The Medical Republic

The Medical Republic is a community of doctors, journalists, and traditional publishers who aim to enhance communication for healthcare professionals in today's mobile and social world. We understand that the healthcare landscape is evolving, and with change comes challenges. Our goal is to assist in navigating these changes, even if it means addressing topics that may be uncomfortable for some. We believe that through these discussions, we can drive progress. Our ultimate mission is to improve community health by supporting connected primary caregivers and empowering patients.

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New cosmetic injectables guidelines have a blind spot

5 days ago | medicalrepublic.com.au | Holly Payne

AHPRA’s incoming guidelines for registered health practitioners performing non-surgical cosmetic procedures mean little without specific, approved training requirements. The health practitioner regulator has taken another step forward in bringing the cosmetic medicine industry to heel – but the newly-released guidelines offer little variation on the existing advice.
Psoriasis increases kidney disease risk in diabetic patients

6 days ago | medicalrepublic.com.au | Amanda Sheppeard

Researchers have called for investigations into why current treatments might not provide strong protection. Patients with type 2 diabetes mellitus and psoriasis face significantly higher long-term risks of diabetic nephropathy, chronic kidney disease, end-stage renal disease and dialysis, a large retrospective cohort study has found. And the risk remains even if patients are being treated with guideline-recommended reno-protective therapies, the researchers say.
Extra measles vaccines for SA GPs

6 days ago | medicalrepublic.com.au | Holly Payne

From 1 July, some residents will be eligible for a free dose of the MMR vaccine as part of a state-funded campaign to boost coverage. GPs and pharmacists in South Australia will be armed with additional doses of the Measles Mumps Rubella vaccine specifically for residents planning overseas travel, as the Australian measles outbreak continues to grow. The state-funded measles vaccination program will kick off on 1 July.
First look at RN prescribing training standards

6 days ago | medicalrepublic.com.au | Holly Payne

Registered nurses with additional post-graduate training will soon be able to prescribe. Here’s what it will mean for GPs. The Nursing and Midwifery Board of Australia has published a first look at the registration standard for nurses who wish to become prescribers, a move that could change how nurses integrate with general practice.
When you marry someone, you marry their mouth microbiome too

6 days ago | medicalrepublic.com.au | Holly Payne

Oral microbiota transmission between newlyweds partially mediated symptoms of depression and anxiety, according to new data. Healthy spouses newly married to an insomniac with a depression-anxiety (DA) phenotype soon found themselves losing sleep, feeling more depressed or anxious and sharing a similar mouth microbiome in a new study from Iran.
Call to bring measles vaccine forward amid global surge

1 week ago | medicalrepublic.com.au | Amanda Sheppeard

Australian experts say babies as young as four months may need protection, as cases rise and most lose immunity before the current vaccine schedule begins. A global surge in measles cases has prompted leading Australian researchers to call for a re-evaluation of when children receive their first measles vaccine dose, suggesting it could be administered as early as four months of age. Australia has not been immune from the rises in cases around the country.
No, the bulk-billing incentives are not civil conscription

1 week ago | medicalrepublic.com.au | Holly Payne

Section 51 xxiiiA of the Commonwealth Constitution prevents the government from compelling doctors to become its employees, but not much else. Contrary to social media posts and comments from some doctors, incentive payments – no matter how large – are extremely unlikely to constitute civil conscription under the Australian Constitution.
Violence against women still goes unchallenged

1 week ago | medicalrepublic.com.au | Jo Skinner

Attitudes haven't changed enough for victims to speak up. Twenty years ago, I worked in a regional town in NSW and volunteered to be on call to do the forensic examinations of women who had been sexually assaulted. It meant carrying a pager with me 24/7, but in the two and a half years I did this job, I was only called up six times. Given we know that nearly a quarter of women have been the victim of assault, I was shocked how few presented. Not one of the six pressed charges.
PCOS needs new branding

1 week ago | medicalrepublic.com.au | Holly Payne

The name ‘polycystic ovary syndrome’ is a barrier to research, diagnosis and evidence-based care. PCOS by any other name may yield more research dollars and a wider understanding of the relatively common condition, which is now recognised as having broad metabolic, reproductive, psychological and dermatological manifestations. An estimated 70% of Australians with PCOS remain undiagnosed.
Rural GPs the future for Tassie, colleges say

1 week ago | medicalrepublic.com.au | Holly Payne

The island state has typically trailed the mainland in terms of bulk-billing rates, but there are promising workforce developments. The University of Tasmania medical school is the best in the country at turning out country GPs – but to keep the pipeline healthy, both the RACGP and ACRRM say the state government needs to prioritise rural. It comes as the state government handed down its 2025 budget today, a budget that committed to a $14.5 billion health spend over the next four years.