In this week’s episode, the Good GP welcomes back Dr Karin Sekhon to discuss long-acting reversible contraceptives (LARCs).

This episode covers LARCs and Intrauterine devices (IUDs). Karin explains how they work, the procedures, contraindications and side effects. We also cover contraceptive injections.

Dr Sekhon is a practicing GP with a special interest in women's health.

Helpful resources:
LARCs RACGP journal article: https://www.racgp.org.au/afp/2017/october/larcs-as-first-line-contraception/
Marie Stopes Australia: https://www.mariestopes.org.au/contraception/larc/
SHQ contraception choices: https://shq.org.au/wp-content/uploads/2021/03/Contraception-choices-2021_final.pdf
SHQ LARC flyer: https://shq.org.au/wp-content/uploads/2020/06/SHQ-contraceptive-implant_web2019.pdf
SHQ copper IUD: https://shq.org.au/wp-content/uploads/2020/06/SHQ-copper-IUD_web2019.pdf
SHQ hormonal IUD: https://shq.org.au/wp-content/uploads/2020/06/SHQ-Hormonal-IUD_web2019.pdf
SHQ contraceptive injection: https://shq.org.au/wp-content/uploads/2020/06/SHQ-contraceptive-injection_web2019.pdf

LARCs - Episode 95

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.

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In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Alison Creagh, a GP specialising in women's health and sexual and reproductive health, with over 20 years of experience in this field. Alison sheds light on the issue of intimate partner violence and its impact on the health of those affected, particularly women. She discusses how intimate partner violence differs from domestic violence and emphasises the importance of GPs in addressing this prevalent issue. Delving into why patients may be reluctant to discuss intimate partner violence with their GPs and offers insights into how GPs can effectively broach this sensitive topic with their patients. Alison provides practical guidance on identifying potential signs of intimate partner violence and outlines gentle and effective approaches for GPs to initiate conversations with their patients. Furthermore, Alison shares valuable resources and support services available to GPs and patients dealing with intimate partner violence, emphasising the need for confidentiality and sensitivity in handling such cases. Concluding with the discussion on additional learning opportunities and resources for GPs to further their understanding and approach in addressing intimate partner violence. Resources for Getting Help on Intimate Partner Violence across Australia: National 1800 RESPECT Counselling, information and referral for people experiencing abuse, friends and family and health professionals.  1800 737 732 MensLine Australia For men with concerns about abuse, including those who are abusive.  1300 789 978 White Ribbon Lists national helplines available according to needs.  whiteribbon.org.au/helplines  ACT Domestic Violence Crisis Service  02 6280 0900 NSW NSW Domestic Violence Line Counselling and referrals for women experiencing DV  1800 656 463 
 NSW Department Communities and Justice Online information source, with quick exit buttons https://dcj.nsw.gov.au/children-and-families/family-domestic-and-sexual-violence.html  
 Women’s Domestic Violence Court Advocacy Services Provide information, advocacy and referrals for women and children, and support accessing restraining orders legalaid.nsw.gov.au/about-us/our-partners/womens-domestic-violence-court-advocacy-program  
 NT Domestic, family and sexual violence page from NT government Lists local support services according to region nt.gov.au/law/crime/domestic-family-and-sexual-violence/get-help-for-domestic-family-and-sexual-violence  
 QLD DVConnect Womensline Support, accommodation, counselling and referrals for women experiencing family or domestic violence  1800 811 811 
 DVConnect Mensline Support, counselling and referrals for men affected  1800 600 636 
 Government Domestic & Family Violence page Information about services available qld.gov.au/community/getting-support-health-social-issue/support-victims-abuse/domestic-family-violence  
 Domestic Violence Prevention Centre Counselling, practical support, safety planning and referrals  07 5532 9000 
 SA Domestic and family violence & sexual assault support services Listings of supports available for specific issues sa.gov.au/topics/family-and-community/safety-and-health/domestic-violence-and-sexual-assault/support-services  
 Domestic Violence Crisis Line Crisis counselling, support and accommodation referrals  1800 800 098 
 TAS Family Violence Counselling and Support Service Information, support, safety planning, assistance with police, referrals  1800 608...

