The GP Show

Dr Melita Cullen is a GP who has a special interest in paediatrics and the NDIS. She also has 2 children utilising the NDIS so has both professional and personal knowledge and insight into this process.

Today we discuss the National Disability Insurance Scheme (NDIS) including:

1. What is the NDIS and who is eligible?
2. What are the funding packages and what can participants use them on and not use them on? How much can they receive?
3. Who is controlling what the person is allocated and how/where it is used?
4. What is the process for people applying for the NDIS?
5. What is this process like for people (first-hand experience)
6. How do GPs and health professionals complete a form successfully?
7. How much evidence do we need?
8. Are there adult and paediatric functional assessment tools?
9. Are there templates we can use?
10. What is the Early Childhood Early Intervention (ECEI)?
11. Are GPs renumerated for it? (short answer - yes if the patient in consult with you based on time)
12. Can we appeal the decision made?
13. Are there regular reviews and how long does it continue for?
14. What resources are available to help health professionals complete these?

Resources:

Dr Melita Cullen's paediatric functional assessment form (also relevant parts for adults as well) = https://drive.google.com/file/d/1BKlAJD5fRMkRCbXB7eVXHLi8-zKPnpOY/view?usp=sharing

PHN (this the best one I can find as it has examples/templates of functional impairments from page 16 of the document [or 23/60 of the pdf]) http://www.brisbanenorthphn.org.au/content/Document/BNPHN_Understanding_Your_Role_NDIS_GP_Toolkit_May2018_FINAL_WEB.pdf

RACGP NDIS booklet - (you may need to login to the RACGP website) https://www.racgp.org.au/running-a-practice/practice-resources/general-practice-guides/ndis-information-for-general-practitioners

NDIS - https://www.ndis.gov.au/applying-access-ndis/how-apply/information-gps-and-health-professionals

Further episodes at www.facebook.com/thegpshow.podcast

Rating the podcast 5 stars and leaving a review in iTunes is a great help.

Enjoy Friends

Professor Hay is an academic psychiatrist who is recognised internationally for her expertise in reducing the personal and public health burden of eating disorders and obesity. She has over 200 peer-reviewed publications, written and co-edited several books, and has won several awards, notably the 2015 Australian and New Zealand Academy Lifetime Achievement award. In 2013 she was elected Fellow of the International Academy for Eating Disorders. She is the founding Editor-in-Chief of the first online journal in her research area Journal of Eating Disorders. She is a past-President of the Australian Academy for Eating Disorders.

Today we discuss binge eating disorders (BEDs) and their relevance to obesity.

• How do we define BEDs?
• How common is it?
• Are there subtypes and diagnostic criteria?
• What are the signs and symptoms of BED?
• What are the causes and risk factors?
• What are the treatment options?
• Resources for patients and therapists

Resources:

Patients: Butterfly Foundation with a national helpline = https://thebutterflyfoundation.org.au/

Resources for health professionals:

CCI = https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Disordered-Eating

National Eating Disorder Collaboration = nedc.com.au

Overview basic guideline = nedc.com.au/research-and-resources/show/mental-health-first-aid-eating-disorders-first-aid-guidelines

There are no conflicts of interest to declare.

More episodes @ www.facebook.com/thegpshow.podcast/

Enjoy friends

Dr John Stevens is a health sociologist and Associate Professor in the School of Health and Human Sciences at Southern Cross University (SCU). He is also a Registered Nurse and the director of a number of companies engaged in health education and research, working closely with Primary Health Networks. In the past, John has been Head of the School of Nursing and Health Practices, the Director of Post Graduate studies (which included the first ever Master's Award in Lifestyle Medicine) and Director of Professional Development and Enterprise, at SCU. John was a founding member of the Australasian Society of Lifestyle Medicine and has pioneered research and clinical practice in Shared Medical Appointments (SMAs), which we discuss today.

Apologies for some glitches in the audio - issues with the primary recording software so I had to use the "plan B" software which is never as good.

More info @ https://www.lifestylemedicine.org.au/shared-medical-appointments

Articles:

https://www.racgp.org.au/afp/2014/march/shared-medical-appointments/

https://www1.racgp.org.au/ajgp/2018/january-february/programmed-shared-medical-appointments-(1)

A great example of SMAs in mother and infant health: https://possumsonline.com/programs/shared-medical-appointments

Conflict of interest: John receives payments for the teaching of some SMA programs.

Further episodes at www.facebook.com/thegpshow.podcast

Available on all podcast apps

Rating the podcast 5 stars and leaving a positive review in iTunes is a great help and much appreciated.

Enjoy Friends

Kim Poyner is a practice nurse, health coach and previously an ICU nurse. She is the Founder of MediCoach and the winner of the 2015 APNA Best Practice Award in Nursing for Chronic Disease Management. Simon Matthews is a psychologist and fitness coach with a special interest in behaviour change and lifestyle interventions. He is also CEO of WellCoaches Australia.

