tapeworm) A young fisherman presenting with seizures. Dr. Colaco discusses the diverse presentations of tapeworm cysts in the brain and why treatment with albendazole or praziquantel must be highly customized depending on the location of the scolex. [48:20] Q&A: Practical Advice for Travel Consults Dr. Colaco answers critical questions regarding: Overcoming "vaccine fatigue" and the high cost of pre-travel vaccines (e.g., Yellow Fever, Japanese Encephalitis). The highly cost-effective strategy of getting rabies vaccinations overseas ($100/shot in Peru vs. $500/shot in Australia) and the updated 2-dose recommendation. The role of doxycycline as post-exposure prophylaxis (PEP) for leptospirosis after fresh-water swimming. Pitfalls of the Interferon-Gamma Release Assay (IGRA/QuantiFERON-Gold) and how fish tank exposures ( Mycobacterium marinum ) can trigger a false-positive tuberculosis test. 5 Quick Clinical Pearls for Your Practice Test Syphilis Thoroughly: If you strongly suspect secondary syphilis but the RPR is negative, request the laboratory to perform serial dilutions to bypass the prozone effect . Biopsy the Border: When performing a punch biopsy for suspected Cutaneous Leishmaniasis, always biopsy the active, raised border of the ulcer rather than the central necrotic tissue to maximize amastigote yield. Ask About Watercress: An unexplained, sky-high eosinophil count paired with right upper quadrant pain should prompt you to ask about raw watercress consumption (suspect Fasciola hepatica ). Mind the Fish Tank: A positive QuantiFERON-Gold test in a patient with low TB risk could be a false positive triggered by Mycobacterium marinum (often contracted from cleaning domestic aquariums). Check Old IUDs: Long-term retention of copper IUDs (e.g., decades-long use) can lead to pelvic actinomycosis, which clinically and radiologically mimics advanced pelvic malignancies. Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 Enjoyed Today's Clinical Sessions Podcast? Your favourite conferences are now in podcast form too! Stay clinically up to date without travelling to conferences or sacrificing weekends with your family. You've just experienced how easy it is to learn through the Clinical Sessions Podcast. Now imagine having access to hundreds of conferences whenever and wherever you want. Listen while driving to work, walking the dog or exercising. Watch with slides while on your treadmill. Get the education you need without sacrificing the moments that matter. Turn your commute into a masterclass, your gym session into a symposium and cooking dinner into a GP update. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise

Obesity, Metabolic Syndrome and Hormonal Decline - Addressing Menopause and testosterone Deficiency with Obesity with Dr Remon Eskander Do your patients struggle to lose weight despite strict dieting and exercising? In this My Health Academy episode, obesity management expert Dr. Remon Eskander explains the complex interplay between hormonal decline and metabolic syndrome. Discover how menopause and functional hypogonadism in men drive the accumulation of visceral fat, creating an inflammatory "vicious cycle" that further suppresses estrogen and testosterone. Learn why the traditional "eat less, move more" mantra fails many patients and how to reframe obesity as a metabolic disease during your consults. Dr. Eskander shares practical strategies for synergistically combining hormone replacement therapy—like transdermal estrogen or testosterone gel—with GLP-1 and GIP medications to tackle visceral fat and metabolic dysfunction. You will also get actionable tips on managing medication side effects like nausea and navigating tricky patient requests, such as the social media-driven "click method" for Mounjaro. Australian GPs can claim CPD hours for tuning in. Listen now to confidently synergize hormonal and obesity treatments in your primary care practice! Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 Enjoyed Today's Clinical Sessions Podcast? Imagine if every major medical conference was available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

In this episode, Dr Ravi Tankala discusses diagnosing and managing pediatric neurodevelopmental disorders, especially ADHD, emphasizing psychosocial factors, effective assessments, non-medical strategies, and a holistic, individualized approach to care. He starts with in-depth exploration of pediatric presentations, with a focus on diagnosing and managing neurodevelopmental disorders, notably ADHD. He emphasizes a practical framework for general practitioners, highlighting the significance of understanding psychosocial factors and the complexities of pediatric care. Dr. Tankala discusses effective assessment techniques across developmental stages, encourages a strength-based approach, and stresses the importance of comprehensive histories that encompass various influencing factors. He outlines non-medical management strategies for ADHD, such as behavioral modification and collaboration with educators, while addressing the distinct needs of preschoolers, primary school-aged children, and adolescents. The lecture incorporates case studies that illustrate practical applications of the concepts, ultimately advocating for a holistic and individualized approach in pediatric care to foster resilience and healthy development. This podcast was recorded live at the ADHD, Binge and Other Eating Disorders Symposium in Melbourne hosted by ADHD-BED Integrated. adhd-bed.events ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Expanding Role of SGLT 2 Inhibitors and Finererone Dr Jeremy Knott In this podcast, Dr. Jeremy Knott explores the evolving landscape of diabetes management, specifically focusing on SGLT2 inhibitors and finerenone's role in addressing