Addressing Intimate Partner Violence: A Conversation with Dr. Alison Creagh on The Good GP

In this episode, host Tim Koh is joined by Dr Michael Wright, Chief Medical Officer for Avant Mutual and Chair of RACGP Expert Committee on Funding and Health System Reform, to discuss the do's and don'ts of telehealth consulting. They delve into the guidelines set by the Medical Board of Australia, the legislative requirements for Medicare billing, and the considerations for conducting telehealth consultations effectively.  Michael emphasises the importance of maintaining the standard of care, patient identification, consent, and privacy protection in telehealth consultations. He also addresses the challenges and limitations of telehealth, including the need to transition to face-to-face consultations when necessary, staying compliant with Medicare billing requirements, and protecting oneself from potential issues and complaints related to telehealth consultations.  Discussing the implications of patients accessing medical advice from outside of Australia and the responsibilities of GPs practising telehealth while travelling abroad. Exploring the use of other forms of communication, such as SMS, electronic messaging, and email, in patient consultation and information provision. Resources & Links:Telehealth - Telehealth – what you need to know - Avant by doctors for doctorsGuidelines - https://www.medicalboard.gov.au/Codes-Guidelines-Policies/Telehealth-consultations-with-patients.aspx
For Medical Practitioners in General Practice  Stay updated on the latest in healthcare, delivery, and digital health by visiting Talking HealthTech, the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com Mentioned in this episode: Proudly supported by Medtech Global: The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:  Medtech Global

The Evolving Landscape of Telehealth: GPs Adaptation, Challenges, and Legal Considerations

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Paul Effler, Medical Coordinator of the Communicable Disease Control Directorate in WA, to discuss the new RSV immunisation, Nirsevimab. They explore the differences between traditional vaccines and Nirsevimab, its effectiveness, safety, target group, and the likelihood of a national rollout. They also dive into the seasonal patterns of RSV and the co-administration of Nirsevimab with other vaccines. Providing valuable insights into the development and potential impact of this new immunisation. The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialization. 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 Mentioned in this episode: Proudly supported by Medtech Global: The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:  Medtech Global

Nirsevimab and the RSV Immunisation Strategy: The Good GP Special Episode

In this episode of The Good GP, Dr Sean Stevens welcomes Dr Sarah Heynemann, a Melbourne-based early career medical oncologist and PhD candidate with Sydney Health Ethics, The University of Sydney. Dr Heynemann brings valuable insights into the changes in cancer care and cancer survivorship over the years. She discusses the impact of advances in cancer therapies, such as immunotherapy and targeted therapies, on the prognosis and quality of life for patients with cancer, particularly those with historically poor prognoses. She emphasises the need for GPs to be aware of the ongoing supportive care needs of patients, even if the tumour appears stable, and highlights the importance of effective communication across multidisciplinary teams for comprehensive cancer survivorship care.  Additionally, Sarah sheds light on upcoming cancer therapies and emphasises the evolving role of GPs in navigating the complexities of cancer care. Recommending two key resources – the Victorian Comprehensive Cancer Centre’s online course for primary care practitioners and the Australian Cancer Survivorship Centre based out of Peter MacCallum Cancer Centre. She also mentions an recent article in the Journal of Clinical Oncology which provides an overview of the future of survivorship for patients living with metastatic cancer. Resources & Links:'Cancer Survivorship for Primary Care Practitioners' VCCC course starts 25th March 2024. Weblink here: https://www.futurelearn.com/courses/cancer-survivorshipAustralian Cancer Survivorship Centre based at Peter MacCallum Cancer Centre https://www.petermac.org/patients-and-carers/support-and-wellbeing/life-after-treatment
The article Sarah referenced was published last year in the Journal of Clinical Oncology https://ascopubs.org/doi/10.1200/JCO.22.02212?url_ver=Z39.88-2003&rfr;_id=ori:rid:crossref.org&rfr;_dat=cr_pub%20%200pubmed
  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 commercialization. Learn more at Talking HealthTech  
 If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com Mentioned in this episode: Proudly supported by Medtech Global: The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:  Medtech Global

Cancer Survivorship and Supportive Care: Insights for GPs from Dr Sarah Heynemann

In this episode of The Good GP, Dr. Krystyna de Lange is joined by Professor Lin Fritschi, an epidemiologist with expertise in occupational causes of cancer, to discuss the increasingly topical area of silicosis. They delve into the nature of silica dust, its harmful effects, and the occupational risks associated with it. Lin provides insights into the occupational screening needed for at-risk individuals, warning signs for symptomatic patients, and the counselling and preventative health points crucial for impacted patients. Lin also sheds light on the mental health implications of silicosis, available compensation and support avenues, and essential resources for GPs to gather more information on the topic. Their discussion addressed the significance and urgency of acknowledging and addressing silicosis in the workplace and provides valuable guidance for healthcare professionals in dealing with affected patients. 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 commercialization. Learn more at Talking HealthTech  If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com Mentioned in this episode: Proudly supported by Medtech Global: The Good GP Podcast is sponsored by Medtech Global, they help GPs be GPs by working with clinicians in Australia and New Zealand to develop Patient Management Systems and healthcare technology. Visit the link for more information:  Medtech Global

LARCs - Episode 95

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