Skip to 0 minutes and 4 seconds DOCTOR: And what can I do for you today, Elise?
Skip to 0 minutes and 7 seconds ELISE: Well, I came in to talk about the possibility of starting IVF.
Skip to 0 minutes and 11 seconds DOCTOR: IVF?
Skip to 0 minutes and 12 seconds ELISE: Mm-hmm.
Skip to 0 minutes and 12 seconds DOCTOR: OK, that’s a big decision. What’s brought this about?
Skip to 0 minutes and 17 seconds ELISE: Well, my husband Peter and I, we’ve been trying for the past two years to get pregnant. I mean, we’ve been doing all the right things. I started taking those multivitamins for pregnancy, but nothing happened. And now, two years on, we still don’t have a baby.
Skip to 0 minutes and 32 seconds DOCTOR: Two years is a long time. That must be hard.
Skip to 0 minutes and 34 seconds ELISE: Mm-hmm.
Skip to 0 minutes and 35 seconds DOCTOR: There’s a couple of other questions, if you don’t mind, that I really feel are important to ask just so we can be sure to give you the best chance of becoming pregnant and having a healthy baby. Is that OK?
Skip to 0 minutes and 47 seconds ELISE: Yeah, that’s fine. There’s a lot of research that shows that food and nutrition can be helpful when trying to become pregnant. Is it OK to discuss this?
Skip to 0 minutes and 59 seconds ELISE: OK.
Skip to 0 minutes and 59 seconds DOCTOR: It might even help if you do decide to pursue IVF.
Skip to 1 minute and 2 seconds ELISE: OK.
Skip to 1 minute and 4 seconds DOCTOR: So I noticed that you’re under a lot of stress right now. And I think you said before that you’re feeling anxious. Now some people find that these sort of emotions affect the sort of foods we eat. Has this happened with you?
Skip to 1 minute and 19 seconds ELISE: Well, I guess so. I mean, I used to be a size 12 a few years ago, and now I’m a size 16. So, yep, it probably does.
Skip to 1 minute and 27 seconds DOCTOR: Would you mind jumping on the scales for me?
Skip to 1 minute and 30 seconds ELISE: I hate weighing myself.
Skip to 1 minute and 31 seconds DOCTOR: Yeah, OK, I understand it can be uncomfortable, but monitoring our weight’s a really important part of looking after our overall health. So can you give us a hand?
Skip to 1 minute and 41 seconds ELISE: OK, all right.
Skip to 1 minute and 42 seconds DOCTOR: Thanks. The reason I needed to measure your heart and weight is that we know that women who have healthy weight, have higher rates of fertility. This might be something you want to consider to increase your chances of becoming pregnant.
Skip to 1 minute and 55 seconds ELISE: So are you saying the reason I haven’t been able to get pregnant is because of my weight.
Skip to 2 minutes and 0 seconds DOCTOR: Oh, not at all, no. There could be another reason. There might be lots of other reasons. One in six couples have trouble getting pregnant, and often it’s not just one single thing. Now I can see by your weight and your height that you have a BMI of 29, which is on the higher end of the overweight range. Are you aware of the risks of being overweight when you fall pregnant.
Skip to 2 minutes and 24 seconds ELISE: No.
Skip to 2 minutes and 25 seconds DOCTOR: Are you confident in managing your weight in planning for this pregnancy?
Skip to 2 minutes and 30 seconds ELISE: Oh, no, I’ve got no idea.
Skip to 2 minutes and 32 seconds DOCTOR: Yeah, that’s OK. Look, if you like, what I can do is I can give you a referral to a dietitian. Now dietitians are the experts in food and nutrition. And they’ll be able to give you lots of helpful tips on how to manage your weight and increase your chances of having a baby.
Skip to 2 minutes and 47 seconds ELISE: That’d be great.
Scenario B: GP
Watch the GP discuss the topic of weight and fertility with his patient, Elise.
While you’re watching the scenario, reflect on his approach to the consultation with Elise, and note any aspects you think could be improved.
To help guide your reflection, go to Downloads to access a Consultation analysis template which you can complete while watching the scenario.
Now that you’ve watched the scenario, within the Comments, consider sharing your thoughts on the GP’s consultation.
How does the GP’s consultation style in this scenario compare to the style used in Scenario: A?
Does he work through the three phases of consultation that were described in Scenario A: Nurse and how does his approach reflect that of the nurse?
Also consider reading and commenting on contributions made by other learners. You can also ‘Like’ comments or follow other learners throughout the course.
RACGP members, please engage deeply in the course
In order to meet the RACGP QI&CPD Program requirements to receive 40 Category 1 points, RACGP members must complete all parts of this course, being sure to make careful and considered responses to all of the talking points listed in this step, and throughout the course.
Because reflective and exploratory discussions are critical to learning, once you’ve shared your own thoughts, respond to at least one comment from another learner for each discussion point.
Doing so will allow you to build on your own ideas on how you can apply new approaches to your professional practice.
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