The GP Show

1.Key points of medicare 2.What medicare covers and doesn’t cover 3.Detail of certain item numbers: During hours, after hours, emergency, women’s health, procedures, GPMP/TCA, MHCP, health assessments, cycle of care and more, 4.PIP/SIPs and GPRIPs 5.Auditing and 80/20 rule 6.Medicare Safety Net

This episode we will cover clinical lifestyle evidence based medicine in cardiovascular disease.  We will cover: - What is Lifestyle Medicine (LM)? - Why do we need it? - Chronic disease burden  - What are the myths and facts about changing peoples lifestyles? - LM in hypertension, size of effect and details - including DASH diet, reduction by weight loss, smoking cessation, diet changes, physical activity, mindfulness and some specific foods - LM in high cholesterol - LM in coronary artery disease

Today we will cover opioid prescribing guidelines for chronic non-cancer non-palliative care pain in adults.  Enjoy!   Contents: •New codeine laws 2018 •Opioids prescription facts and harms •Evidence for opioids •Types of opioids and equivalence dosing •Side effects – short and long term •Initiating and ongoing presciprtion •Break through pain management •Discontinuing •Aberrant behaviour management and assessment •Follow up consideration •Not  - opioid replacement therapy like methadone and

PSA and DRE screening – to do or not to do, where is the evidence?  And intensive lifestyle changes in early prostate cancer.  1. Digital rectal examination - recommendations  2. PSA test– what is it, the benefits and risks, medicare implications, the review of guidelines for screening for average to high risk and follow up, what to do with a + result, age related reference ranges  and the PSA variables – free/total %, double, velocity, PHI, MRI 3. Intensive lifestyle change in early prostate

Today we will cover a case on weight with question and answers.  Questions include:     Question 1 What further history do you want to obtain for weight loss? Question 2 What examination do you want to perform? Question 3 Are there any investigations to perform? Question 4 How does this change your management when prescribing the pill? Question 5 She asks you – “what about the low carb high fat diet?” Question 6 How successful are lifestyle weight loss programs in the long run? Question 7 What

In this episode we will review acute and chronic low back pain.    •Overview of assessment of back pain •Quick review of some red flags and yellow flags •Review differential diagnosis in LBP •Review of the evidence for some back imaging •Review of radiation risk of some common imaging •Screening tools for assessing risk of chronicity •Review of management principles •What is self management •Acute vs chronic LBP management •Review of latest guidelines and previous evidence for the 4 Ps (Physical,