Aussie Med Ed- Australian Medical Education

Every doctor writes notes. At some point in your career, someone will ask you for a report — an insurer, a lawyer, an employer, or a court — and the rules change. You are no longer simply documenting care; you are providing evidence. In this episode of Aussie Med Ed, host Dr Gavin Nimon ( Orthopaedic Surgeon ) welcomes back Dr Mary Obele, Specialist Occupational and Environmental Physician (FAFOEM, RACP), to demystify the medical report. Medical reports sit at the heart of Dr Obele’s day-to-day work — treating doctor reports, independent medical examinations and permanent impairment assessments across the workers’ compensation and personal injury systems — and she explains what happens to these documents once they leave the doctor’s desk and enter the courts and tribunals. Topics include: · How a medical report differs from clinical notes · Who requests reports and why · The three main types defined: treating doctor’s report, independent and permanent impairment assessments · Whole person impairment: what the percentage measures, what it does not, and why two 20% impairments do not equal 40% · The AMA Guides to the Evaluation of Permanent Impairment · Training, accreditation and ongoing reaccreditation for permanent impairment assessors · The standard structure of a medicolegal reportonduct and AI disclosure · Where reports end up · The expert witness’s primary duty to the court, and what examination-in-chief and cross-examination actually involve · Practical take-home messages for a junior doctor or GP writing their first report Suitable for GP CPD, junior doctor education, medical students, and any clinician or health professional who may be asked to write a report or attend as an expert witness. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

People with intellectual disability represent approximately 2% of the Australian population, yet they experience some of the worst health outcomes of any group — with a life expectancy 27 years shorter than the general population and twice the rate of preventable deaths. In this episode, Host Dr Gavin Nimon ( Orthopaedic Surgeon ) is joined by Dr Hannah Wu, GP and consultant with the South Australian Intellectual Disability Health Service (SAIDHS), and Stephanie Searle, OT and Service Manager at South Australian Intellectual Disability Health Service, to discuss the practical clinical knowledge every health professional needs when caring for this population. Topics include: Communication strategies and person-first versus identity-first language Consent, capacity, and the role of guardianship The HELP framework for assessing behavioural change Diagnostic overshadowing and cognitive bias Psychotropic prescribing, chemical restraint, and NDIS reporting obligations The Comprehensive Health Assessment Program (CHAP) and relevant MBS item numbers Screening, immunisation, and preventative health considerations Suitable for GP CPD, junior doctor education, and any clinician/ Health Professional seeking to improve care for this underserved group. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Occupational and environmental medicine sits in a strange blind spot in medical training, even though work-related presentations turn up almost daily in general practice, emergency departments and on the wards. In this episode of Aussie Med Ed, host and Orthopaedic surgeon Dr Gavin Nimon sits down with Dr Mary Obele, specialist occupational and environmental physician with expertise in work capacity, causation and medicolegal reporting, and Dr Berni Cameron, occupational health nurse practitioner and academic at Edith Cowan University with over 25 years' experience across mining, industry and work health and safety education. Together they unpack what occupational medicine actually involves, how the occupational health nurse, GP and occupational physician each fit into the return-to-work pathway, and how to approach that first consultation: take a good history, examine carefully, focus on function rather than incapacity, and complete the certificate of capacity with clarity. Along the way they cover environmental exposures such as silica, why early communication with the workplace matters, the evidence behind keeping workers meaningfully engaged during recovery, psychosocial hazards as the new frontier of workplace health, and practical tips for young GPs walking onto a worksite for the first time. Whether you're a medical student, junior doctor or GP, this episode offers a pragmatic framework for managing work-related presentations — starting with one simple question: "Tell me about your work. