aIn 2017, Victoria was the first state in Australia to pass voluntary assisted legislation and has been followed by Western Australia, Tasmania and now South Australia. Aotearoa-New Zealand passed its End-of-life Choice Bill two years ago and that will go live in November. This podcast draws on the experience of some very committed Victorian clinicians who share the lessons they&apos;ve learned  over the last two years about practical implementation of VAD.The presenters were recorded at this year’s RACP Congress held in May. Palliative care physician Danielle Ko explained how Austin Health has prepared and supported its healthcare staff through this shift in practice. Palliative care Greg Mewett described the challenge of consulting remotely with patients in regional Victoria. Professor Paul Komesaroff reflected on some other points of friction in Victoria’s law as it stands and the practicalities of medical practice. And Professor James Howe talked of his work as a neurologist in a Catholic healthcare institution, and how tensions over assisted dying had been resolved. Guests  Dr Danielle Ko FRACGP FAChPM (Clinical Ethics Lead, Austin Health; VAD Review Board, Safercare Victoria)Dr Greg Mewett FRACGP FAChPM DRCOG (Ballarat Rural Health; Grampians Regional Palliative Care Team)Professor Paul Komesaroff FRACP (Alfred Hospital; Monash University)Adjunct Assoc Prof James Howe FRACP (VAD Review Board, Safercare Victoria)Dr George Laking FRACP (Auckland City Hospital; RACP President Aotearoa New Zealand)ProductionWritten and produced by Mic Cavazzini DPhil. Music courtesy of Epidemic Sound includes ‘Like Clockwork’, by Benjamin Kling, ‘September Skies’ by Silver Maple, ‘Mistranslations by Rand Aldo, ‘Elm Lake’ by Elm Lake, Finally B by ‘Twelwe. Image licensed from Getty Images.Feedback on this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group; Paul Cooper, Rhinnon Mellor, Loryn EinsteinPlease visit the RACP website for a transcript and supporting references. Fellows of the College can claim CPD credits for listening to the podcast and reading supporting resources. 

Pomegranate Health

Ep71: Voluntary Assisted Dying—what have we learned?

Acute Kidney Injury makes a greater contribution to early mortality than acute myocardial infarction and it&apos;s been argued we should consider the concept of “kidney attack” to give it the weight that it deserves. But the presentation of kidney injury isn’t as overt or timely as a heart attack often is. While serum creatinine is a pretty good reporter of chronic impairment in kidney function it’s very insensitive to acute injury, so for two decades there’s been a concerted search for more proximal biomarkers of AKI. The three most promising candidates are neutrophil gelatinase‐associated lipocalin (NGAL), tissue inhibitor of metallo-proteinase 2 (TIMP-2) and insulin-like growth factor binding protein-7 (IGBFP-7). Commercial assays for these exist that can predict moderate to severe AKI with a lead time of many hours in at-risk patients. But many questions remains as whether these are specific enough to be useful at point of care and whether we have the interventions to respond to the information they provide. Guest  Professor Rinaldo Bellomo AO FRACP FCICM FAHMS (Director of Research Intensive Care, Austin Hospital; University of Melbourne; Monash University). ProductionWritten and produced by Mic Cavazzini DPhil. Music courtesy of FreeMusicArchive includes ‘Downhill Racer’, by Blue Dot Sessions, ‘Making a Change’ by Lee Rosevere, ‘Fryeri’ by Kai Engel, ‘Subscribe to the New Internationalist’ by Tzara. Image licensed from Getty Images.Feedback on this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group; Vicka Poudyal, Paul Cooper, Rhiannon Mellor, Duncan Austin, Seema Radhakrishnan, Phillipa Wormald, Victoria Langton,  Oliver Dillon and Loryn Einstein.  Please visit the RACP website for a transcript and supporting references. Fellows of the College can claim CPD credits for listening and additional reading. 

