The Good GP

• HIV PrEP in General Practice: Prescribing and Reducing Stigma with Dr Brad McKay

  In this episode of The Good GP, host Dr Krystyna de Lange is joined by Dr Brad McKay, a Sydney-based GP with extensive experience in HIV treatment, to discuss HIV pre-exposure prophylaxis (PrEP) and its vital role in general practice. This episode is produced in collaboration with the Australian Society of HIV, Viral Hepatitis and Sexual Health Medicine (ASHM).Dr McKay provides an in-depth overview of what PrEP is, who it is suitable for, and addresses common misconceptions about patient eligibility. Discussing that while PrEP has traditionally been targeted towards gay men and men who have sex with men, there are other groups at risk of HIV who may benefit, including heterosexual individuals, people with partners living with HIV, and people who inject drugs. They emphasise the importance of a non-judgmental and inclusive approach, encouraging GPs to routinely take sexual histories and offer PrEP when appropriate, reducing stigma and improving patient outcomes.Providing practical guidance on baseline investigations, including HIV, Hepatitis B and C, syphilis, gonorrhoea, chlamydia screening, and renal function assessment. Dr McKay explains the considerations for both daily and on-demand PrEP regimens, outlining which patients are suitable for each based on sexual practices, and addresses key points around adherence and management of missed doses. He also touches on newer options such as long-acting injectable PrEP, providing insights into future directions for HIV prevention in Australia.Includes advice for GPs on ongoing follow-up, including recommendations for quarterly review, repeat sexual health screening, and renal monitoring.Links & Resources:ASHM HIV PrEP Decision Making Tool: https://ashm.org.au/wp-content/uploads/2025/07/ASHM_HIV_PrEPtool__July-2025_WEB.pdfASHM National PrEP Guideline: https://ashm.org.au/wp-content/uploads/2025/08/ASHM-PrEP-guidelines-2025_FINAL.pdfPrEP Access Now website: https://www.pan.org.au/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 commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

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• Overweight, Obesity, and Your Health: What GPs Want You to Know

  In this episode of This Could Save Your Life podcast, hosts Dr Anna Mullins and Dr Catherine Bourke delve into the topic of overweight and obesity. Exploring the intricate relationship between body weight and health, emphasising that body fat alone does not define an individual's health status. Along with the importance of considering various health aspects, including mental, emotional, and social well-being, beyond just physical health.Dr Bourke and Dr Mullins provide an overview of the multi-faceted causes of obesity, highlighting genetic, lifestyle, and environmental factors. Explaining that obesity is a chronic disease influenced by a society that promotes sedentary lifestyles and convenient access to high-calorie foods. They also cover the different methods used to assess whether someone is overweight or obese, including waist measurement, waist-to-hip ratio, and Body Mass Index (BMI), noting the situations where these tools may provide inaccurate results. They further explain the health risks associated with being overweight or obese, such as high blood pressure, diabetes, and certain cancers.Addressing the challenges of weight loss, Dr Mullins and Dr Bourke discuss the body's natural mechanisms that work against weight loss, and they emphasise the need for a personalised approach to treatment. They explore various interventions, including dietary changes, exercise, medication, and bariatric surgery, and stress the importance of seeking professional medical advice for weight management.This Could Save Your Life Podcast is under The Good GP podcast, 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. Learn more at www.talkinghealthtech.com/podcast/networkMentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

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• Practical Guide to Pharmacological Osteoporosis Treatment with Dr Karen Magraith

