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GPs are from Mars…are teenagers from Venus?. Aims of today. To recognise the barriers adolescents may face in accessing primary care services To consider issues around communication with adolescents To highlight areas of clinical concern in adolescent health
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Aims of today • To recognise the barriers adolescents may face in accessing primary care services • To consider issues around communication with adolescents • To highlight areas of clinical concern in adolescent health • To discuss how practices could be made more teenage friendly
Why is adolescent health important? • In most developed countries adolescents constitute 13-15% of the population • 25% of young people have seen their GP in the last 3 months • They have distinct health and illness behaviours • Adolescent M&M rates show worrying trends in national priority areas • Death rates in 15-19 year old now exceed those in 1-4 year olds • It’s one of our NSFs!
National Service Framework for Children and Young People-2004 • “needs of young people in Primary Care not always addressed specifically” • “there is much that practices can do to meet their additional needs in terms of confidentiality,reassurance and support during adolescence”
Spend a few minutes reflecting on your teenage experience • Think about when you were a teenager • Or if you can’t, think of a teenager you know well • What health concerns did you/they have? • What contacts did you/they have with health professionals? • What did the health contacts feel like?
Your medical experience Working in pairs for 5 minutes • Think about consultations with teenage patients • In any context – not just GP • What were the issues? • How did the consultations differ from adult or child consultations?
Issues in the consultation In three small groups • Nominate a spokesperson! Discuss over 30 minutes • Young peoples’ health agendas vs health professionals’ agendas • Implications for the consultation • How you might address these
Feedback • Young peoples’ health agendas vs health professionals’ agendas • Implications for the consultation • How you might address these
Improving access Working in pairs decide Discuss the issues raised by the scenario
Back into your small groups Nominate a spokes person • Discuss the barriers to teenagers accessing primary care • How you might overcome them? • What resources are available to you?
Further information Where might you find Information to help you the doctor or your patient?
Further information RCGP ‘Getting it right for teenagers in your practice’ 2002 GMC guidance for children and young people: http://www.gmc-uk.org/guidance/ethical_guidance/children_guidance_14_21_communication.asp