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Pre-Conference Workshops
Pre-Conference Workshop
Thursday 09th June 2011
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Dr Deralie Flower & Dr Ngaire Anderson
Antenatal care in GP - Pre-conference Workshop Repeated
Thursday, 09 June 2011 Start 2:00pm Duration: 120mins Sigma
Start 4:30pm Duration: 120mins Sigma
The place of the General Practitioner in antenatal care has not been well-defined in the New Zealand
maternity system in recent years. The skills of a pregnant woman’s GP are often underutilised and this
may result in her being referred to tertiary services for management of problems that are well within her
GP’s scope of practice. GP’s have a great deal to contribute in this area and are likely to be called on to
take a more active role. Unfortunately, the near-total demise of GP Obstetrics in New Zealand means that
many young GPs have not had any post-graduate training in Obstetrics and feel uneasy about antenatal
care. Previously highly experienced GP Obstetricians may feel they have de-skilled by lack of recent
involvement in their patients’ antenatal care. This workshop aims to cover important developments
in pregnancy risk assessment and management of common problems. Topics will include: risk factors
in early pregnancy, smoking cessation, nutrition in pregnancy, customised fetal growth charts.
Notes
Dr Brett Mann
Managing Somatisation in GP - Pre-Conference Workshop Repeated
Thursday, 09 June 2011 Start 2:00pm Duration: 120mins Picasso
Start 4:30pm Duration: 120mins Picasso
Generalism – the challenge of somatising illness
Somatisation is the expression in physical symptoms of psychological and social distress and includes both
functional and organic illnesses. The diagnosis and management of somatisation has been neglected
in medical education despite the fact that research shows that somatisation is a very common cause
of new presentations in general practice (25%) and that there are high percentages of somatising
illnesses in neurology (30%), gastroenterology (50%), and cardiovascular outpatient clinics (20%). This
workshop will explain why somatisation should be a positive diagnosis, not a diagnosis of exclusion
and will outline relevant research and a practical approach to diagnosis and management for general
practice consultations. The focus is on ‘facultative somatisers’, the majority of somatisers, who readily
consider psychosocial causes if the doctor interacts with them appropriately. Four standard questions are
provided (cf standard questions for cardiovascular, respiratory systems etc), patterns of somatising illness
described, and three important consultation skills outlined. Simple education strategies are provided to
facilitate patient understanding and a straightforward approach to management is explained.
Notes
09-12 June 2011 | Energy Events Centre | Rotorua