  In this episode of The Good GP, Dr Krystyna de Lange is once again joined by Dr Karen Magraith, for the second part of a two-part series focusing on the pharmacological management of osteoporosis. Dr Magraith is a member of the Medical and Scientific Advisory Committee with Healthy Bones Australia and the immediate past president of the Australasian Menopause Society.They begin with a review of the clinical criteria for initiating pharmacological treatment in osteoporosis, highlighting the latest RACGP and Healthy Bones Australia guidelines. Outlining which patient groups should be considered for treatment, including those with minimal trauma fractures, based on T scores, and those assessed using FRAX risk calculations.Providing insights into choosing between these treatments, taking into account the patient's age, fracture risk profile, comorbidities, potential adherence, cost, and PBS eligibility. Discussing risk-benefit considerations for each class of medication, as well as patient education, monitoring for side effects, and specific prescribing considerations such as dental health and renal function.Dr Magraith addresses the importance of ongoing monitoring, including when to repeat bone mineral density testing, the rationale behind “drug holidays” for bisphosphonates, and the need for continuous therapy with denosumab. Highlighting key guidance points around therapy duration, transitioning between agents, and when to involve specialist care.Links & Resources:Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopauseRACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/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 commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

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• Osteoporosis Screening and Diagnosis for GPs: Insights from Dr Karen Magraith

  In this episode of The Good GP, Dr Krystyna de Lange is joined by Tasmanian General Practitioner and medical educator Dr Karen Magraith for a two-part series on osteoporosis. Discussing on the current Australian approaches to osteoporosis screening, assessment, and diagnosis, with emphasis on practical considerations for GPs.Dr Magraith outlines the latest guidelines from the RACGP and Healthy Bones Australia, including distinctions between population screening and case finding for osteoporosis. Providing criteria for bone density assessment, such as age thresholds, specific medical conditions, and medication use. Identifying patients with minimal trauma fractures is highlighted, as well as groups who may be at high risk due to factors like glucocorticoid use, early menopause, and various systemic diseases.They also discussed the use of risk assessment tools, namely the FRAX and Garvan calculators, to better predict fracture risk in patients with non-modifiable and lifestyle-related factors. Dr Magraith also provides a clear overview on interpreting bone mineral density (BMD) reports, including the significance of T-scores and Z-scores and when to investigate for secondary causes of osteoporosis.Dr Magraith emphasises patient education and non-pharmacological management strategies, including nutrition (adequate calcium and protein intake), vitamin D sufficiency, exercise (resistance, impact, and balance training), and falls prevention. Links & Resources:Healthy Bones Australia fact sheets - https://healthybonesaustralia.org.au/your-bone-health/Australasian Menopause Society Practitioners Toolkit for the Management of Menopause - https://www.menopause.org.au/hp/information-sheets/practitioners-toolkit-for-management-of-the-menopauseRACGP and Healthy Bones Australia Clinical Guidelines - https://healthybonesaustralia.org.au/health-care-professionals/guidelines-statements/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 commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

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• Foreskin Hygiene and Problems in Boys: Key Tips for GPs with Dr Bhavesh Patel

  In this episode of The Good GP, host Dr Tim Koh speaks again with Dr Bhavesh Patel, a Queensland-based paediatric surgeon, about foreskin problems in boys, an area where general practitioners often face questions from families but might have limited training or exposure.Dr Patel outlines the normal development of the foreskin, clarifying common misunderstandings around the expected age of retraction. He explains that full retraction occurs at a median age of 10.4 years, with wide normal variation, and describes how outdated perceptions have contributed to anxiety and misinformation among families.Giving practical advice for parents regarding hygiene and caring for the foreskin, he emphasises avoiding forced retraction and outlining appropriate bathing routines. They identify normal findings such as the presence of smegma and occasional ballooning during urination, and distinguish them from signs that may indicate pathology.Treatment options were also discussed, starting with conservative management such as topical steroid creams, highlighting a regime that achieves a high rate of success. Dr Patel also touches on the management of preputial adhesions and when to consider surgical intervention.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 commercialisation. Learn more at www.talkinghealthtech.com/podcast/networkIf you have any questions or would like to contact The Good GP, send an email to [email protected]. Visit www.thegoodgp.com.au for previous episodes and more information.Mentioned in this episode:What if we could make HIV history? It might be closer than you think.What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.ASHM PrEP

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