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Polio, the condition that spurned innovations from Physiotherapy, vaccines, Intensive Care Units and Rehabilitation Medicine is one of those diseases we’re taught as “solved”, yet the people who survived Australia’s epidemics are walking into clinics right now with new weakness, pain, fatigue and loss of function. That gap between what we remember and what patients live with is where this conversation sits, starting with iron lungs and ending with the very practical question: how do we recognise post-polio syndrome and the late effects of polio before we dismiss them as ageing? Join host Dr Gavin Nimon ( Orthopaedic Surgeon ) who interviews three guests who each bring a different lens. Associate Professor Anupam Datta Gupta (Rehabilitation Medicine) breaks down how poliovirus moves from a gut infection to selective damage of anterior horn cells, and why the long compensation phase can collapse decades later. Michael Jackson (Polio Australia) shares what people affected by polio report about stigma, separation, and the day-to-day realities of pacing, equipment, and living with a progressive condition. Associate Professor Bruce Thorley (Doherty Institute, WHO Polio Reference Lab) explains where global eradication stands, why vaccination coverage still matters, and how Australia uses acute flaccid paralysis surveillance, laboratory testing and wastewater surveillance to stay polio-free. We also trace polio’s outsized impact on modern healthcare: the shift from negative pressure ventilation to the birth of ICU, the evolution of orthotics and rehabilitation, and the role of Sister Elizabeth Kenny in reshaping physiotherapy. If you’re a GP, allied health clinician, or student, you’ll come away with red flags to ask about, the logic of diagnosis by exclusion, and management principles that prioritise function, safety, and quality of life. If this helped, subscribe, share it with a colleague, and leave a review so more clinicians find it. What’s one sign of post-polio syndrome you’ll start asking about this week? This is approved for 1.5 hour RACGP CPD - accredited activity to complete - click on registration link after listening remember to provide RACGP member number and email registration link 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Pregnancy is a common and often straightforward physiological process—but it also has the potential to become complex, requiring careful clinical assessment and timely escalation. In this episode of Aussie Med Ed , Dr Gavin Nimon is joined by Adelaide-based obstetrician and gynaecologist Dr Allison Munt for a comprehensive discussion on the practical management of pregnancy , tailored for medical students and general practitioners. Together, they explore the continuum of care from the initial GP presentation through to delivery and the postpartum period , with a focus on clinical reasoning, risk stratification, and shared decision-making. This is approved for 1 hour RACGP CPD - accredited activity to complete - click on registration link after listening remember to provide RACGP member number and email registration link Key topics include: What constitutes a low-risk vs high-risk pregnancy , and how this influences models of care The role of the GP in the first trimester , including history, examination, and initial investigations Current approaches to screening , including non-invasive prenatal testing (NIPT) and morphology ultrasound Identification and management principles for common complications such as gestational diabetes, hypertensive disorders of pregnancy, and fetal growth restriction Monitoring strategies in the second and third trimesters , including when additional imaging or CTG assessment may be indicated Considerations around timing and mode of delivery , including induction of labour and caesarean section The importance of postpartum care , including pelvic floor rehabilitation, breastfeeding support, and perinatal mental health This episode emphasises a balanced, patient-centred approach , acknowledging that pregnancy care varies depending on individual circumstances, patient preferences, and local resources. It also highlights the importance of multidisciplinary care involving GPs, obstetricians, midwives, and allied health professionals. ⚠️ Important Disclaimer The information discussed in this episode reflects the clinical experience and perspectives of the speakers and is intended for educational purposes only . It does not constitute medical advice and should not be used as a substitute for independent clinical judgment. Management of pregnancy and obstetric conditions may vary based on local guidelines, patient factors, and evolving evidence , and clinicians should refer to current recommendations and consult appropriate specialists when required. