Episode 237

Eating Disorders: Management in Primary Care

In this episode, Dr Krystyna de Lange is once again joined by Dr Karen Spielman and Dr Rachel Kalman, GPs with a special interest in eating disorders, for part two of this series on eating disorders. Their conversation centres on the ongoing management of patients with eating disorders in general practice.

Dr Kalman provides guidance on the frequency and nature of medical monitoring, including when to order blood tests and ECGs. Dr Spielman discusses how to assess and respond to medical instability, particularly cardiovascular risks and rapid weight loss, while emphasising clinical judgment and individualised care.

They discuss common medical complications associated with eating disorders, such as cardiovascular, gastrointestinal, and endocrine issues, along with practical tips for symptom management and patient education. The importance of the GP’s role in long-term management, continuity of care, and maintaining hope for recovery.

This episode also includes a detailed walkthrough of the Eating Disorder Treatment Plan (EDP), addressing eligibility, use of templates, and the expanded access to psychological and dietetic support. They encourage GPs to utilise the EDP and Medicare Safety Net to make comprehensive care more accessible for patients.

Links & Resources:

  1. Inside Out Institute GP Hub: https://gp.insideoutinstitute.org.au
  2. CEED Table for medical monitoring: https://ceed.org.au/wp-content/uploads/2025/03/Medical-Monitoring-in-Eating-Disorders.pdf
  3. Eating Disorders Family Australia: https://edfa.org.au
  4. Sick Enough Book by Dr Jennifer L. Guadiani: https://www.sickenough.com

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The Good GP, the education podcast for busy GPs

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About your hosts

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Tim Koh

Dr Tim Koh is a Perth-based GP with over 20 years of experience and a strong focus on GP education and evidence-based practice. He provides practical insights and advice on key topics in primary care.
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Krystyna de Lange

Dr Krystyna de Lange is a GP with nine years of experience, specialising in Aboriginal and Torres Strait Islander health, women’s health, and chronic disease management. She delivers practical insights and fosters engaging discussions on essential health topics.
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Sean Stevens

Dr Sean Stevens is a GP with 27 years of experience, recognised for his expertise in medical education and innovation. He has contributed to over 60 episodes, sharing valuable insights to promote quality care in general practice.