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GP Training - Catalogue
Often the first sign of osteoporosis is a fracture, hence the term silent
disease. Approximately 1 in 5 people with osteoporosis are not aware
that they have the disease. This online learning module identifies at
risk patients, helps you recognise vertebral fractures, reviews the role of
antiresorptive therapies and the management of pain associated with
osteoporosis. Review the case of Gwen, a previously well 70-year-old
woman, who presents with a persistent productive cough and
occasional breathlessness. Chest x-ray reveals a fracture in one of the
vertebra in her spine. Learn how to interpret vertebral x-rays, weigh up
the evidence on DXA; identify risk factors, and review treatment and
patient management options.
At the conclusion of this online learning module you will be able to:
- Recognise the potentially silent nature of osteoporosis
- Identify older patients who are at risk for osteoporosis
- Interpret X-ray findings of osteoporotic patients
- Explain the role of bone remineralisation
- Implement treatment plans for acute and chronic pain associated with osteoporosis.

Among people older than 60, fifty percent of women and a third of men
will have fractures due to osteoporosis. The majority of hip fractures in
Australia are osteoporosis-related and nearly all of these require
surgical repair. This online learning module focuses on the risk for hip
fracture and the associated morbidity and mortality. The case involves
Joy, an 86-year-old lady with obvious kyphosis. She suffered a fall when
going to the bathroom during the night and is now complaining of
lower, left sided back pain and a limp. Follow Joy’s journey through her
treatment and management plan. Review risk factors identification,
types of hip fractures, hospitalisations due to hip fractures and other
morbidity and mortality evidence. Review the roles of calcium and
Vitamin D in risk prevention and the issues surrounding under-
diagnosis and treatment of osteoporosis.
At the conclusion of this online learning module you will be able to:
- Identify risk factors for hip fractures in elderly patients with osteoporosis
- Understand risk factors for falls and counsel patients about falls prevention
- Discuss the causes and effects of calcium and Vitamin D deficiency in relation to osteoporosis
- Develop a management plan for a patient with hip fracture due to osteoporosis.

GPs should evaluate all men for osteoporosis who are over the age of
50 or who are receiving androgen deprivation therapy for prostate
cancer. Through two case studies, we’ll take a look at the challenges in
awareness, diagnosis, and treatment of osteoporosis in men and
discuss fracture prevention in this population. Greg is a 43-year-old
journalist whose wife thinks he’s getting shorter. Follow Greg’s
treatment plan and learn about interpreting DXA results and
suggestions for an ongoing management plan. Ted is a 70-year old
man who presents with back pain. He had a prostatectomy one year
ago and was treated with a gonad-releasing (GnRH) agonist. Review
prostate cancer and bone depletion and other related issues based on
expert opinion and the latest evidence and develop follow up patient
management strategies.
At the conclusion of this online learning module you will be able to:
- Identify the risk factors for osteoporosis in men
- Interpret DXA findings in men and women
- Discuss management options for men with osteopenia and osteoporosis
- Explain the role of bisphosphonates and emerging treatment options in men with prostate cancer treated with androgen deprivation therapy.

Counselling perimenopausal women on osteoporosis risk is a
challenge for GPs as risk varies from patient to patient. This module
discusses when to perform initial DXA and when it is appropriate to
commence osteoporosis treatment in perimenopausal women. Lisa is
a 50-year-old freelance writer who is essentially asymptomatic and
wants to know what her risk is of osteoporosis and what she can do
about it. Listen to expert advice and review the latest evidence on
patterns of peri-menopausal bone loss, body mass index and risk of
fracture, mechanism of hormone-related bone loss and the role of
hormone replacement therapy and the role of exercise.
At the conclusion of this online learning module you will be able to:
- Identify risk factors for osteopenia and osteoporosis in perimenopausal women
- Interpret DEXA findings in women
- Counsel women about the role of hormone replacement therapy
- Counsel patients about lifestyle measures (adequate intake of calcium and vitamin D supplementation, weight-bearing exercise)
- Discuss the role of osteoporosis-specific therapy in women with osteopenia.

Osteoporosis is frequently described as primary or secondary.
Secondary osteoporosis is associated with another disease, although
this lacks clarity. In this online learning module, we will be looking at
some of the conditions more frequently associated with secondary
osteoporosis through three case studies, outlining approaches to
recognising the risk factors for osteopenia and osteoporosis in affected
patient populations, and detailing treatment and management options.
Carrie is a 38-year-old woman with a 20-year-history of chronic
polyarticular rheumatoid arthritis (RA). Anne is a 54-year-old woman
with history of breast cancer and lumpectomy 14 months ago. Melissa
is a 35-year-old woman with a history of GI complaints previously
diagnosed by her GP as irritable bowel syndrome. Listen to expert
opinion and review assessment processes and recent evidence
relating to long term corticosteroid use, hormone-positive breast cancer
patients taking aromatase inhibitors, coeliac disease and their
association with osteoporosis.
At the conclusion of this online learning module you will be able to:
- Recognise secondary causes of osteoporosis
- Understand the role of corticosteroids use and the risk of developing osteoporosis
- Also, understand the role of hormonal abnormalities in women in the development of osteoporosis
- Discuss management options for patients with secondary osteoporosis.

This learning module looks at factors that affect bone mineral density in
younger patients as well as issues such as therapy compliance and
duration. Gemma is an 18-year-old female marathon runner. Malcolm
is a 15-year old boy with low impact ankle fracture and epilepsy.
Treatment options and patient management strategies are offered for
both cases based on expert advice and the latest evidence on the
female athlete triad and antiepileptic drugs (AEDs) and the adverse
effects on bone metabolism.
At the conclusion of this online learning module you will be able to:
- Identify athletes who may be predisposed to the development of osteoporosis
- Recognise patients with marginal eating disorders and who thus may be at risk for osteoporosis
- Recognise that patients with epilepsy who take long-term antiepileptic drugs are at risk for bone loss
- Counsel patients about the importance of adherence to therapy
- Recognise when to refer patients to appropriate specialists.
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