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Every day we rely on our hands for the simplest tasks — typing, cooking, driving, even holding a coffee. But when injury or surgery affects the hand, wrist, or elbow, even basic activities can suddenly become impossible. In this episode of Aussie Med Ed , Host and Orthopaedic surgeon , Dr Gavin Nimon sits down with Charlotte Nash , accredited hand therapist and occupational therapist, to explore the fascinating world of hand therapy and upper limb rehabilitation . Charlotte explains how occupational therapists help patients rebuild meaningful function after injury — and why early rehabilitation can make the difference between full recovery and long-term stiffness or pain. Hand Therapy- what is it We cover: • What occupational therapy actually is • How hand therapists work with surgeons and GPs • Why early movement and rehabilitation matter • The surprising role of splints, desensitisation, and oedema control • When injuries should be referred urgently • The psychological side of recovery • New technology in rehab including VR and 3D splinting If you're a medical student, GP, or clinician managing upper limb injuries , this episode will give you a clearer understanding of what happens after the diagnosis and surgery — and how multidisciplinary rehabilitation helps patients get their lives back. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

What if the most important decision in your patient’s care starts with the right image? We dive into how modern radiology now sits at the centre of medicine, translating complex presentations into clear pathways with faster CT, higher-resolution MRI, and practical algorithms that reduce uncertainty at the bedside and in the clinic. Join Dr Gavin Nimon (Orthopaedic Surgeon and host of Aussie Med Ed) as he interviews Interventional Radiologist- Dr Adam Koukourou, as they unpack real-world choices that clinicians make every day. When does a chest X-ray suffice and when should you push to CTPA or VQ? How do you balance CT’s breadth against ultrasound’s strengths for gallbladder, renal, and paediatric cases? For MSK problems, we map where X-ray and ultrasound shine and when MRI becomes essential for internal derangement. In trauma, we show why rapid multi-region CT has become a cornerstone once patients are stable, complementing targeted bedside films. We also get hands-on about better request forms, confirming contraindications, reviewing priors, and cutting duplicate orders with digital viewers that let you compare studies across sites in minutes. If you care about getting the right test first, improving time-to-diagnosis, and working smarter with your radiology colleagues, you’ll find practical steps you can use today. Heidi Health:- AI transcription Software AI transcription with Heidi Pro. Students and trainees get free access-visit www.heidihealth.com/pod Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Cancer therapy isn’t just about hitting tumours harder; it’s about hitting the right spot, at the right time, with the least collateral damage. In thuis episode Dr Gavin Nimon (Host) sits down with South Australian radiation oncologist Dr Vincent Pow to unpack how modern radiotherapy blends precision physics with genuine human care, guiding patients from referral to first beam with clarity and compassion. We walk through the full treatment pathway—MDT referrals, planning CT, MRI and PET fusion, and meticulous contouring—before demystifying what happens on the machine. Dr Pow explains why fractionation protects healthy tissue, how IMRT and VMAT shape dose around organs, and why today’s sessions feel more like a painless CT than a procedure. We dig into SABR’s rise in early lung and prostate cancer, and how targeted ablation is changing the outlook for oligometastatic disease by controlling spots in lung, liver, bone, and brain while delaying systemic escalation. You’ll also hear a frank guide to side‑effects: what’s common, what’s rare, and how teams manage everything from cystitis and oesophagitis to fatigue and skin changes. We explore adaptive radiotherapy—seeing tumours daily and adjusting dose on the fly—plus the growing role of AI in contouring and planning. Dr Pow shares why access matters, how telehealth and cancer lodges reduce travel for rural patients, and where education campaigns like Targeting Cancer help GPs and patients make informed choices. This conversation brings the science down to earth without losing the nuance. Follow the show, share it with a colleague who needs a clean explainer, and leave a review with your biggest question about radiotherapy so we can tackle it next. Heidi Health:- AI transcription Software AI transcription with Heidi Pro. Students and trainees get free access-visit www.heidihealth.com/pod HealthShare HealthShare is a digital health company providing solutions for patients, GPs and Specialists. Avant Medical Defence Organisation Offerring support for the doctor practice safely with extensive cover that's continually evolving Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