Ep70: Zeroing in on “the renal troponin”

This is the third and final part of our series on gendered medicine. We step back and look at the way that health care and research are funded. It’s been said that the health needs of women are undervalued by our existing fee-for-service model, down to individual item numbers in the Medicare Benefits Schedule. There’s also evidence that disease predominantly experienced by female patients receive less research investment. Is this blatant sexism or a symptom of other structural imbalance? And what do we do about it? Guest  Dr Zoe Wainer BMBS, PhD, MPH (Director of Clinical Governance, BUPA)ProductionWritten and produced by Mic Cavazzini DPhil. Music licenced from Epidemic Sound includes ‘Lullaby’ by OOy, ‘Cocktail’ by Major Tweaks, ‘Soul Single Serenade’ by Dusty Decks, ‘Elm Lake’ by Elm Lake, ‘Kauko’ by Twelve, ‘Fugent’ by Lupus Nocte. Voice acting by Ai Leen Quah. Image by Claudius Vesalius courtesy of Wikimedia Commons. Feedback on this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group; Ilana Ginges, Sern Wei Yeoh, Lucy Haggstrom, Nele Legge, Ketih Ooi, Adrienne Torda, Li-Zsa Tan, Loryn Einstein, Vicka Poudyal, Rhiannon Mellor, Rosalynn Pszczola. Other reviewers include Dr Lucy Mitchell and Rebecca Lewis, Elyce Pyzhov, Michelle Daley, Cristiana Palmieri PhD and Dr Anna Sidis DCP. Please visit the RACP website for a transcript and embedded citations. Fellows of the College can claim CPD credits for listening and additional reading. 

Ep69: Gendered Medicine—Funding and Research

Gender can be considered a social determinant of health, in the different pressures and expectations it puts on women and men. For example, the taboos around menstruation are so profound that many young women are dangerously naïve about their own reproductive health. Meanwhile, endometriosis, chronic fatigue syndrome, and other conditions associated with chronic pain have a stigma around them that means self-reports are often not taken seriously by health professionals. Historic notions of hysteria have a more profound impact on medical thinking than we might imagine, and in this podcast we ask what can be done to erase these. GuestGabrielle Jackson (Associate News Editor Guardian Australia, Author Pain and Prejudice)  ProductionWritten and produced by Mic Cavazzini DPhil. Music licenced from Epidemic Sound includes ‘Elm Lake’ by Elm Lake, ‘Soul Single Serenade’ by Dusty Decks, ‘Desert Hideout’ by Christopher Moe Ditlevsen, ‘September Skies’ by Silver Maple, ‘Fugent’ by Lupus Nocte. Image licenced from Getty Images. Voice acting by Paul Curtis. Feedback on this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group; Ilana Ginges, Sern Wei Yeoh, Lucy Haggstrom, Nele Legge, Ketih Ooi, Adrienne Torda, Li-Zsa Tan, Loryn Einstein, Vicka Poudyal, Rhiannon Mellor, Rosalynn Pszczola. Other reviewers include Dr Lucy Mitchell and Rebecca Lewis, Elyce Pyzhov, Michelle Daley, Cristiana Palmieri PhD and Dr Anna Sidis DCP.Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep68: Gendered Medicine—Pain

This is the fourth and final part in our series on Global Health Security. Australia’s Indo-Pacific Centre for Health Security was launched in 2017 to provide development assistance to health services as far-flung as Fiji, Cambodia and Timor L’este. Its mission is always tailored to the needs of the partner government. In Indonesia it has provided training to the veterinary sector to foster antimicrobial stewardship. The 2020 COVID-19 pandemic was a sudden shock to the development agenda and has forced a rapid redeployment of resources. Since recording this interview there has been an additional $500 million dollar commitment to fund doses of COVID-19 vaccine and technical assistance to the Pacific and Southeast Asia. GuestsRobin Davies (Head of Centre, Indo-Pacific Centre for Health Security)Dr Stephanie Williams AFPHM (Australia&apos;s Ambassador for Regional Health Security, Indo-Pacific Centre for Health Security)ProductionWritten and produced by Mic Cavazzini. Music courtesy of Free Music Archive includes ‘Cast in Wicker’ and ‘the Zepplin’ by Blue Dot Sessions, ‘Linger’ by David Szezstay and ‘Dormir’ by Monplaisir. Photo by Lazslo Mates licenced from Shutterstock. Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep67: Boosting Public Health in the Indo-Pacific

