Abstract
In response to popular demand, InnovAiT would like to introduce ‘10 minutes’, an exciting new monthly feature that starts in this issue.
Each month we will print a brief fictional scenario based on a situation that a GP might encounter in everyday practice. Scenarios will cover a wide variety of clinical and non-clinical topics and are designed to stimulate thought and discussion about challenging primary care issues.
Each scenario will be accompanied by a selection of Royal College of General Practitioners (RCGP) curriculum-linked questions designed to highlight key points and a ‘Links’ box suggesting sources of information that might be helpful when approaching that scenario.
How can 10 minutes be used?
Scenarios may be used in a variety of settings. You could use them for your own personal learning or as topics for discussion with others. For example, a ‘10 minutes’ scenario could form the basis of a tutorial for a GP in training or a debate at a Young Practitioners’ Group.
As 10 minutes scenarios are intended to provoke thought and discussion, there may be no right or wrong answers. We will not provide a ‘model answer’ telling you how to approach the issues raised, that is for you to reflect upon, debate and decide.
How can I get involved?
We hope that you enjoy 10 minutes and find it a helpful new addition to InnovAiT. However, if you have any comments about 10 minutes or can think of any challenging scenarios that you would like to share with other readers, please contact us at
10 MINUTES
A 13-year-old girl consults you alone mid-surgery. She is an infrequent attender and has no ongoing health problems. She enters the consulting room alone and sits down. Her opening statement is (rather nervously): ‘umm … I'm here because I want the pill …’
What information is it important to gather in this type of consultation?
How will you structure the consultation? Consider appropriate open and closed questions.
What types of consultation skills/techniques might be of assistance?
On further questioning, she tells you that she is in a sexual relationship with an 18-year-old and currently using condoms for contraception. She knows about the ‘pill’ but has not considered other forms of contraception.
What further issues does this additional information raise?
How would you manage this case?
Links
General Medical Council (GMC). 0–18 years: guidance for all doctors (2007). Accessed via www.gmc-uk.org/guidance/ethical_guidance/children_guidance_index.asp
National Institute for Health and Clinical Excellence (NICE). Guidance on when to suspect child maltreatment (2009). Accessed via http://guidance.nice.org.uk/CG89
British Association for Sexual Health and HIV (BASHH). United Kingdom National Guideline on the Management of Sexually Transmitted Infections and Related Conditions in Children and Young People (2010). Accessed via www.bashh.org/guidelines
Faculty of Sexual and Reproductive Healthcare (FSRHC). Contraceptive choices for young people (2010). Accessed via www.fsrh.org/pdfs/ceuGuidanceYoungPeople2010.pdf