The human foot and ankle are astonishingly complex, and when they hurt, life shrinks fast. In this comprehensive episode of Aussie Med Ed, host and Orthopaedic surgeon Dr Gavin Nimon sits down with Dr Peter Stavrou, Adelaide-based foot and ankle specialist and past president of the Australian Orthopaedic Foot and Ankle Society, to unpack everything medical students, junior doctors, and GPs need to know about foot and ankle conditions. From the emergency department to the operating theatre, this episode covers the full spectrum of foot and ankle care - with practical, evidence-based guidance you can use in clinical practice today. We start with the realities of frontline care. Mechanism matters: inversion plantarflexion points to lateral ligament sprain, while dorsiflexion eversion sets off alarms for syndesmosis. You’ll learn how to use Ottawa rules wisely, why two to three weeks without improvement is the decision point, and when weight-bearing X-rays, MRI, or weight-bearing CT tip the balance toward referral. We demystify Achilles ruptures with simple bedside tests, compare nonoperative and surgical pathways, and outline honest timelines for walking, rehab, and return to sport. From there, we pivot to the elective landscape. Think bunions, hallux rigidus, plantar fasciitis, metatarsalgia, neuromas, adult acquired flatfoot, and ankle arthritis. We share clear strategies that work in real life: rocker-soled shoes, arch supports, ultrasound-guided injections, and joint-sparing options like cheilectomy. When surgery is on the table, we contrast fusion and total ankle replacement, highlight who benefits most from each, and bring in up-to-date registry insights on survivorship and outcomes. We also tackle stress fractures, the underestimated role of vitamin D, and why chronic ankle instability often needs both soft tissue repair and bony realignment to succeed. If you want practical, step-by-step thinking that helps patients move without fear and pain, this conversation delivers. Subscribe, share with a colleague who sees ankle pain every clinic, and leave a review to tell us the topic you want covered next. Heidi Health:- AI transcription Software AI transcription with Heidi Pro. Students and trainees get free access-visit www.heidihealth.com/pod Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Can artificial intelligence really write your medical notes for you? Imagine finishing clinic on time, spending more moments looking your patient in the eye instead of staring at a screen, and cutting hours off your documentation workload — all without compromising accuracy, privacy, or patient safety. In this thought-provoking episode of Aussie Med Ed , Dr Gavin Nimon ( orthopaedic surgeon ) explores the world of AI-powered medical transcription — a technology rapidly reshaping how clinicians document care. Joined by a panel of leading experts: Dr Emily Powell , rural GP registrar and AI enthusiast from i-Scribe , shares how AI scribes are already transforming rural and emergency medicine. Dr Ben Condon , Clinical Director of Heidi Health , reveals how AI models are trained for clinical accuracy and how they adapt to your style of documentation. Georgie Haysom , General Manager of Advocacy, Education & Research at Avant , breaks down the medicolegal, consent, and privacy risks — and explains what AHPRA expects when doctors use AI tools in practice. 🎧 You’ll discover: ✅ How AI transcription works — from voice recognition to medical language processing ✅ How much time clinicians are really saving (and how it’s improving work–life balance) ✅ Why patient consent and data security are non-negotiable ✅ The truth about AI “hallucinations” — and how to spot and prevent them ✅ Legal and ethical responsibilities under AHPRA and the Privacy Act ✅ What the future holds: ambient clinical intelligence, adaptive note-taking, and the integration of AI into medical education Whether you’re a medical student curious about the tech shaping your future, a GP looking to streamline documentation, or a specialist navigating the intersection between innovation and regulation — this episode offers practical insights you can apply today. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Stepping into the world of orthopaedics can feel overwhelming. With musculoskeletal problems accounting for nearly a third of GP consultations, it's surprising that many medical professionals receive fewer than 60 hours of dedicated teaching in this crucial field. This episode offers a comprehensive framework for understanding orthopaedics—moving far beyond just "bones on x-rays" to explore how this specialty fundamentally improves quality of life. Dr. Gavin Nimon (Orthopaedic Surgeon) systematically breaks down the key symptoms that bring patients to orthopaedic care: pain (mechanical, inflammatory, traumatic, infectious, neoplastic, or neuropathic), stiffness (articular