cardiorenal metabolic risks in type 2 diabetes. He emphasizes the need for a shift towards a comprehensive risk management strategy rather than a solely glycemic focus. The prevalence of type 2 diabetes in Australia is discussed, along with its significant associated cardiovascular risks. Dr. Knott outlines the pathophysiological mechanisms linking diabetes to cardiovascular and renal complications and presents evidence supporting the effectiveness of SGLT2 inhibitors and finerenone. He concludes with a call for early intervention and a holistic treatment approach that includes lifestyle modifications and adherence to updated clinical guidelines. Enjoyed Today's Clinical Sessions Podcast? Imagine if your favourite medical conferences were available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditoriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Irritable Bowel Syndrome in 2026: Diagnosing & Managing with Confidence Episode Summary: Are you still treating Irritable Bowel Syndrome (IBS) as a diagnosis of exclusion? In this episode, host Michelle Odayan sits down with gastroenterologist and PhD researcher Dr. Yanna Ko to discuss a transformative paradigm shift in general practice: making a confident, positive diagnosis of IBS. Together, they unpack the brand-new Rome 5 diagnostic criteria , outline essential investigations, and map out a practical, evidence-based step-up management plan to help your patients reclaim their quality of life. Key Takeaways for Your Clinical Practice: The Rome 5 Update: Learn why abdominal discomfort has been reincluded in the diagnostic criteria after a decade, and how updated frequency thresholds restore diagnostic sensitivity. The Power of a "Positive Diagnosis": Discover why moving away from a "diagnosis of exclusion" model reduces patient anxiety and prevents costly over-investigation. Targeted Investigations: Master the core panel of baseline tests (FBC, CRP, iron studies, coeliac serology and faecal calprotectin) that rule out organic disease with high accuracy. Identifying Red Flags: Confidently spot critical alarm features, such as nocturnal symptoms, rectal bleeding, weight loss, or high-risk family history of bowel cancer, that warrant immediate colonoscopy referrals. A Step-Up Management Algorithm: Get a clear roadmap of therapies based on severity and subtype, ranging from soluble fiber and the low-FODMAP diet to antispasmodics, neuromodulators, and gut-directed hypnotherapy. What to Avoid: Understand why international guidelines strongly advise against commercial microbiome mapping and breath testing for food intolerances in routine clinical practice. About Our Guest: Dr. Yanna Ko is an accredited gastroenterologist and hepatologist practicing in Sydney. She is the recipient of the prestigious NHMRC scholarship for her research into bowel disorders and the gut microbiome and is currently completing her PhD on IBS. Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 Enjoyed Today's Clinical Sessions Podcast? Your favourite conferences are now in podcast form too! Stay clinically up to date without travelling to conferences or sacrificing weekends with your family. You've just experienced how easy it is to learn through the Clinical Sessions Podcast. Now imagine having access to hundreds of conferences whenever and wherever you want. Listen while driving to work, walking the dog or exercising. Watch with slides while on your treadmill. Get the education you need without sacrificing the moments that matter. Turn your commute into a masterclass, your gym session into a symposium and cooking dinner into a GP update. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Engaging Men in Primary Care with Sophie Eltringham, Dr Hayden Cain, Dr Jane Crowe & Dr Cameron Ewert Do men really avoid the doctor? Surprisingly, almost 8 in 10 Australian men visit a GP each year, but many leave without feeling a personal connection. In this panel discussion from My Health Academy and Movember featuring Sophie Eltringham, Dr. Cameron Ewert, Dr. Hayden Cain, and Dr. Jane Crowe, discover how to transform routine consults into safe spaces for male patients. Learn how to look beyond superficial physical complaints, like back pain, to uncover deeper struggles such as depression. The panel breaks down the realities of the "toxic manosphere" and the rising trend of young men using unregulated peptides, revealing why this actually highlights a strong desire among men to optimize their health. Discover why these trends present a massive opportunity for GPs to step in as trusted guides. You will also pick up practical strategies for building rapid rapport—even in a packed 15-minute consult—and learn how scheduling proactive follow-ups can keep men engaged for the long term. Australian GPs can claim CPD hours for tuning in. Listen now to stop men from falling through the cracks and confidently improve their health outcomes! Links mentioned in this episode: Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy CPD Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 Men in Mind Training for General Practitioners: A world-first online CPD accredited training program built to support health care professionals to get the most out of every interaction with male patients. https://meninmind.movember.com/primarycare/cpd-gp/ Your Conference Podcasts: https://www.armchairmedical.tv/podcasts Enjoyed Today's Clinical Sessions Podcast? Imagine if your favourite medical conferences were available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditoriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Dr. Vicki Nahamkes presents a guide for General Practitioners on managing complex ADHD patients, emphasizing that while treatment is rewarding, it requires rigorous monitoring and boundary setting. She