The Good GP

THT Productions
THT Productions
  • 4.4 (9)
  • Medicine
  • Updated Biweekly

The Good GP, the education podcast for busy GPs; brought to you by Dr Tim Koh, Dr Krystyna DeLange and Dr Sean Stevens. The Good GP is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Disclaimer: The Good GP podcasts are for informational purposes only and do not constitute medical advice. Always seek the advice of a specialist GP or other qualified health provider with any questions you may have regarding a medical condition.

  1. 4d ago

    Antidepressant during pregnancy: Pharmacoepidemiologist’s perspective

    In this episode of The Good GP, Dr Julia Rawlinson speaks with Dr Florence Martin, an epidemiologist specialising in pregnancy pharmacoepidemiology. Dr Martin discusses her recent study examining the relationship between first trimester antidepressant use and miscarriage risk, using UK primary care data from the CPRD GOLD database. Dr Martin explains the definitions used for trimesters and miscarriage, and highlights the understanding confounding by indication; how underlying depression, rather than the use of antidepressants, may skew observed associations in raw data. After adjusting for confounding factors, her research found only a modest increase in miscarriage risk for women using antidepressants in the first trimester, with the absolute risk rising slightly from 13.1% to 13.6%. She further outlines the difference in risk between women who were already taking antidepressants when becoming pregnant and those who started during the first trimester. The findings suggest no increased miscarriage risk for continuing users, while those newly starting medication may show a slight increase, potentially due to residual confounding or early pregnancy detection bias. Dr Martin encourages GPs to communicate absolute risk clearly and to consider each patient’s context when discussing antidepressant use in pregnancy. Link & Resources: https://bjgp.org/content/75/761/e843 The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

  2. Sep 28

    Antidepressant during pregnancy: Psychiatrist’s perspective

    In this episode of the Good GP, Dr Julia Rawlinson speaks with Dr Julia Feutrill, consultant psychiatrist at King Edward Memorial Hospital and co-director of the Elizabeth Clinic. They discuss the complexities of antidepressant use during pregnancy, providing GPs with practical advice for navigating these conversations. Covering key assessment considerations, such as the severity of illness, history of hormonal sensitivity, trauma, and family psychiatric history. Dr Feutrill stresses the need to treat symptoms to remission rather than opting for subtherapeutic dosing, highlighting the low absolute risk of congenital malformations from antidepressant medications, especially compared to other modifiable risk factors. Sertraline is identified as the antidepressant with the most robust safety data for pregnancy. Examining neonatal adaptation syndrome and outlines current understanding regarding dose adjustments during pregnancy. Guidance is provided on managing abrupt discontinuation and when GP referral to psychiatry is appropriate. Dr Feutrill also draws attention to the growing recognition of hormonal sensitivity’s impact on mental health and encourages GPs to consider hormonal and neurobiological factors in their assessment and management. Link & Resources: Mothersafe NSW - https://www.seslhd.health.nsw.gov.au/royal-hospital-for-women/services-clinics/directory/mothersafeTGA - Obstetric drug information services - https://www.tga.gov.au/resources/health-professional-information-and-resources/australian-categorisation-system-prescribing-medicines-pregnancy/prescribing-medicines-pregnancy-database/obstetric-drug-information-servicesPerinatal Mental Health Guidelines - https://www.cope.org.au/uploads/images/Health-professionals/COPE_2023_Perinatal_Mental_Health_Practice_Guideline.pdf The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

  3. Sep 21

    Fowl play: Bird flu and whooping cough update?

    In this episode of the Good GP, Dr Julia Rawlinson speaks with Dr Paul Effler, Senior Medical Advisor at the WA Department of Health and expert in communicable diseases, about H5N1 avian influenza and pertussis. They review the current status of H5N1 in Australia, where the virus has been detected in wild birds but no human cases have been reported. Dr Effler highlights the very low risk of transmission to the general public, based on international experience, and outlines which groups may be at relatively higher risk. He provides practical advice for GPs on risk assessment, testing, and when to involve public health units, as well as the importance of not causing unnecessary alarm. They also addressed the recent increase in pertussis cases in Western Australia. Dr Effler discusses the contribution of natural epidemic cycles and the importance of improving pertussis vaccination rates, especially for pregnant women, to protect infants. Links & Resources: Australian Centre for Disease Control - https://www.cdc.gov.au/diseases/bird-flu-avian-influenzaLight for Riley Foundation - https://www.ifa.org.au/lightforrileySharing Knowledge about immunisation - https://skai.org.au/healthcare-professionals/talking-parents-who-have-questionsMelbourne Vaccine education centre - https://mvec.mcri.edu.au/references/vaccine-confidence/ The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