vs periarticular), deformity, swelling, weakness, instability, and neurological symptoms. Each presentation is explored with clarity, helping listeners develop a structured approach to diagnosis. The episode introduces a valuable time-based lens for categorising presentations as acute, chronic, or mixed, guiding both urgency of intervention and management strategies. Gavin Nimon walks through the diagnostic pathway from clinical assessment to targeted investigations, emphasising the continued importance of plain radiographs alongside advanced imaging techniques. Particularly valuable is the discussion of orthopaedic emergencies that must never be missed—cauda equina syndrome, compartment syndrome, septic arthritis, open pelvic fractures, compound fractures, and acute septic flexor tenosynovitis—where early recognition can prevent devastating outcomes. Whether you're a medical student, GP, or healthcare professional wanting to refresh your knowledge, this episode serves as an essential mental map of orthopaedics. Download the accompanying mind map from our website to reinforce these concepts and improve your approach to musculoskeletal conditions. Subscribe for more expert insights that bridge the gap between specialised knowledge and everyday clinical practice. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

What happens when the nearest specialist is over 700 kilometers away? For Dr. Chong Han Lim, that reality shaped his entire approach to medicine. Join Dr Gavin Nimon ( Orthopaedic Surgeon and Host) as he interviews Dr. Lim ( Han ) about his journey from Singapore to the small coastal town of Tumby Bay in rural South Australia, and he reveals the profound ways that country practice transforms physicians. What began as a six-month placement extended to six years as he discovered the rewards of rural general practice—where clinical independence, creative problem-solving, and deep community connections come together. The podcast explores the unique challenges of practicing medicine with limited resources and without immediate specialist backup. From managing emergencies with improvised equipment to learning the art of "panicking slowly," rural doctors develop remarkable resilience. As Han explains, these experiences don't represent reckless medicine but rather thoughtful adaptation that prioritizes patient safety while acknowledging geographical constraints. Perhaps most fascinating is how rural practice blurs the lines between professional and personal life. Unlike urban settings where doctors rarely encounter patients outside the clinic, rural physicians become integral parts of their communities—experiencing everything from "supermarket consults" to forming deep friendships. This integration creates a different kind of doctor-patient relationship, characterized by mutual respect and understanding that spans generations. Han's eventual transition to dual specialization in pain and palliative medicine demonstrates how rural practice can lay a powerful foundation for diverse career paths. His experiences in Tumby Bay continue to inform his approach to medicine in Adelaide, where he now balances his medical career with running Katong House, a Singaporean restaurant serving dishes from his childhood. Whether you're considering rural practice or simply curious about different medical career pathways, this conversation offers valuable insights into the rewards of stepping outside your comfort zone. Subscribe to Aussie Med Ed for more candid conversations about the realities of medical practice in Australia. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

The silent, stealthy nature of osteoporosis makes it one of medicine's most challenging conditions. Patients can lose precious bone mass for years with absolutely no symptoms, only discovering their condition after a devastating, life-altering fracture. With over a million Australians affected and our population steadily aging, understanding how to identify, investigate and treat this condition couldn't be more crucial. Yet despite its prevalence, osteoporosis remains severely underdiagnosed and undertreated in clinical practice. In this comprehensive episode, Dr Gavin Nimon ( host and Orthopaedic Surgeon) inteviews Endocrinologist Dr Linn Lee brings about this complex topic. She expertly guides us through interpreting those notoriously confusing DEXA scan reports, breaking down T-scores and Z-scores into practical insights you can immediately apply. You'll discover exactly who needs investigating, when to refer to specialists, and how various risk assessment tools like FRAX and Garvan calculators can quantify fracture risk beyond bone density measurements alone. Dr Lee demystifies the expansive pharmacological landscape – from bisphosphonates to cutting-edge anabolic agents – with particular attention to selecting the right medication