We traditionally think of cardiovascular disease as a man’s problem, but it’s the leading cause of death for women as well as men in most of the industrialized world. Despite great advances in the management of heart disease in recent years, women are still not getting the same quality of care as men. Readmissions and mortality following an acute myocardial infarction at least two times higher in women as they are in men.  Put simply, cardiovascular disease is better understood in men, the presentations and diagnosis occur more promptly, and therapies are more consistently delivered to male patients. In this episode we explore the subtle biases at every stage that nudge male and female patients down different health pathways and result in gendered health outcomes. Guest Associate Professor Sarah Zaman FRACP (Westmead Hospital, University of Sydney)Production Written and produced by Mic Cavazzini DPhil. Music licenced from Epidemic Sound includes ‘Dew’ and ‘Vargtimmen’ by Da Sein, ‘Spring’ by Cora Zea, ‘Missing Memories’ by Christopher Moe Ditlevsen and ‘Feels Like I’m Going Crazy’ by Tigeblood Jewel. Image licenced from Getty Images. Editorial feedback for this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group; Sern Wei Yeoh, Joseph Lee, Phillipa Wormald, Rhiannon Mellor,  Seema Radhakrishnan, Atif Mohd Slim and Li-Sza Tan. Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep66: Gendered Medicine—Heart Disease

In this episode we present some provocative solutions to problems presented in the previous two stories.We heard about pharmaceutical patents, and how embedded intellectual property law is in global trade relations. There’s this fundamental assumption that innovation occurs thanks only to the vigour of the private sector and the plucky entrepreneur. It’s even been said that financialized capitalism is “the greatest engine of progress ever seen.” But the reality is that shiny smartphones and targeted drugs wouldn’t exist without massive government spending on research. It’s public money that funds the riskiest stages of development, before private enterprise takes these products to market with the benefit of monopoly pricing. Dr Owain Williams and Associate Professor Peter Hill argue that states can demand more control over the outputs and pricing of drug and vaccine research, and that the current intellectual property regime is not the only way to stimulate innovation. In the second part Associate Professor Adam Kamradt-Scott talks about the lessons learned and not learned from pandemic modelling in past years. He also makes the case for establishing an Australian Centre for Disease Control with standalone jurisdiction, to cut through some of the conflict we’ve seen in recent months between state and federal leaders.  GuestsDr Owain Williams (University of Leeds) Associate Professor Peter Hill AFPHM (University of Queensland)Associate Professor Adam Kamradt-Scott (University of Sydney, United States Studies Centre)Production Written and produced by Mic Cavazzini DPhil. Music courtesy of Free Music Archive includes ‘Cherry Blossom’ by Daddy Scrabble, ‘Sunstorm’ by ELFL, ‘Mister S’ by Tortue Super Sonic and ‘Club Crunk for Monkeys’ by Kromatic. Image licenced from Getty Images. Editorial feedback for this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group; Sern Wei Yeoh, Leah Krischock, Saion Chaterjee, Priya Garg, Victoria Langton and Joseph Lee.Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep65: A New Script for Global Public Health

This is part 2 in our series on global public health and focuses on the impact of intellectual property laws on the development and distribution of pharmaceuticals. The COVID-19 pandemic has stimulated a frenzy of vaccine development never seen before, but also examples of hoarding, price hikes and vaccine nationalism. The crisis has brought together scores of governments, manufactures and philanthropic organisations to pool research outcomes and patents, but the response from big pharma has been mixed. We’ll discuss where the IP rules have come from and where exceptions are sometimes made for public health emergencies. We also discuss how pooled procurement mechanisms and advanced market commitments can help get drugs and vaccines to populations in developing countries and whether COVID-19 can prompt a permanent change to the existing IP regime.Guests Dr Owain Williams (University of Leeds) Associate Professor Peter Hill AFPHM (University of Queensland) Dr Deborah Gleeson (La Trobe University) Production Written and produced by Mic Cavazzini. Music courtesy of Free Music Archive includes ‘Let Us Overcome’ by Tayler Watts, ‘Passages’, ‘Global Warming’ and ‘Salue’ by Kai Engel, ‘Electro Cool’ by 4T Thieves, ‘Capgras’ by Ben Carey and ‘Sunstorm’ by ELFL. Image licenced from Getty Images. Editorial feedback for this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group; Sern Wei Yeoh, Leah Krischock, Saion Chaterjee, Priya Garg, Victoria Langton and Joseph LeePlease visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep64: Big Pharma and the People’s Vaccine