  4. Sep 14

    Beyond Tummy Pain: Managing Coeliac Disease in Kids

    In this episode, Dr Julia Rawlinson is once again joined by Dr Emma Turner, Paediatric Gastroenterologist and Hepatologist at Perth Children’s Hospital, and Dr Erin Horsley, GP Anaesthetist with a special interest in gastroenterology and lived experience parenting a child with coeliac disease. For the second part of their discussion on coeliac disease in children. Dr Emma outlines key aspects of long-term management following a coeliac disease diagnosis. She highlights the necessity of early dietitian involvement for gluten-free diet education and stresses the importance of annual monitoring, including coeliac serology, full blood count, liver function, iron studies, thyroid function, and vitamin D. Covering the risk of ongoing small bowel inflammation and malignancy associated with continued gluten exposure, even in children without acute symptoms, and provides practical tips on identifying hidden sources of gluten. Dr Erin shares her lived experience as a parent, emphasising family education, membership in Coeliac Australia, and engaging with schools and peer families for support. The unique challenges faced by adolescents with coeliac disease are also addressed, with a recommendation for ongoing dietetic input during periods of increasing independence. Links & Resources: https://coeliac.org.au/health-professionals/gluten-challenge/Health professionals - Coeliac AustraliaOngoing management - Coeliac Australiahttps://coeliac.org.au/health-professionals/ongoing-management/ The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

  5. Sep 7

    Beyond Tummy Pain: Coeliac Disease in Children

    In this episode, Dr Julia Rawlinson is joined in this two-part series by Dr Emma Turner, Paediatric Gastroenterologist and Hepatologist at Perth Children’s Hospital, and Dr Erin Horsley, GP Anaesthetist with a special interest in gastroenterology and lived experience parenting a child with coeliac disease. Providing practical advice for GPs on recognising and investigating coeliac disease in Australian children. Key points discussed: Prevalence and Risk: Coeliac disease affects about 1 in 70 Australians, with 80% undiagnosed. First-degree relatives have a 10-20% risk depending on family history.Clinical Presentation: Symptoms can include iron deficiency, growth failure, pubertal delay, abdominal pain, and altered bowel habits. Less obvious presentations might be behavioural issues, sleep problems, mild elevation of liver enzymes, dental enamel defects, and recurrent mouth ulcers. Diagnosis should still be considered in children who are growing normally or are obese.Testing Approach: The recommended initial tests are tissue transglutaminase IgA (TTG-IgA) and total IgA. Gluten intake must be adequate for accurate results. There is no current recommendation for population screening, but GPs are encouraged to maintain a low threshold for testing symptomatic children.Diagnosis and Specialist Involvement: Non-biopsy diagnosis can be considered for children with TTG-IgA >10× upper limit of normal plus confirmatory endomysial antibody testing, but all cases require confirmation by a paediatric gastroenterologist. Early gluten-free diets before testing complicate diagnosis and may require a supervised gluten challenge.Screening Relatives and Genetic Testing: All first-degree relatives should be screened, ideally at the time of index case diagnosis, and re-tested every 2–3 years if negative. HLA genetic testing is useful only to exclude coeliac disease, not to confirm it. Part 2 will focus on managing coeliac disease long term and practical advice for GPs and families. Links & Resources: https://coeliac.org.au/health-professionals/gluten-challenge/Health professionals - Coeliac AustraliaOngoing management - Coeliac Australiahttps://coeliac.org.au/health-professionals/ongoing-management/ The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

  6. Aug 31

    Men's Mental Health: Addressing Barriers and Improving Engagement

    In this episode of The Good GP, Dr Krystyna De Lange is joined by Dr Hayden Cain, a GP, rural generalist and clinical ambassador for Movember's Men in Mind to discuss men’s mental health. They explore why men’s mental health is a critical issue for GPs, including the higher rates of preventable death and suicide among men, and the role of social and clinical barriers to help-seeking. Dr Kane outlines the significance of men's mental health as a clinical issue. Despite many men engaging with healthcare providers in the year prior to suicide, barriers such as stigma, socialisation, and negative experiences remain. Dr Kane also addresses the impact of masculine stereotypes, not only for patients, but also in the unconscious bias clinicians may bring to consultations. Alongside the impact of social media and online communities, he highlights both the risks and opportunities for engaging men, noting that men often present with physical symptoms and may have engaged with healthcare before suicide, stressing the need for vigilant, empathetic care. Discussing practical strategies for GPs to foster connection and trust, such as asking open-ended questions, building rapport through personal interest, and providing clear pathways for ongoing care. Dr Kane also recommends resources such as the Movember Men in Mind program to support effective engagement with male patients. Link & Resources: Movember Men in Mind training - https://meninmind.movember.comResource on suicide and language: https://psychology.org.au/publications/inpsych/2013/february/beaton The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates!

