Clinical reasoning sits at the centre of this chat with GP Dr Henri Coombs. We cover the “golden minute,” the ICE model (ideas, concerns, expectations), and how to keep notes rich without stealing time from patients using ambient scribing tools. Henri shares how he balances risk in GP, when to refer to ED, antibiotic stewardship without arguments, and why concise GP letters matter. We also walk a fatigue case step-by-step, including iron, thyroid, sleep, mental health, and when tests help versus hinder.

You’ll hear about:

• Patient-centred consults that actually save time

• Shared decisions that reduce bounce-backs

• Ambient documentation (Heidi/Lyrebird) improving note quality

• Risk tolerance in GP vs ED; red flags that change your plan

• Fatigue work-up: ferritin, B12/folate, thyroid, vitamin D, CRP (used wisely), sleep

• Coaching culture, feedback, and teaching registrars without panic referrals

• Practical discharge/GP letter do’s (short, clear, actionable)

Perfect for NP students, ED clinicians, and any GP who wants fewer returns and better follow-up, without longer consults.