This month’s webinar excerpt is essential listening - an honest, realistic and practical look at GP self care. We listen in on the discussion led by Dr Louise Stone, a GP who practices in Yarralumla (ACT). Dr Stone is a clinical Associate Professor at the Academic Unit of General Practice at ANU Medical School, and she gives valuable insight into how to survive and thrive as a GP, sharing many pearls of wisdom.
We’re excited to share this special edition of RVTS4GPs with you, featuring the recording of the recent 2019 RVTS Grand Round "Stump the Chump" with Dr Casey Parker.
The case presented is a 16 year old girl who comes in with her Aunty. Casey is asked to unravel the puzzle.
Dr Casey Parker is based in Broome in WA and is well known for his blog and podcast broomedocs.com. He discusses various aspects of this case that need to be considered, with input from Marlene Drysdale (RVTS's Cultural Educator) and Dr Jacki Mein (a previous RVTS registrar based in Cairns).
It was a challenging case, with an interesting discussion, and plenty of learning points.
Imagine that you’re a GP registrar, and your supervisor has sat in on one of your consults, and now wants to give you feedback. Have you ever considered how open you are to feedback?
Dizziness is a common presentation to general practice (between 1 - 15% of consultations)1. When patients present complaining of dizziness, it’s important to gain an understanding of exactly what they mean, as various terms are used to describe different clinical presentations. In this month’s webinar excerpt, we share a short snippet from the webinar on Dizziness presented by Dr Rob Park, a GP on the Sunshine Coast in QLD. Dr Park outlines an approach to patients with dizziness to determine potential causes.
Workers Compensation and Return to Work is a topic that is challenging for registrars, but an area where we as a GPs can have a positive impact on the outcome, just by the way we approach the patient. A common presentation, like acute back pain following an injury at work, can become chronic and complicated if not managed appropriately, if incorrect information is provided, or if yellow flags are not identified and addressed early. Listen to the webinar excerpt with Dr Roger Lai to find out how to better manage these patients, and improve outcomes for workers and employers.
In this month’s webinar excerpt, we’re talking about Menopause with Dr Elizabeth Farrell, a gynaecologist and the Medical Director of Jean Hailes for Women's Health. Dr Farrell outlines important definitions, explains how the diagnosis of menopause is made, and highlights some of management options available so clearly and simply that you’ll wonder what all the fuss around menopause is about!
Welcome to 2019! We’re kicking off with one of those tricky subjects in general practice: the overlap of pain and addiction.
As GPs, we aim to relieve pain and minimise harm, but occasionally patients get addicted to medications we prescribe. How can we become part of the solution?
One of the RVTS supervisors, Ian Kamerman, speaks about this in a very practical and real way in the webinar recording excerpt this month.
This area is certainly where the “art” of general practice comes into play. Registrars are encouraged to discuss this topic further with their supervisors to refine their skills in managing opioid addiction in the community.
About 70 children die of sepsis per year in Australia and New Zealand. It is therefore important to have systems in place for early detection of severe infection. Developing an approach to avoid diagnostic error is an important task for each GP. In this episode, we hear from an RVTS Medical Educator, Taras Mikulin, who looks at a General Practice risk management system for use in Childhood Sepsis. Taras discusses a practical 6 step system approach to avoiding diagnostic error.
Uncertainty in general practice is unavoidable. We deal with uncertainty in more than half of our consults. Coping with the uncertainty is an essential skill for GPs.
This month we again listen in on a webinar about Dealing with Diagnostic Uncertainty with Marlene Pearce, a GP based on the Sunshine Coast, QLD.
This is the final part of a 3 part series, based on the webinar delivered to RVTS registrars by Marlene. In Part 1of ‘Uncertainty in General Practice’, Marlene spoke about using clinical reasoning to assist, what to do when we’re stuck, as well as what pitfalls to avoid. In Part 2, we consider what contributes to the uncertainty we experience. In this final part of the webinar, we look at how best to deal with this uncertainty.
We were fortunate enough to have Art Nahill and Nik Szecket from IMReasoning join us for our inaugural RVTS Grand Round Webinar for a STC case discussion.
One of our medical educators, Dr Lorri Hopkins, provided the case, and Art and Nic demonstrated their clinical reasoning every step of the way.
We deal with uncertainty every day in general practice. This month, we review 5 cases illustrating various reasons or things that may be contributing to uncertainty in general practice.
In this 3 part series, we listen in on a webinar with Marelene Pearce, a GP based on the Sunshine Coast, QLD. We discuss “Diagnostic uncertainty in General Practice”, looking at reasons why there is so much uncertainty in general practice, and how to cope with the uncertainty. In this episode, Part 1, Marelene talks about using clinical reasoning to assist with the dilemma, what to do when we’re stuck and what pitfalls to avoid. She discusses the model we use in general practice, which is so different to what we were taught as medical students.
This month, one of our RVTS registrars, Meryl Nicol, talks about how you can use everyday examples from your daily practice to sharpen your clinical reasoning skills in preparation of the KFP exam - or any exam, really.
In this podcast, we listen to recording of a webinar with Marie Rauter, a paediatrician at the Royal Hobart Hospital, who presents a case and discusses the diagnosis of ADHD. Marie highlights the comprehensive assessment we, as GPs, can complete, and she outlines the management options she would consider as a paediatrician.
Recently Marie Rauter, a paediatrician at the Royal Hobart Hospital, presented a webinar to some of our first year registrars on “Developmental Delay”. It’s a big topic, but an important one for general practice, as we are often in a perfect position to detect developmental delay early and identify the cause, suggest corrective action, or refer for further assessment, services and support. Marie covered a wide range of presentations and considerations. We’re sharing one of the cases with you today.
Listen to the audio file to hear the case discussion.
In this recording, Vishal Arya, an RVTS ME, speaks about access to health care, particularly for our Aboriginal and Torres Strait Islander patients.
Review the blog post here.
Exams are the performance of your life that will make or break your future. The months leading up to the exam are essential to gathering facts and knowledge and forming good habits. The weeks leading up to the exam are essential to prepare mentally. On the day of the exam, you need to focus like an elite performer. But too often, anxiety gets in the way of performing at your best. How can you negate the negative effects of anxiety so that you can be free to shine on exam day?
RVTS Medical Educators will be presenting several sessions at this year’s conference in Cairnes - this is a sneak peak of what will be discussed
“Syncope is a sudden, transient, self-limiting loss of consciousness associated with an inability to maintain postural tone”. In this webinar excerpt, Associate Professor Geoff Couser discusses an approach to patients presenting with syncope. Geoff (FACEM MEd) is a senior staff specialist in emergency medicine at the Royal Hobart Hospital and a Clinical Consultant with Ambulance Tasmania. He was discipline lead in emergency medicine at the University of Tasmania until 2017 and has authored numerous textbooks and papers relating to emergency medicine. Geoff outlines potential serious causes of syncopal episodes, as well as dealing with the uncertainty of unknown causes of collapse.
This month, Dr Sonia Singh discusses cultural communication in general practice. Dr Singh co-ordinated a session at the last RVTS workshop on “Cultural Diversity”. During the session, consults were presented by registrars in a traditional setting in their own language. Guessing the context of the consult from the dynamics and body language revealed implicit biases. The consultations were then spoken in English, followed by insightful discussions. Sonia speaks about the lessons learned:
In this webinar excerpt, John Kelly talks about cardiovascular risk
In this webinar recording, John Kelly discussed hypertension: diagnosis and management in the general practice setting.
In this webinar excerpt, Shirley Alexander discusses childhood obesity and gives very practical tips for GPs to implement.