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by the Royal Australasian College of Physicians
Pomegranate Health is a podcast about the culture of medicine. You'll hear clinicians, researchers and advocates discuss all aspects of professionalism and quality improvement in healthcare. This includes clinical ethics, diagnostic bias, better communication and more equitable systems. For a sampler of these diverse themes of professional practice take a listen to Episode 132 and Episode 125.If RACP is your CPD home, you can log time spent listening to each episode with the "Add activity to MyCPD" button. And if you're a Basic Physician Trainee, the [Case Report] series might help you prepare for your long case clinical exams.This is also the home of [IMJ On-Air], featuring aut
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Despite Australia’s wealth and low population density, community transmission of the infection has been observed in remote Aboriginal territories. In May 2022, TB was detected on the country of the Pitjantjatjara Yankunytjatjara people, the first outbreak in five years. Administratively the APY lands cover 100,000 km squared in South Australia, and they are closer to Alice Springs than they are to Adelaide. Important prevention and elimination work is conducted by visiting staff from th...
Spirometry reference equations are central to differentiating obstructive ventilatory defects, like asthma and bronchiectasis from restrictive ventilatory defects, like sarcoidosis and idiopathic pulmonary fibrosis. Across the population, the metrics of lung function testing fall out on a bell-curve, and a person’s predicted score if health can be determined by putting their sex, age and height into a reference equation. The shape of this bell curve does change from one population group to t...
One in twenty Australian women of reproductive age are treated with intravenous iron supplementation, almost exclusively with ferric carboxymaltose. Usually sold under the name Ferinject or also Ferricarbo and Ferivo, this formulation is well-known to reduce serum phosphate in 50 to 70% of patients taking it, recently published findings reveal that it is associated with a significant increase in fracture risk and osteomalacia. Cohort studies presented in July in the journal Blood show...
In part 1 of this series we talked about the efficiency gains from use of ambient scribes observed in some hospital settings. In this episode we discuss other opportunities that arise from granting large language models access to all the notes and test results in the patient record. The potential comes most clearly into perspective in regards to discharge summaries. Discharge from hospital is a notorious example of discontinuity in care, with up to half of discharged patients experienci...
The burden of clinical documentation is one of the top reasons given for job dissatisfaction in medicine. Physicians typically give up an hour of personal time per shift to complete paperwork and the frustration is experienced by patients too, who sometimes feel that their doctors are more focused on the computer. The promise of ambient AI scribes is that they could slash the time you spend hovering over the keyboard and in general practice some 40 percent of Australian GPs are using scribes ...
The avian flu H5N1 known as 2.3.4.4b has been tearing around the globe since 2021 causing significant mortality in sea birds and mammals. The Australian and New Zealand mainland were the last holdouts, but this virus was first detected near Esperance, WA on June 20th 2026 and then near Wellington, NZ on Jul 14th. Both cases involved a bird known as the brown skua, which travels across the Southern Ocean, and by August 24th the H5N1 had also been confirmed in fur seals in South Australia and a...
Allergies to first-line antibiotics complicate care, and use of broad-spectrum alternatives is associated with prolonged hospital stays and increased rates of admissions to ICU. It also makes emergence of antimicrobial-resistant pathogens more likely. Ten to 16% of adult patients are marked in the record as being allergic to penicillins but the majority of these labels are applied inaccurately or have become outdated over time. While skin-prick testing is a safe and reliable way to del...
This popular episode was first published in 2019. Australia and NZ are made up of sprawling cities and far-flung towns and driving is often viewed as a fundamental freedom. It can be hard for clinicians to challenge that freedom with patients who they consider unfit to drive safely. And harder still to deal with the consequences if a patient does have a crash. There are diagnoses that should raise red flags for driving fitness in various specialty areas, and a clinician can be drawn in...
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Pomegranate Health is a podcast about the culture of medicine. You'll hear clinicians, researchers and advocates discuss all aspects of professionalism and quality improvement in healthcare. This includes clinical ethics, diagnostic bias, better communication and more equitable systems. For a sampler of these diverse themes of professional practice take a listen to Episode 132 and Episode 125.If RACP is your CPD home, you can log time spent listening to each episode with the "Add activity to MyCPD" button. And if you're a Basic Physician Trainee, the [Case Report] series might help you prepare for your long case clinical exams.This is also the home of [IMJ On-Air], featuring aut
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