  7. Aug 24

    Optimising GLP-1 Use: Indications, Titration, and Monitoring

    In this episode of The Good GP, Dr Sean Stevens speaks with Dr Terri-Lynne South, GP and medical director of Lifestyle Metabolic, for a focused discussion on the practicalities of prescribing GLP-1 medications. Dr Terri-Lynne shares her experience with increasing GP interest in GLP-1s, outlining both established and new indications such as type 2 diabetes, obesity, cardiovascular disease prevention, metabolic-associated steatotic liver disease (MASLD), chronic kidney disease, and obstructive sleep apnea. Dr Terri-Lynne provides clear, evidence-based guidance on dose titration, emphasising the importance of starting low and progressing gradually to minimise side effects, with schedules tailored to individual patient response. She recommended baseline and follow-up monitoring, including the use of the Bristol stool chart for baseline gastrointestinal assessment. Examining physiological effects and timelines following the discontinuation of GLP-1 therapy, with typical patterns of weight regain and metabolic reversal. Finally, highlighting the evolving role of GLP-1s as disease-modifying agents and flags upcoming advances such as dual and triple agonists and new oral medications. Dr Terri-Lynne concludes by advising GPs to set realistic patient expectations and understand the long-term management necessities of chronic disease. The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates! Mentioned in this episode: Build the Career and Lifestyle You’ve Been Looking For, in the Vines. Tired of traffic, long commutes, and feeling stuck in the grind? The Mudgee Region is calling. The Doctors 4 Mudgee Region initiative is working to attract and support GPs and registrars looking to build rewarding, sustainable careers in one of NSW’s most sought after regional destinations, just 3 hours from Sydney. With financial incentives of up to $45,000 for fellowed doctors and lifestyle concierge support for all relocating practitioners, there’s never been a better time to make the move. Learn more at www.doctors4mudgee.com.au Doctors 4 Mudgee Region

  8. Aug 17

    Navigating Aortic Pathology in General Practice

    In this episode of The Good GP, Dr Krystyna de Lange speaks with Dr Samantha Peden, vascular surgeon with appointments at the Royal Brisbane and Womens' Hospital, Wesley Private Hospital in Brisbane and Friendly Society Private Hospital Bundaberg, about the identification and management of aortic pathology in general practice. They focused on the increasing incidence of incidentally noted aortic dilatation and aneurysms due to greater use of CT chest imaging. Dr Peden explains the key differences between normal, ectatic, and aneurysmal segments of the thoracic aorta, including considerations based on sex, patient size, morphology and aetiology. She outlines how to approach incidental findings, including further imaging options such as CT angiogram, MR angiogram, and imaging of other potential aneurysm sites, along with the importance of physical examination. Dr Peden provides guidance on when to refer patients for non GP specialist review and how surveillance intervals are decided, particularly in the absence of formal Australian guidelines. She also covers best medical management, risk factor modification, and updated intervention thresholds for aneurysms in different vascular territories. The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information. You can also find us on our Instagram page: @thegoodgppodcast. Follow us for more updates! Mentioned in this episode: Build the Career and Lifestyle You’ve Been Looking For, in the Vines. Tired of traffic, long commutes, and feeling stuck in the grind? The Mudgee Region is calling. The Doctors 4 Mudgee Region initiative is working to attract and support GPs and registrars looking to build rewarding, sustainable careers in one of NSW’s most sought after regional destinations, just 3 hours from Sydney. With financial incentives of up to $45,000 for fellowed doctors and lifestyle concierge support for all relocating practitioners, there’s never been a better time to make the move. Learn more at www.doctors4mudgee.com.au Doctors 4 Mudgee Region

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Ratings & Reviews

4.4
out of 5
9 Ratings

About

The Good GP, the education podcast for busy GPs; brought to you by Dr Tim Koh, Dr Krystyna DeLange and Dr Sean Stevens. The Good GP is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Disclaimer: The Good GP podcasts are for informational purposes only and do not constitute medical advice. Always seek the advice of a specialist GP or other qualified health provider with any questions you may have regarding a medical condition.

Information

  • Channel
    THT Productions
  • Creator
    The Good GP
  • Years Active
    2017 - 2026
  • Episodes
    289
  • Rating
    Clean
  • Copyright
    © Copyright 2026 The Good GP
  • Show Website
    The Good GP

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