introduces a "3C Rule" for patient reviews, assessing **Mental Clarity** (organized thinking), **Calm** (mood regulation), and **Consistency** (sleep, diet, and exercise). Cardiovascular safety is a primary concern, particularly for older patients. Dr. Nahamkes advises a cardiovascular risk assessment before starting stimulants, aiming for a risk score below 5%. Regular blood pressure checks are mandatory, as stimulants can increase pressure by 2–4 mmHg; hypertension must be managed or the stimulant withdrawn. A significant portion of the talk addresses special populations and comorbidities: * **Women’s Health:** Hormonal fluctuations during menopause can severely destabilize ADHD control. Dr. Nahamkes shares a case where a patient required increased stimulant dosage and Hormone Replacement Therapy to regain stability. * **Binge Eating Disorder:** She notes that Vyvanse is the only stimulant evidence-based for this comorbidity. * **Bipolar Disorder:** There is a risk of stimulants unmasking mania. A detailed case study describes a patient who developed hypersexuality and reckless behavior upon starting stimulants, eventually requiring a transition to mood stabilizers like Lamotrigine instead of ADHD medication. Dr. Nahamkes concludes with clinical pearls, noting that successful treatment often results in *decreased* steps on fitness trackers, indicating less chaotic movement and better organization. Finally, she empowers GPs to decline "shared care" for patients with complex presentations—such as those with Cluster B personality traits or unstable bipolar disorder—stating these cases often require psychiatrist-led management. This podcast was recorded live at the ADHD, Binge and Other Eating Disorders Symposium in Melbourne hosted by ADHD-BED Integrated. adhd-bed.events ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Fertility Assessment and IVF with Dr Sarah Hunt Are your patients struggling to conceive? In this episode from My Health Academy, fertility specialist Dr. Sarah Hunt provides a highly practical, primary-care-focused guide to navigating fertility assessments. Discover exactly when to bypass the standard 12-month wait and initiate early evaluations for patients over 35 or those with complex histories. Dr. Hunt explains why standard day 21 progesterone tests are often useless for women with irregular cycles, and how to effectively screen for underlying ovulatory dysfunction like PCOS. You will also learn the hidden limitations of a standard semen analysis, and why directing male patients to tertiary fertility labs for onsite sample production is critical for accurate results. Furthermore, Dr. Hunt highlights why Letrozole has completely replaced Clomiphene as the first-line treatment for ovulation induction, offering lower multiple-pregnancy risks. She also breaks down tubal patency tests and explains how modern IVF agonist triggers have drastically reduced the risks of severe OHSS. Australian GPs can claim CPD hours for tuning in. Listen now to confidently guide your patients' fertility journeys! Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

In this podcast Dr Will Errington uses a case of Kira, a 49-year-old woman seeking guidance on whether she could have ADHD amidst her concerns about attention and concentration issues. The episode covers creating referral letters, medication management complexities, and considerations for both pharmacological and non-pharmacological treatments. Long-term management is addressed, factoring in Kira’s perimenopausal symptoms. The podcast emphasizes multidisciplinary collaboration and the need for ongoing communication to adapt treatment plans to Kira’s specific health challenges. This podcast was recorded live at the ADHD, Binge and Other Eating Disorders Symposium in Melbourne hosted by ADHD-BED Integrated. adhd-bed.events ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Managing the New Era of Cardio-Renal Metabolic Syndrome Are you unsure how to optimally combine SGLT2 inhibitors and GLP-1 receptor agonists for your patients with diabetes? Join leading endocrinologists and nephrologists as they unpack the complex management of cardio-renal metabolic syndrome, specifically tailored for General Practitioners. Historically, metabolic risk factors were managed in isolated silos. Today, we have foundational therapies capable of completely altering the trajectory of kidney and cardiovascular disease, reducing the risk of kidney failure by up to 40%. In this episode, Prof Greg Fulcher, Assoc Prof Brendon Neuen, and GP Dr Nicola Moll bridge the gap between clinical trial data and everyday primary care practice. Tune in to discover: Effective Screening: Why the urine albumin-creatinine ratio (UACR) is the single most important predictor of kidney failure, and exactly who you should be screening. Prescribing Confidence: How to sequence new therapies without risking acute kidney injury, and how to navigate PBS constraints. Practical Troubleshooting: Real-world strategies for managing SGLT2i-induced thrush and addressing safety concerns regarding GLP-1s in patients over 65. Case Study: The application of these guidelines to a typical 72-year-old GP patient. Listen now to confidently reduce cardio-renal risk in your clinic! Enjoyed Today's Clinical Sessions Podcast? Imagine if your favourite medical conferences were available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditoriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Episode: When Medicine Meets Law in Workers’ Compensation & CTP Claims Navigating workers' compensation and CTP claims can be complex and frustrating for GPs. In this episode, orthopedic surgeon Assoc. Prof. Brahman Sivakumar joins personal injury lawyers Luke Power and Thomas Schembri to reveal how to seamlessly bridge the