This episode is by demand as many people contacted us after my first episode with Kim asking for advice on how to put health coaching into practice.

Previous episode on Health Coaching = http://thegpshow.libsyn.com/health-coaching-and-behaviour-change-with-kim-poyner-practice-nurse-and-health-coach

http://medicoach.com.au/

https://wellcoachesschool.com/

Behaviour Change Agent Program Dates 2019: Melbourne 13 September 2019, Sydney 20 September 2019, Brisbane 11 October 2019, Auckland NZ 18 October 2019

via - wellcoachesaustralia.com.au/

Conflicts of interest: Kim owns medicoach and Simon is the CEO of Wellcoaches Australia and hence receive payment for their work in training.

More episodes @ www.facebook.com/thegpshow.podcast

Rating 5 stars +/- a review on iTunes is a great help.

Enjoy Friends

Liz Turnbull is a solicitor for the Illawarra Legal Centre and on the Social Security Rights Network. Today we discuss the disability support pension and what health professionals can do to support their patients.

1. What is the DSP and how much is it?
2. Carers allowance vs carers payment
3. What are the requirements of the DSP?
4. For health problems - how does one qualify for the DSP?
5. What constitutes as enough evidence for the points system?
6. What should be in letters from GPs and health professionals?
7. Can people work on the DSP?
8. What is the process and timeline for lodging a DSP?
9. How long until it is reviewed?
10. Can people appeal the decision?

Social Security Rights Network factsheets (see DSP): http://www.nssrn.org.au/factsheets/, http://www.nssrn.org.au/wp/wp-content/uploads/2017/02/Disability-Support-Pension.pdf

Impairment tables:

https://www.dss.gov.au/sites/default/files/documents/05_2012/dsp_impairment_final_tables.pdf

More episodes @ www.facebook.com/thegpshow.podcast

As always – rating this podcast 5 stars and leaving a positive review in iTunes is hugely appreciated.

Enjoy friends.

Dr Tim Sharp (aka Dr Happy) has three degrees in psychology, including a PhD. He is an Adjunct Professor in Positive Psychology within the School of Management, Faculty of Business at the University of Technology Sydney as well as an Adjunct Professor in the School of Health Sciences, RMIT. He is the founder & CHO (Chief Happiness Officer) of The Happiness Institute, Australia's first organisation devoted solely to enhancing happiness in individuals, families and organisations. He is also a writer and podcaster with book titles including "The Happiness Handbook", "100 Ways to Happiness: a guide for busy people" and "100 Ways to Happy Children: a guide for busy parents". He has consulted for Twitter, Ernst & Young, Telstra, Westpac and many more.

www.drhappy.com.au

www.facebook.com/TheHappinessInstitute/

Today we discuss positive psychology.

Enjoy Friends.

Professor Michael Kidd is an Honorary Professor of Global Primary Care with the Southgate Institute for Health, Society and Equity at Flinders University. He is now Professor and Chair of the Department of Family and Community Medicine at the University of Toronto in Canada, and Director of the new World Health Organization Collaborating Centre in Family Medicine and Primary Care. He has over 30 years experience as a General Practitioner working in inner city, rural and remote practices with special interests in the care of people with HIV, mental health and Indigenous Health. He was the Executive Dean of the Faculty of Medicine, Nursing and Health Sciences at Flinders University. He is a past president of the World Organization of Family Doctors (WONCA) and past President of the Royal Australian College of General Practitioners (RACGP).

His latest book "Every Doctor" with Leanne Rowe can be found here:

https://www.amazon.com/Every-Doctor-Healthier-Patients-Medicine/dp/1138497851

Today we discuss his two books "First: Do No Harm" and "Every Doctor", the concepts of self-care, the carers paradox, how we can develop the relationships with ourselves, our family and our work, and some of the principles and foundations of resilience. And there are a few tangents as well.

Enjoy Friends

Dr Marita Long is a GP and GP clinical educator for Dementia Training Australia. Before being a GP she was a paediatric and maternal health nurse for 20 years - what an excellent mix!

Today we discuss diagnosing dementia. This episode is a taster to some of the workshops Dr Long and Dr Hilton Koppe run, in particular with two PHN workshops on June 8th (Brisbane North) and June 11th (Gold Coast) coming up soon.

Brisbane - https://www.brisbanenorthphn.org.au/page/news-and-events/events/upcoming/recognising-diagnosing-and-managing-dementia-in-general-practice/

Gold Coast - https://www.healthygc.com.au/Events/4109.aspx

Today we discuss:

- Why we need to discuss dementia

- Early signs

- Inclusion and exclusion criteria

- Screening tools

- Tests for reversible causes

- Implications for carers

- Resources for clinicians and patients

Further resources below.

As always rating the podcast 5 stars in iTunes and leaving a review is a great help.

