In this episode, I sit down with Lesley Salem, one of Australia’s first Indigenous Nurse Practitioners, for a raw and powerful conversation about culture, clinical reasoning, remote healthcare, and what it really means to serve people well.
Lesley shares how her culture shapes the way she connects with patients, why hierarchy damages care, and how simple human connection can break down fear and mistrust. We talk about remote primary healthcare, Aboriginal Medical Services, pathology-led diagnostic reasoning, rheumatic heart disease, Medicare barriers, and why Nurse Practitioners need access to full scope if Australia is serious about health equity.
This episode is also a masterclass in practical clinical reasoning. Lesley explains how she works backwards from abnormal pathology, how she thinks through differential diagnoses, and why anatomy and physiology sit at the centre of safe advanced practice.
It’s honest, political, clinical, and deeply human. A conversation about hope, access, advocacy, and the Nurse Practitioner role Australia still hasn’t fully learnt how to use.