for specific patient profiles. She discusses potential complications like osteonecrosis and atypical femoral fractures with refreshing honesty, providing evidence-based context about their prevalence and management strategies to mitigate risks. Perhaps most valuable is the practical guidance on monitoring treatment efficacy, managing medication side effects, and navigating challenging clinical scenarios like bisphosphonate "drug holidays" and the complexities of stopping denosumab. The discussion extends beyond medications to emphasize the critical role of calcium, vitamin D, and targeted exercise regimens in comprehensive bone health management. Whether you're a medical student building your foundational knowledge or an experienced GP managing complex cases, this episode delivers the practical insights you need to provide optimal care for patients with this prevalent but often overlooked condition. Subscribe to Aussie Med Ed for more expert-led, pragmatic discussions on core medical topics. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

That burning sensation in your chest might be more than just occasional heartburn. Gastroesophageal reflux disease (GORD) affects one in five Australian adults and can profoundly impact quality of life when left untreated. in an interview where Dr Gavin Nimon (Orthopaedic Surgeon and host) interviews A/Prof Harsh Kanhere, Head of Upper GI Surgery at Royal Adelaide Hospital, takes us beyond the common understanding of reflux to explore its true complexity. While heartburn remains the hallmark symptom, many patients experience atypical presentations including respiratory issues, chest pain that mimics cardiac conditions, and even iron deficiency anaemia that can lead to delayed diagnosis and treatment. The conversation delves into the fascinating protective mechanisms that normally prevent reflux and how they fail. A/Prof Harsh Kanherer explains the critical role of the lower oesophageal sphincter and how anatomical disruptions like hiatus hernias create the perfect conditions for acid to travel where it shouldn't. This understanding forms the foundation for both medical and surgical approaches to treatment. Weight gain, smoking, and excessive caffeine emerge as the unholy trinity of reflux risk factors, with obesity particularly significant in our current health landscape. A/Prof Harsh Kanhere shares practical insights on management strategies ranging from lifestyle modifications to medication options and surgical interventions. The modern laparoscopic approach to anti-reflux surgery has transformed what was once a major operation requiring lengthy hospital stays into a procedure some patients can recover from in just a day. Perhaps most valuable is the discussion of Barrett's oesophagus – the potentially pre-cancerous condition that can develop from chronic reflux – and strategies for monitoring and prevention. Whether you're experiencing symptoms yourself or treating patients with this common condition, this episode provides essential knowledge delivered with clarity and practical wisdom. Listen now to understand the science behind your symptoms and discover the most effective approaches to finding relief from this common but potentially serious condition. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

The silent revolution happening in healthcare often goes unnoticed by patients, but medical registries have fundamentally transformed how medicine is practiced—particularly in orthopaedic surgery.Join Dr Gavin Nimon ( Host and Orthopaedic Surgeon ) as he interviews Professor Richard Page and they pull back the curtain on these powerful databases that track surgical outcomes across entire populations. As the former Deputy Director of the Australian Orthopaedic Association National Joint Replacement Registry, Professor Page reveals how these systems have saved approximately $1.2 billion in healthcare costs while dramatically improving patient outcomes. The Australian registry, considered world-class, has tracked over 2.2 million joint replacements with extraordinary detail and accuracy exceeding 99%. What began with passionate surgeons manually recording data has evolved into sophisticated systems that provide early warning signals when implants underperform. Professor Page shares the fascinating story of how shoulder replacements were integrated into the national registry—initially by surgeons who simply crossed out "knee" on data collection forms and wrote "shoulder" instead. This persistence paid off, with shoulder replacements growing from approximately 1,000 annually to nearly 12,000, making it the fastest-growing joint replacement procedure in Australia. The registry has revealed crucial insights: total shoulder replacements outperform partial replacements for osteoarthritis, and reverse shoulder replacements have proven remarkably successful