During the COVID-19 crisis there has been some criticism of the World Health Organisation as to whether it declared a pandemic soon enough or covered up for China’s failings. But few commentators have explained the role and responsibilities it shares with its member states in dealing with a pandemic. A prototype of the International Health Regulations were conceived during the cholera epidemics of the mid 1800s, and but the most current version of the IHR was formalised in 2005 in response to SARS. Associate Professor Adam Kamradt-Scott has documented the political and social factors that have accompanied the implementation of the IHR. In this podcast we consider how the unprecedented scale of the current pandemic and the mixed response from member states has challenged the viability of the WHO.GuestsAssociate Professor Adam Kamradt-Scott (University of Sydney, United States Studies Centre) Production Written and produced by Mic Cavazzini. Music courtesy of Free Music Archive includes ‘Amsterdam’ by LASERS , ‘Capgras’ by Ben Carey and ‘Let Us Overcome’ by Tayler Watts. Image licenced from Getty Images. Editorial feedback for this episode was kindly provided by physicians of the RACP’s Podcast Editorial Group;  Rosalynn Pszczola, Li-Zsa Tan, Michael Herd, Sern Wei Yeoh, Oliver Dillon, Priya Garg, Ilana Ginges, Duncan Austin, Saion Chaterjee, Leah Krishchock and Lisa Mounsey Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep63: the WHO’s Biggest Test

In episode 59 we shared a sampler of the Essential Ethics podcast from the Children&apos;s Bioethics Centre, at the Royal Children’s Hospital, Melbourne. A couple of cases studies were presented to help us define “the Zone of Parental Discretion” – a space in which decision-making about a child’s medical care is conceded to parents even if it’s not optimal clinical management.Today’s thought experiments come from the oncology department. First, we’re asked to consider when an adolescent should be permitted to make autonomous decisions about their health, even if these would lead to worse clinical outcomes. How does a clinical team decide whether to accept this wish or to override it?    In the second case study, the final outcome has already been determined by an incurable brain tumour. A 14 year old girl has been diagnosed with a high grade medulloblastoma. Therapy has little chance of cure but around 30% of patients have their life prolonged by 2 or 3 years but comes with disabling side effects. The parents want to bypass recommended treatment and try prayer and natural therapies instead . Does this terminal prognosis broaden the zone of parental discretion, and how can the clinical team help the family with the terrible choices they have to make? GuestsProf John Massie FRACP (Royal Children’s Hospital Melbourne, Murdoch Children’s Research Institute)Associate Professor Clare Delany (Children’s Bioethics Centre, University of Melbourne)Diane Hanna FRACP (Royal Children’s Hospital, Melbourne, Walter and Eliza Hall Institute of Medical Research)Kanika Bhatia FRACP (Royal Children’s Hospital, Melbourne)Molly Williams FRACP, FAChPM (Royal Children’s Hospital, Melbourne) ProductionWritten and produced by Mic Cavazzini. Music courtesy of Free Music Archive includes ‘A Path Unwinding’ , ‘The Air Escaping’ and ‘Vittoro’ by Blue Dot Sessions. Image licenced from Shutterstock.Editorial feedback for this episode was kindly provided by members of the RACP’s Podcast Editorial Group; Lisa Mounsey. Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep62: Essential Ethics in Adolescent Health

