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Curriculum for General Practice - The Royal New Zealand College ...

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<strong>Curriculum</strong> Sexual Health <strong>for</strong> <strong>General</strong> <strong>Practice</strong><br />

<strong>General</strong> practitioners are in the ideal situation to deal with<br />

sexual health as part of the overall health and wellbeing<br />

of their patients. Sexual health is interwoven through the<br />

complexities of our patients’ lives, alongside changing social<br />

relationships, chronic illness and impairment, and increased<br />

life expectancy.<br />

However, irrespective of age and presenting concern,<br />

many patients – and many GPs – are whakama (shy<br />

or embarrassed) about sexual health issues. Strong<br />

communication skills are an extremely important tool with<br />

which to establish a respectful and trusting therapeutic<br />

relationship. GPs have opportunities to provide in<strong>for</strong>mation<br />

that enables patients to make in<strong>for</strong>med choices and take<br />

responsibility <strong>for</strong> their sexual and reproductive health, from<br />

adolescence through to later years.<br />

Communication<br />

<strong>The</strong> GP will demonstrate the ability to:<br />

• outline the guidelines and limits of confidentiality,<br />

including using translators<br />

• initiate contact tracing discussions and follow up as<br />

appropriate in their area<br />

• use appropriate language that does not discriminate<br />

against age, gender, disability, sexual orientation or<br />

personal beliefs and values, and be particularly aware<br />

of cultural parameters that may surround sexual health<br />

• provide accurate, honest explanation and education<br />

appropriate to the age and stage of the patient<br />

• take an appropriate sexual history<br />

• deal with issues that may be uncom<strong>for</strong>table <strong>for</strong> the patient<br />

and/or the GP.<br />

• provide pre-test counselling, particularly <strong>for</strong> hepatitis<br />

and HIV testing<br />

144<br />

<strong>Curriculum</strong> <strong>for</strong> <strong>General</strong> <strong>Practice</strong>

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