The Specialist GP

Episode Overview: In this episode, we explore the realities of sexting and porn exposure among young people — what’s normal, what’s harmful, and how clinicians can respond with empathy and insight. To help unpack this, Dr Louise Kuegler is joined by Dr Claire Meehan, Senior Lecturer in Criminology at the University of Auckland. Through a real case, we discuss what happens when intimate images are shared without consent, and how to guide conversations that move beyond shame and fear toward trust, consent, and safety.  In this episode we cover:  • How common sexting is among teenagers, and why many view it as normal or positive  • What happens when images are shared without consent — and how to respond clinically  • The role of gender, double standards, and victim-blaming  • How pornography shapes expectations and behaviour  • What parents, teachers, and clinicians can do to help young people navigate digital consent  Practical Clinical Pearls: • Normalise the conversation — sexting and porn exposure are common; avoid shame.  • Reframe risk, don’t moralise — talk about consent, trust, and relationships rather than “don’t do it.”  • Encourage rapid disclosure — reassure teens they won’t be punished for speaking up.  • Address gender and power — challenge double standards and affirm that harm lies in the breach of consent.  • Promote healthy alternatives — guide young people toward credible, age-appropriate sexual health education.   Dr Claire Meehan is a Senior Lecturer in Criminology in the Faculty of Arts at the University of Auckland. Her research focuses on how young people navigate digital technology, sexuality, and consent — including their understandings of pornography and the sharing of intimate images. She holds a PhD in Criminology from the University of Ulster and postgraduate degrees from Queen’s University Belfast. Claire is the author of The Politics of Porn for Young People in New Zealand and the forthcoming Young People and Sexual Consent in the Digital Age. Resources: Meehan C. ‘They’re Much Too Young’: The Entanglement of Porn, Pleasure and Age in Sex Education. J Sex Res. 2025 Jul;62(6):1028-36. Meehan C. Talking with Girls about Porn. In: Mazzarella SR, editor. The Routledge Companion to Girls’ Studies. Abingdon: Taylor & Francis; 2024. p. 375-86. Meehan C, Wicks E. Consent Isn’t Just a Girl’s Thing: Gender, Consent and Image Based Sexual Abuse. In: James-Hawkins L, Ryan-Flood R, editors. Consent: Gender, Power and Subjectivity. Milton (or London) : Taylor & Francis; 2023 Nov. p. 197-209. https://netsafe.org.nz/ Netsafe NZ, helping NZ to be safe online https://stopncii.org/ Stop Non- consensual intimate image abuse. StopNCII.org introduces innovative technology that is used by tech and industry companies to protect people from the sharing of their intimate images online. https://takeitdown.ncmec.org/ This service is one step you can take to help remove online nude, partially nude, or sexually explicit photos and videos taken before you were 18.  

Episode Overview What does kindness really look like in healthcare leadership — and why does it matter? In this episode of The Specialist GP, Dr Louise Kuegler chats with Dr Nicki Macklin about how visible, consistent acts of kindness can reshape culture, improve staff wellbeing, and strengthen relationships across clinical teams. They discuss the misconception that kindness is “soft,” and why it actually supports accountability and safer decision-making. You’ll hear practical ways leaders can embed kindness into systems so patients, teams, and organisations all benefit. In this episode, we cover The difference between empathy, compassion, and actionable kindness How leaders can embed kindness into systems and culture Real-life examples of kindness driving lasting change in healthcare settings  Practical Clinical Pearls  Empathy and compassion are vital, but kindness is what turns good intentions into real change. Kindness isn’t just a feeling, it’s an action, small, deliberate, and visible. Tiny acts of kindness, done consistently, build trust and reshape workplace culture. Kindness doesn’t make leaders weak, it makes them credible and strong. For kindness to last, it must be built into systems, not just left to individuals. Patients benefit also when leadership is kind. Patients engage, they are safer and have better health incomes.  Email me thespecialistgp@outlook.co.nz  Visit our website https://www.thespecialistgp.co.nz/ 

Episode Overview  Welcome to the first episode of The Specialist GP! I’m Dr Louise Kuegler — Specialist GP and medical educator — and in this episode, I introduce the podcast: a space where real listener-submitted clinical cases are explored with expert guests, turning them into practical, evidence-based guidance you can apply straight away in your consulting room. Each episode is designed to leave you with clear, actionable clinical pearls that make a real difference in your practice.   In This Episode We Cover How the podcast works: sourcing real cases from listeners. Partnering with expert guests to build practical management plans. How episodes are CME-eligible and include an equity-focused lens. A preview of upcoming cases this season, including osteopenia, risk assessment, gut health, and more.   Practical Clinical Pearls Real cases make learning directly applicable to your daily practice. Expert insights help you build robust, evidence-based management plans. Episodes are clear, concise, and immediately useful for busy clinicians. CME points can be logged, including under the equity-focused domain. Listen here: Apple : https://podcasts.apple.com/us/podcast/the-specialist-gp/id1845748299Spotify: https://open.spotify.com/episode/33slefeXuzUH3coNCiWQ49?si=oRH4uIa4QnuxMfkIJ7sybgContact me:https://www.thespecialistgp.co.nz/