In the previous episode we discussed the presentations and screening of delirium, as well as the risk factors. Just as important as these medical and iatrogenic precipitants are a host of environmental triggers that are highly modifiable. Anything that contributes to a person’s disorientation and discomfort can increase the likelihood of a delirium episode. While a lot of these factors are compounded in elderly and frail patients, it’s important not to be fatalistic. Delirium can be reversed in a majority of patients by non-pharmacological means. There are no medications indicated for treatment anywhere in the world. Psychtropic drugs should only be considered in patients experiencing severe distress intractable by other means as they are associated with many adverse side effects.GuestsAdam KwokProfessor Meera Agar FRACP FAChPM (Liverpool Hospital, UTS) Professor Gideon Caplan FRACP (Director of Geriatric Medicine, Prince of Wales Hospital, UNSW)  ProductionWritten and produced by Mic Cavazzini. Music courtesy of Free Music Archive includes  ‘See You Soon’ by Borrtex, ‘Remember the Archer’ by Scott Holmes, ‘John Stockton Slow Drag’ by Chris Zabriskie, ‘Tam814’ by LJ Kruzer and ‘Listen, Lisbon’ by Loch Lomond. Picture licenced from Getty Images.Editorial feedback for this episode was kindly provided by members of the RACP’s Podcast Editorial Group; Sern Wei Yeoh, Seema Radhakrishnan, Phillipa Wormald, Duncan Austin, Joseph Lee, Adrienne Torda,  Marion Leighton, Oliver Dillon, Atif Slim, Andrew Whyte, Rhiannon Mellor.Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep61: Delirium Part 2- Prevention and Management

Delirium is associated with an increased risk of falls, dementia and high dependency care, and all of this adds up to higher mortality. About a third of patients admitted to ICU or approaching the end of life experience delirium. But it’s notoriously underdiagnosed, so in this episode we talk about the presentations and detection of delirium. We also go through some of the medical risk factors, including dementia, infection and metabolic disorders like hypercalcaemia. But even more common than these precipitants, are a host of drugs that can alter cognition or increase agitation by their anti-cholinergic properties. Importantly, we also hear Adam Kwok described his experience as the carer of a patient going through the trauma of three bouts of delirium, and the challenges of care. Go to the next episode to hear about non-pharmacological management of those at risk of delirium, and the many caveats of psychotropic medication.GuestsAdam Kwok Professor Meera Agar FRACP FAChPM (Liverpool Hospital, UTS)  Professor Gideon Caplan FRACP (Director of Geriatric Medicine, Prince of Wales Hospital, UNSW) ProductionWritten and produced by Mic Cavazzini. Music courtesy of Free Music Archive includes ‘Noir’ by Daniel James Dolby, ‘You Are Not Alone’ by Borrtex, ‘Remember the Archer’ by Scott Holmes, ‘Cherry Blossom’ by Daddy Scrabble and ‘Listen, Lisbon’ by Loch Lomond. Picture licenced from Getty Images. Editorial feedback for this episode was kindly provided by members of the RACP’s Podcast Editorial Group; Sern Wei Yeoh, Seema Radhakrishnan, Phillipa Wormald, Duncan Austin, Joseph Lee, Adrienne Torda,  Marion Leighton, Oliver Dillon, Atif Slim, Andrew Whyte, Rhiannon Mellor.Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep60: Delirium Part 1- Detection and Causes

The ethical questions that come up in paediatrics can appear overwhelming to begin with. When can a child be said to have cognitive capacity and bodily autonomy? For those who don’t, where does the guardianship of the parent to give way to that of the medical professionals? When might treating one child have implications for the resources available to others? And what about not treating or vaccinating a child, if that’s what the parents want?All of these issues are tackled in the Essential Ethics podcast, produced within the Children&apos;s Bioethics Centre at the Royal Children’s Hospital, Melbourne. The Centre was established to promote the rights of young patients and to support families and clinicians facing some vexing ethical questions. The Essential Ethics podcast takes a case-based approach to demonstrate how dilemmas in clinical ethics can be worked through in a systematic way. A couple of these are presented here as part of the RACP Congress digital program. In the first story discussed, a child with autism spectrum disorder is suspected of having COVID-19, but the mother refuses testing as it will distress him for little gain. The second, real life case, is that of a 16 month old boy born with a developmental abnormality of the lower leg. In the most severe cases the recommended clinical management involves amputation, but this boy’s deformity can be corrected through a number of involved surgeries. Orthopaedic surgeon Chris Harris describes the confronting course he had to take. He is interviewed by paediatric respiratory physician John Massie and clinical ethicist Lynn Gillam. They are respectively the Clinical Lead and Academic Director of the Children&apos;s Bioethics Centre, and both have Professorial appointments at the University of Melbourne.GuestsProf Lynn Gillam (Academic Director, Children’s Bioethics Centre, University of Melbourne)Prof John Massie FRACP (Royal Children’s Hospital Melbourne, University of Melbourne)Dr Chris Harris FRACS (Royal Children’s Hospital Melbourne)ProductionWritten and produced by Mic Cavazzini. Music courtesy of Free Music Archive includes ‘Vodka’ by Transient, ‘Linger’ by David Szesztay and ‘Celeste’ by Adam Fitch. Image licenced from Shutterstock. Editorial feedback for this episode was kindly provided by members of the RACP’s Podcast Editorial Group; Saion Chaterjee, Jenae Valk, Michael Herd, Phillipa Wormald and Lisa Mounsey. Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep59: Essential Ethics in Paediatrics

