CPD

Choose one of more of the suggested activities below, or develop your own.  

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Educational activities:

Activity 1: Best practice chlamydia management reading

Read one or more resources for best practice chlamydia management and sexual health care:

• AJGP article: New best practice guidance for general practice to reduce chlamydia associated reproductive complications in women
• Australian STI Management guidelines
• MoCCA website
• RACGP Curriculum and syllabus for Australian General Practice: Sexual health and gender diversity unit

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Measuring outcomes:

Activity 1: Audit

Audit a sample of your patients with chlamydia (suggestion for 6-8 patients). 

Compare your management notes to your reading of chlamydia guidelines and chlamydia management resources and identify areas for improvement.  For example:

• Did you prescribe antibiotic treatment that was consistent with the guidelines? Consider the site of infection, genital, rectal, pharyngeal.
• Was partner management and retesting for reinfection part of the treatment discussion?
• Did retesting occur in recommended timeframes? What was the result of the retest/s?

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Reviewing performance:

Activity 1: Review of chlamydia management

Review the MoCCA website and identify workflow resources to  support integration of chlamydia management into routine care.  For example, shortcuts to help document the chlamydia consultation, which you can find here. 

Discuss your audit findings with colleague/s (eg. in a practice meeting) and consider developing a practice wide approach to addressing relevant gaps (eg. implementing shortcuts).

Activity 2: Practice meeting and role play

Reflect on the factors that would prompt you to have a discussion with a patient about having a chlamydia / STI test.  Review the Standard Asymptomatic Check-up page of the Australian STI Management guidelines.  Discuss in a practice meeting and role play with your colleagues about how to bring up a discussion about STI testing in an unrelated consultation.  

Choose one of more of the suggested activities below, or develop your own.  

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Educational activities:

Activity 1: Partner management reading

Read one or more resource on partner management for chlamydia / STIs:

• Australian STI Management Guidelines
• Australasian Contact Tracing Guidelines
• MoCCA website
• RACGP Curriculum and syllabus for Australian General Practice: sexual health and gender diversity unit 

Activity 2: Patient delivered partner therapy reading

Read the AJGP article Patient-delivered partner therapy: One option for management of sexual partner(s) of a patient diagnosed with a chlamydia infection and prepare and deliver a presentation on patient delivered partner therapy for your colleagues. 

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Measuring outcomes:

Activity 1: Audit

Audit a sample of your patients with chlamydia or other STIs (suggestion for 6-8 patients). Compare your management notes to your reading of partner management resources and identify areas for improvement. For example:

• Was partner management part of the chlamydia / STI management discussion? 
• Was the number of partners requiring notification noted, what method/s of notification did patients opt for?
• What resources did you provide for patients to support them with notifying their partners?

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Reviewing performance:

Activity 1: Practice meeting

Review the MoCCA website and other resources for STI partner management.  Prepare and lead a discussion at a practice meeting on partner management for your patient/s with chlamydia/STI. What are the GP's responsibilities for partner management? What challenges are encountered? What factsheets and resources are used to support patients with notifying their partners?  How is the partner management discussion documented? Are there areas for improvement? Are there other resources you can use?  

Activity 2: Role play

Reflect on how you would have a discussion with your patient about informing their sexual partners that they may have been exposed to a chlamydia infection. Role-play this with a colleague or friend and then check their understanding by asking them to explain it back to you.

Activity 3: PDPT

Review PDPT guidance if available for your jurisdiction here. Reflect on the AJGP PDPT article and patient situations where PDPT could be an option for treating partners of chlamydia positive patients.  Discuss the process for offering / recording PDPT in your clinic with a colleague. What resources can you use to support PDPT provision?  (eg. shortcuts, prescription templates, available here). 

Choose one of more of the suggested activities below, or develop your own.  

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Educational activities:

Activity 1: Retesting reading

Read one or more resource for the evidence for retesting for chlamydia:

• AJGP article New best practice guidance for general practice to reduce chlamydia associated reproductive complications in women
• Australian STI Management guidelines 
• MoCCA website 

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Measuring outcomes:

Activity 1: Audit

Conduct an audit of patients with chlamydia at your clinic in the last 6 months.  What proportion were retested within recommended timeframes (around 3 months after treatment)?  What proportion were reinfected with chlamydia?

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Reviewing performance:

Activity 1: Practice meeting

Present your audit findings to a practice meeting. Are retesting rates as you expected? What about reinfection rates? Facilitate a discussion with your colleagues about their chlamydia retesting practices.  What information do they provide their patients? How is a retest organised? What other options and work processes could be implemented to support retesting?

Choose one of more of the suggested activities below, or develop your own.  

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Educational activities:

Activity 1: PID reading

Read and review one or more resource focusing on PID:

• Australian STI Management guidelines 
• AusDoc How to Treat PID article and quiz  (requires Australian Doctor log in)
• MoCCA website (including the links to patient factsheets and resources to help diagnosing PID). 

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Measuring outcomes:

Activity 1: PID and STIs

Review a sample of your patients (with female reproductive organs) and with a chlamydia or other STI diagnosis (gonorrhoea, Mycoplasma genitalium (suggestion of 6-8 patients).  Compare your management notes to your readings about PID.  Does the patients clinical picture suggest a PID diagnosis could have also been possible? 

Activity 2: PID diagnosis and investigations

Review a sample of your patients with a PID diagnosis (suggestion of 6-8 patients).  Compare your management notes to your readings about PID and identify areas for improvement.  For example, were all key investigations conducted (STI, pregnancy tests) and were important differential diagnoses excluded? 

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Reviewing performance:

Activity 1: Reflection

Prepare a short description of a patient with a PID diagnosis you cared for including presenting signs and symptoms, investigations, history taking, differential diagnoses and management. Reflect on areas your care aligned or differed to the recommended PID diagnosis and care and identify areas for improvement. 

Activity 2: Role play

Reflect on how you would explain a PID diagnosis and management to a patient. What factsheets are available to support the discussion with your patient? (Click here for an example). Role-play this with a colleague or friend and then check their understanding by asking them to explain it back to you.