In this General Practice Clinical session, we are joined by Dr. Sarah McMahon, a pediatric endocrinologist, to unpack the latest updates to the international guidelines for Turner syndrome care. Designed to serve as a comprehensive roadmap for clinicians, Dr. McMahon breaks down the extensive checklist of 47 health surveillance recommendations that span a patient's entire lifespan.

She discusses critical pediatric interventions, including the rationale for initiating growth hormone therapy as early as two years of age to prevent further growth failure. Dr. McMahon also explains the shift toward using transdermal estrogen starting between 11 and 12 years of age to closely mimic normal pubertal development.

Beyond pediatric growth, the conversation highlights the absolute necessity of lifelong monitoring for common, hidden comorbidities such as recurrent middle ear infections, hearing loss, celiac disease, and cardiovascular complications. Crucially, the episode addresses the pivotal transition period from adolescent to adult care, emphasizing the need for an intentional, structured handover to adult specialists experienced in Turner syndrome to prevent gaps in care.

Whether you are a general practitioner, pediatrician, or specialist, this episode provides essential, practical insights on utilizing multi-disciplinary clinics and regular health checklists to deliver optimal, proactive care.

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If you are a General Practitioner who gets invited to dozens of webinars a month. The General Practice Clinical Sessions Podcast is designed for you.

Instead of giving up an evening with your family for a live webinar or your weekend for a conference, you can listen to it here whenever it's convenient, in half the time and while you are commuting, exercising or even walking the dog.

It's the same education, without interrupting your life.

GPs can also earn CPD hours.

Earn Educational Activity (EA) CPD without sacrificing time with your family.

Listen to your Clinical Sessions Podcasts on your commute or while you exercise. Then each week, calculate the amount of time you invest listening and count that as self claimed Educational Activities (EA).

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After each podcast, pause for a few minutes and identify and summarise 3 key points relevant to your scope of practice.

• Identify the key clinical learnings that may be incorporated into the clinical assessment, work-up and/or management plan for appropriate patients.
• If relevant, would you change any of your management strategies for those patients identified by appropriate screening, examination and investigation.

Invest 10 minutes per podcast mentally reviewing your practice. When you listen to 6 podcasts per week, you have earned an hour of Reviewing Performance CPD you can self claim.

Remember to document your learning!

Earn Measuring Outcomes (MO) CPD without sacrificing time with your family.

To claim MO, you need:

• A baseline measurement
• A change in practice
• A re-measurement
• Reflection on the outcome

1. Identify a measurable change. After the podcast, ask:

“What will I do differently on Monday?”

Example:

• Start using a screening tool
• Change prescribing habits
• Increase documentation of a risk factor

2. Measure your baseline (quick audit). Do a small, realistic audit

Examples:

• Review last 10 patients with condition X
• % who had guideline-based management
• % with documented counselling

3. Implement the change. Apply the idea from the podcast for 2–4 weeks

• Could be as simple as a checklist, template, or reminder

4. Re-measure. Repeat the same audit:

• Same sample size
• Same criteria

5. Reflect & Document:

• What changed?
• Did outcomes improve?
• What will you keep doing?

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