FOAM4GP Map – Better referral letters – “Dear Neurologist, please see John ? head”

“Dear Neurologist, please see John ?head. Sincerely, Dr AB.” Referral letters are the way in which we can correspond our clinical information to our specialist colleagues. It is critically important and also reflects upon you as a clinician as to your medical skill and ability to be succinct. It has been pointed out many times…

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 Map – Grumbly Grommets

Clinical Case: “Doctor, I want to have a referral to an ENT. Sophie keeps getting ear infections and I was told by a friend that grommets will help.” I get questions like these (or similar) quite regularly as there seems to be quite a push from local GPs to refer to ENT early for grommets.…

FOAM4GP Map – While the Fe is hot!

Clinical Problem: Unfortunately Fe studies continue to be badly interpreted and, subsequently, patients treated inappropriately. I see a large amount of patients who are very confused as to whether they are iron deficient – who have normal iron stores. This is bread and butter stuff so lets very quickly remove some rust. Question 1 –…