gap between medicine and the legal system. Discover how your contemporaneous clinical notes and initial diagnoses directly impact your patients' treatment approvals and overall outcomes. We explore the crucial differences between diagnosis, causation, and impairment, and explain why simply listing a symptom like "pain" on a Certificate of Capacity can trigger immediate insurer disputes. In this episode, you will learn: How to optimize your Certificates of Capacity to prevent delays in patient care, surgery, and weekly wages. Clinical red flags for early specialist referral and how it drastically improves insurer confidence. How to properly document consequential injuries , such as an altered gait from a back injury leading to new hip or knee problems. Actionable steps to take when insurers refuse to pay for your consultations and case conferences. Tune in to learn how a unified GP, specialist, and lawyer team can streamline the claims process and drive better recoveries for your compensable patients. Continuing Professional Development (CPD): Australian general practitioners can obtain CPD points for listening to this episode from our education partner, My Health Academy. Myhealth Academy Link: https://lms-academy.myhealth.net.au/login/index.php?tenant=MHAC01 Enjoyed Today's Clinical Sessions Podcast? Imagine if your favourite medical conferences were available the same way. You already know how powerful learning by podcast can be. No travel. No sitting in lecture theatres. No giving up another weekend. Just practical education from leading clinicians, ready whenever you have time to listen. That's exactly what ArmchairMedical.tv gives you. Unlock hundreds of Australia's leading GP conferences and listen while you're driving to work, exercising, walking the dog or relaxing at home. When you want the full experience, simply switch to video and follow along with synchronised presentation slides. Stay clinically up to date without putting your life on hold. Spend less time travelling to conferences. Spend more time with your friends and family and less time in auditoriums. Learn more https://www.armchairmedical.tv/podcasts ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.

Doctor Ryan Hoy, a respiratory and sleep physician, discusses the occupational and environmental causes of silicosis in Australia. He dispels myths about the recognition and management of occupational lung diseases and presents alarming statistics from recent screenings revealing a high prevalence of silicosis, particularly in the stone benchtop industry. Dr Hoy emphasizes effective control measures, advocating for hazard elimination over reliance on personal protective equipment, and explores treatment options including anti-inflammatory therapies. He calls for policy changes and improved health monitoring to protect workers, framing silicosis as a preventable disease requiring proactive efforts in occupational health and explores treatment options for silicosis, presenting preliminary findings from trials using anti-inflammatory therapies such as prednisolone and infliximab, aimed at mitigating the disease’s progression. This podcast was recorded live at the Monash Lung and Sleep Institute: COPD, Interstitial lung diseases, upper airway pathologies and occupational lung diseases State of the Art Symposium in Melbourne. ------------------------------------------------------------------------------- If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you. Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog. It's the same education, without interrupting your life. GPs can also earn CPD hours. Earn Educational Activity (EA) CPD without sacrificing time with your family. Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA). Earn Reviewing Performance (RP) CPD without sacrificing time with your family. After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice. Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients. If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation. Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim. Remember to document your learning! Earn Measuring Outcomes (MO) CPD without sacrificing time with your family. To claim MO, you need: A baseline measurement A change in practice A re-measurement Reflection on the outcome 1. Identify a measurable change. After the podcast, ask: “What will I do differently on Monday?” Example: Start using a screening tool Change prescribing habits Increase documentation of a risk factor 2. Measure your baseline (quick audit). Do a small, realistic audit Examples: Review last 10 patients with condition X % who had guideline-based management % with documented counselling 3. Implement the change. Apply the idea from the podcast for 2–4 weeks Could be as simple as a checklist, template, or reminder 4. Re-measure. Repeat the same audit: Same sample size Same criteria 5. Reflect & Document: What changed? Did outcomes improve? What will you keep doing? If you enjoy learning through podcasts and video podcasts then you can also access thousands of premium podcasts with PowerPoint Slides at https://www.armchairmedical.tv/podcasts Enjoying the episode? ⭐ Rate this episode ➕ Follow the podcast 💬 Share it with a colleague who’d value conference learning without the time away Disclaimer: Content is for health professionals and general educational purposes only. It is not medical advice or a substitute for independent clinical judgement. Always consult current guidelines, product information and local protocols. Views expressed are those of the presenters and not necessarily ArmchairMedical. ArmchairMedical accepts no responsibility or liability for any loss or harm resulting from reliance on the information provided. Visit https://www.armchairmedical.tv/podcasts for more information.