In this episode we continue the discussion from Episode 56 about medical billing in Australia. Almost 500  million Medicare rebates are processed every year and for the most part these are claimed appropriately. But non-compliant billing could be costing the health system over 2 billion dollars annually. The vast majority of this comes down to misunderstanding of the conditions around MBS items, according to our guest Loryn Einstein of Medical Billing Experts.Every year the Department of Health shifts its attention onto a different specialty area to look at the statistical spread of claiming behaviour. Practitioners at the top end of the curve receive warning letters and flagged practitioners who persist with unaccountable billing behaviour will have their practice audited more thoroughly. Finally, they may be referred to the Professional Services Review, a sort of judicial panel made up of clinical peers.Questions have been raised by professional bodies and lawyers about the sensitivity of these processes to clinical nuance or procedural fairness, and the lack of education available to practitioners. We hear responses to such concerns from the Department of Health.Finally, we take a look at the huge range of private medical fees in Australia. Loryn Einstein considers how factors like regulation and supply and demand shape this market.GuestLoryn Einstein (managing director, Medical Billing Experts) ProductionWritten and produced by Mic Cavazzini. Tracks courtesy of Free Music Archive include ‘Shadow Lines’ and ‘Le Hustle’ – Polyrhythmiques, ‘Mr S’—Tortue Super Sonic, ‘Un desert’- Komiku, ‘Undercover Vampire Policeman’- Chris Zabriskie, ‘Friends and Apples’- Alpha Hydrae. Image licenced from Getty Images. Editorial feedback for this episode was kindly provided by members of the RACP’s Podcast Editorial Group; Sern Wei Yeo, Rhiannon Mellor and Seema RadhakrishnanPlease visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep58: Billing Part 2—Compliance and the Free Market

COVID-19 has left few people around the world unaffected, and health practitioners are among those at the top of the list. Their daily and intimate service to public inevitably puts them at risk of catching the virus, while social distancing precautions can compromise the work that they do. Dreadful as the viral disease is, the bigger consequences of the pandemic may be on the disruption to routine healthcare.Consulting patients by video or phone can be a way to keep healthcare ticking over, but many doctors are nervous as they adopt it for the first time. In this podcast we go over some of the bureaucratic and tech support questions that clinicians have been asking during the current crisis. We also discuss the art of building trust with new patients, and conducting a physical examination through telehealth.  The guest speakers are oncologist Sabe Sabesan and paediatrician Michael Williams, who’ve been pioneering telehealth outreach to rural and remote Queensland for more than a decade.GuestsProfessor Sabe Sabesan FRACP (Director, Townsville Cancer Centre; James Cooke University) Dr Michael Williams FRACP (Director, Queensland Paediatric Telehealth Service)  ProductionWritten and produced by Mic Cavazzini. Tracks licenced from Epidemic Sound include ‘Fields 3 – Gunnar Johnsén, ‘By the Harbour’ – Mhern, ‘Leaving Serengeti’- Ooy, ‘Mega Woman IV’ – ELFL. Image copyright Shutterstock. Editorial feedback for this episode was kindly provided by members of the RACP’s Podcast Editorial Group;  Michael Herd, Li-Zsa Tan, Alexis Frydenberg, Sern Wei Yeoh, Andrea Knox, Seema Radhakrishnan, Phillipa Wormald, Priya Garg, Andrew Whyte and Ilana Ginges. Please visit the RACP website for a transcript embedded with citations. Fellows of the College can claim CPD credits for listening and additional reading.  

Ep57: The Art of Telehealth

Pomegranate Health presents compelling stories about medicine and society; how doctors make difficult ethical and clinical decisions, how they can communicate with patients and how health delivery can be made more equitable.

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