Episode 218

Things I wish I knew as a New Fellow

In this special live episode of The Good GP, Dr Sean Stevens and Dr Catherine Bourke are interviewed by Dr Bethany Reynolds, Chair of the WA New Fellows Committee, at the RACGP Early Career GPs Conference in the Swan Valley, on Whadjuk Nyongar Country. Discussing key lessons and insights for GPs transitioning from fellowship training to early career practice.

Key topics covered:

  • Business and Administration for New Fellows: The importance of setting aside funds for the first tax bill when transitioning to contractor status, and key considerations for thinking about oneself as a business, setting appropriate fees, and effectively communicating billing with patients.
  • Understanding Risk and Wellbeing: Discussing not only financial and legal risks but also the psychological demands of general practice. Which includes practising within a supportive team environment and prioritising professional longevity.


  • Shaping Your Practice and Case Mix: Exploring practical strategies for finding enjoyment and meaning in daily work. Mentioning the value of understanding personal drivers (ikigai), developing niche areas of clinical interest, and using support networks and mentors for ongoing professional development.


  • Managing Challenging Consultations: Strategies for handling heart-sink patients and complex consults, and the importance of setting boundaries, reframing expectations, and developing strong consultation management skills.


  • Mentorship in Early Career: Both Dr Stevens and Dr Bourke share their experiences with mentors and the benefits of both formal and informal mentorship relationships. Encouraging to seek out mentors in various aspects of general practice and practice ownership.


The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network


If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

What if we could make HIV history? It might be closer than you think.

What if we could make HIV history? It might be closer than you think. PrEP is one simple tool that can help eliminate HIV transmission. GPs can prescribe PrEP with no special training. Find out more, and who might benefit, at ashm.org.au/prep.

ASHM PrEP

About the Podcast

Show artwork for The Good GP
The Good GP
The Good GP, the education podcast for busy GPs

About your hosts

Profile picture for Tim Koh

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.
Profile picture for Krystyna de Lange

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.
Profile picture for Sean Stevens

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.