despite initial skepticism. These findings directly influence surgical decisions and have reduced revision rates by nearly 4%, sparing hundreds of patients from additional operations. Looking forward, Professor Page describes an exciting future where registries integrate with AI, smartphone technology, and wearables to provide real-time monitoring of patient function. These powerful databases are evolving from quality assurance tools into platforms for innovative research, international collaboration, and personalized medicine. Explore this fascinating conversation to understand how systematic data collection is quietly revolutionizing healthcare delivery and improving lives. What other medical advances might be hiding in plain sight within these vast repositories of patient data? 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Description: In this episode of Aussie Med Ed, Dr. Gavin Nimon ( Orthopaedic Surgeon ) interviews Dr. Thomas Altree, a respiratory physician, to provide a comprehensive overview of respiratory diseases, including asthma, chronic obstructive pulmonary disease (COPD), interstitial lung disease, and the effects of smoking, vaping, and air pollution. Topics covered in this episode: Common respiratory diseases and their impact on lung function The classification of obstructive and restrictive lung diseases The risks associated with smoking, vaping, and environmental pollutants Diagnostic tools, including spirometry, CT scans, and lung function tests Current treatment approaches, including bronchodilators, BiPAP, and emerging monoclonal antibody therapies The role of lung transplants in end-stage respiratory disease Who should watch? Medical students and general practitioners seeking a deeper understanding of respiratory medicine Patients and the general public interested in lung health Individuals experiencing breathing difficulties, chronic cough, or other respiratory concerns This episode provides essential insights into respiratory health and disease management. If you find this content valuable, please subscribe for more discussions with medical specialists. Aussie Med Ed – A podcast designed to simplify complex medical topics through expert interviews. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

This episode explores the complexities of myeloid conditions, including myelodysplastic syndromes, myeloproliferative neoplasms, and acute myeloid leukaemia, with insights from Dr. Joanna Czerwinski. Host, Dr Gavin Nimon (Orthopaedic Surgeon) interviews Dr Czerwinski about classification, symptoms, diagnostic approaches, and the latest treatment strategies for managing these conditions effectively. • Overview of myeloid conditions and their prevalence • Explanation of the myeloid stem cell line and its relevance • Classification of myeloid disorders: acute vs. chronic • Common symptoms and their diagnostic implications • Key diagnostic tests and investigations required • Intensive treatment approaches for acute myeloid leukaemia • Management strategies for chronic myeloid conditions • Importance of genetic testing in guiding treatment • Future perspectives on myeloid malignancies and ongoing research 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Join host Dr Gavin Nimon ( Orthopaedic Surgeon ) as he unlocks the mysteries of medical statistics and take your clinical decision-making skills to new heights with insights from Dr. Adam Badenoch, an anaesthetist with a Master's in Biostatistics. Discover how essential concepts like central tendency, distribution, and variance can transform your understanding of medical research. Dr. Badenoch explains the significance of numerical and categorical data, and sheds light on how outliers can alter the mean and median, equipping you with the tools needed to critically assess statistical evidence in healthcare. Venture into the complex world of hypothesis testing, where we explore the importance of the null hypothesis and the scrutiny needed before changing clinical practices. Dr. Badenoch demystifies the role of p-values and addresses common criticisms such as the arbitrary 0.05 significance threshold and publication bias. By emphasizing the necessity of defining clinical importance and analysis methods at the outset of studies, this discussion urges a thoughtful balance between scientific integrity and interpretation. Our episode culminates with an insightful look into research study design and the indispensable role of statistical tools in evaluating studies. Learn about confidence intervals and their power to reveal the range of plausible values for true population parameters, standing in contrast to p-values. We also touch on the challenges of implementing evidence-based medicine in practice, with a nod to the potential and pitfalls of artificial intelligence in data analysis. This episode is a must for healthcare professionals aiming to refine their statistical acumen and apply evidence-based insights effectively. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

