Choosing Wisely – sneak preview of GP shortlist.

Originally posted on drjustincoleman:
The US Choosing Wisely What interventions do you think GPs should do less of? Do you think we sometimes prescribe inappropriately or order too many tests? I’m not talking about individual anecdotes, but widespread trends accepted as ‘normal’ in some parts of Australian general practice. I am chairing the RACGP working group for the…

Chronic Heart Failure

I was scheduled to give a tutorial to our clinic’s registrars recently and was requested to talk about chronic heart failure. Uh-oh… didn’t they realise that internal medicine is NOT my forte?? Unfortunately I couldn’t talk them into a gynaecology topic, so CHF it was. But the beauty of teaching is that you always learn…

FOAM4GP Map – Prostate screening. “What do you suggest doc?”

Prostate screening is a complicated mix of opinions, evidence, emotions, and controversy. There are many stakeholders interested in appropriate prostate screening and it is a question we as Australian GPs get asked regularly about. So what do you do? What should you do? And what do you use to help make the decision with your…

FOAM4GP Map – Type 2 Diabetes tablets – How many are there now!?!

Let’s start this one with a question… What do thiazolidinediones, DPP4 inhibitors, acarbose, SGLT2 inhibitors, sulphonylureas, GLP1-agonists, metformin, gliptins, and glitazones all have in common? Yep, they all have stupid names. I remember an old saying – “If there are many ways to treat something it is likely none of them are the best”. The…

FOAM4GP Debate: Diet pills, Mel vs. Gerry

Welcome to the first ever FOAM4GP debate! We hope to make this an ongoing series of short, sharp debates between practicing GPs on current topics and controversies in modern Aussie GP practice. This Combatants: Dr Gerry Considine (@ruralflyingdoc) and Dr Melanie Clothier (@drmelclothier). The proposition:  Diet pills (duromine) always cause more harm than good – we…