Enjoy Friends

Courses and education resources:

Wicking Dementia Research and Education Centre - Understanding Dementia MOOC

https://www.utas.edu.au/wicking/understanding-dementia

Wicking Dementia Research and Education Centre - Preventing Dementia MOOC

http://www.utas.edu.au/wicking/preventing-dementia

Dementia Training Australia online courses

https://www.dta.com.au/online-dementia-courses/

GP Supervisors Australia

Webinars (3) on diagnosing dementia, managing dementia and advanced (Stage 3) dementia

(NB Search through archive listing at bottom of page in link below)

https://gpsupervisorsaustralia.org.au/webinars/

Teaching plans for GP supervisors to use with their registrars

(NB Enter term Dementia into search function to find teaching plans on dementia)

https://gpsupervisorsaustralia.org.au/teaching-plans/

Dementia Australia

Providing support, information and services for people living with dementia, carers, family and health professionals

National Dementia Helpline – 1800100500

https://www.dementia.org.au/

Professor David Hunter is a rheumatology clinician-researcher whose main research focus has been clinical and translational research in osteoarthritis (OA). He is the Florance and Cope Chair of Rheumatology and Professor of Medicine at the University of Sydney and the Royal North Shore Hospital and Consultant Rheumatologist at North Sydney Orthopaedic and Sports Medicine Centre. He is ranked as the world's leading expert in osteoarthritis on Expertscape.com since 2014. He is on the editorial board for Arthritis and Rheumatology, Osteoarthritis and Cartilage, Arthritis Care and Research and part of the review committee for OA for the American College of Rheumatology, EULAR and OARSI scientific meetings. Dr Hunter has over 400 peer-reviewed publications in international journals, numerous book chapters, is the section editor for UpToDate Osteoarthritis and has co-authored a number of books. He is also Co-Chair of the recent RACGP Osteoarthritis guidelines.

This was a thoroughly enjoyable and informative discussion around osteoarthritis pathophysiology, imaging, prevention and treatment. There was a bit of mic rustling when David speaks but this stops at ~11:25mins (to be exact!).

Resources mentioned:

Patient program - https://www.myjointpain.org.au/

RACGP guidelines = 2018 Royal Australian College of GPs Guidelines: https://www.racgp.org.au/your-practice/guidelines/musculoskeletal/hipandkneeosteoarthritis/

Warm up programs to prevent injuries:

PEP: https://www.aclstudygroup.com/pdf/pep-program.pdf

FIFA 11 training:

Shorter version - https://www.tmphysio.com/wp-content/uploads/2017/08/FIFA-11-_Poster_EN_Druck_2015.compressed.pdf

Longer version - https://www.kort.com/uploadedFiles/KORT/Content/Services/Sports_Medicine/Concussion_Management/FIFA-the-11-Booklet.pdf

Other resources:

Some published references:

• Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis Cartilage. 2016 Sep;24(9):1487-99.
• Osteoarthritis: Models for appropriate care across the disease continuum. Best Pract Res Clin Rheumatol. 2016 Jun;30(3):503-535.
• Therapy: Are you managing osteoarthritis appropriately? Nat Rev Rheumatol. 2017 Dec;13(12):703-704.
• Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review. Br J Sports Med. 2018 Jul 20.

Multimedia options:

• Annual Florey Public Lecture: https://www.youtube.com/watch?v=vY__ApcQOOc
• Article author Professor David Hunterdiscussed appropriate osteoarthritis management. Short video:https://vimeo.com/108976519
• Podcast from Radio National Health Report: Everything you ever wanted to know about osteoarthritis:https://www.abc.net.au/radionational/programs/healthreport/everything-you-ever-wanted-to-know-about-osteoarthritis/8664218

An online electronic educations module for RACGP for CPD points:

https://www.racgp.org.au/education/courses/activitylist/activity/?id=54640&q=keywords%3dosteoarthritis%26triennium%3d17-19

As always – rating this podcast 5 stars and leaving a review in iTunes is great help.

Enjoy Friends

Terry Swanson is a Nurse Practitioner specialist in Wound Management, Service Provider for South West Healthcare Wound Management Services and Vice Chair of the International Wound Infection Institute. In short - a guru of wound management!

Today we discuss the new Therapeutic Guidelines "Ulcer and Wound Management". https://www.tg.org.au/

1. General principles when approaching a wound

2. History to consider in healing

3. Examination of a wound and investigations

4. Aims of ulcer and wound management

5. Dressing types and principles

6. Specific wound management - arterial, pressure, venous, infected, hypergranulation, wet, dry etc etc

More resources at the International Wound Infection Institute - http://www.woundinfection-institute.com/

Conflicts of Interest: Terry received an honorarium for her time (not from me!) and advises on various wound products. In all her correspondence she ensures the following is clear "Due to my affiliations with companies and organisations nationally and internationally there may be a perceived or actual conflict of interest. These conflicts will be managed in the public's best interests."

Thanks all, rating 5 stars in iTunes is a great help +/- a review for this free resource.

Enjoy friends.