This is approved for 1 hour RACGP CPD - accredited activity to complete - click on registration link after listenning remember to provide RACGP member number and email registration link Discover the transformative power of a balanced diet across all life stages with insights from our expert guest, Clinical Dietitian Nick Wray. With nearly three decades of experience in dietetics, Nick joins us to shed light on the importance of macronutrients and micronutrients tailored to individual needs. We promise you'll gain a clear understanding of how dietary requirements shift with age, activity level, and health conditions, as well as the complexities faced when essential food groups are eliminated. Together, we navigate the challenges of maintaining a nutritious diet amidst dietary restrictions and explore the vital roles that proteins, fats, and carbohydrates play in our health. Hosted by Dr Gavin Nimon ( Orthopaedic Surgeon and Host of Aussie Med Ed) the conversation unpacks the nuances of macronutrients and micronutrients, focusing on how these components support energy, muscle building, and overall wellbeing. We emphasize the art of balancing dietary needs for those with specific lifestyles, such as vegans or pescatarians, and why diverse plant-based protein sources are crucial. The discussion takes a closer look at exercise and its impact on nutrient demands, particularly highlighting the increased necessity for protein in muscle-building and carbohydrates for endurance activities. Moreover, we delve into the heart health benefits of healthy fats, especially those found in the Mediterranean diet, and how these contribute to essential fatty acid intake. Nutrition plays a pivotal role not just in general health, but also in surgical recovery, especially for those who are sarcopenic or malnourished. Nick shares valuable insights into the use of oral protein supplements and multivitamins for aiding recovery, while also addressing common dietary habits that could hinder health, such as excessive carbohydrate and sugary drink consumption. We discuss strategies for managing insulin levels with lower-carb diets and provide practical advice on tailoring nutritional plans based on exercise levels and individual needs. Wrapping up, we touch on the intricacies of food allergies and intolerances, reinforcing the need for personalized dietary assessments to ensure optimal health outcomes. 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page

Can simplifying complex medical diagnoses be as easy as one, two, three? Join me, Dr Gavin Nimon ( Orthopaedic Surgeon ), as we uncover the secrets of the rule of threes in tackling musculoskeletal hand conditions. Journey through the labyrinth of traumatic, elective, and mixed hand presentations with a new lens that promises clarity for both seasoned practitioners and eager medical students. Discover how categorizing fractures, dislocations, and nerve injuries into structured classifications can transform the way we assess and treat these intricate conditions, making them more approachable and less daunting. Delve into the world of arthritis, tendon issues, and nerve conditions, and learn how to effectively assess ailments like primary osteoarthritis, rheumatoid arthritis, and carpal tunnel syndrome. From the telltale signs of Heberden's nodes to the vexing symptoms of trigger finger, I offer practical knowledge that translates to real-world medical applications. Whether you're a curious listener or a medical professional, this episode delivers valuable insights into the effective management of hand health, enhancing your understanding and approach to these common yet complex conditions. (This bepisode was also partially produced on the traditional lands of the Jagera people and the Turrbal - Meanjin (Brisbane CBD) as well as Kaurna Land) 🎙️ Proudly Supported By Our Sponsors Aussie Med Ed is independent and free — made possible by these amazing Australian organisations. Heidi Health — AI medical scribe built for Australian clinicians. Finish clinic on time and keep your focus on your patients. Visit Heidi Health HealthShare — Australia's health information and referral platform, connecting GPs, specialists and patients. Visit HealthShare Avant Medical Defence Organisation — Protecting over 80,000 Australian healthcare professionals. Visit Avant eMedici -an Australian-made medical education platform for med students, junior doctors, and IMGs. Visit eMedici.com/MEDED Better Medical - GP clinics across QLD, SA, VIC and TAS – offering you the freedom to practise your way, backed by a strong support network. Visit BetterMedical Thanking the organisations that make Aussie Med Ed possible. Visit our full Sponsors page