Not at the Dinner Table is a podcast talking the talk that ruins Christmas. 

Australia has a national sex education curriculum, but it’s down to the states to deliver. Throw gender, sexuality, school location and cultural and linguistic diversity into the pot and you have a mixbag of experiences.   

So what does a good sex ed look like and what does one researcher say getting in the way?

Host: River McCrossen 
Music:

Embassy Stomp, Peru Negro https://www.youtube.com/watch?v=7ol6qPJt68s
Calisson -  https://app.sessions.blue/browse/track/22635
Our Only Lark  - https://app.sessions.blue/browse/track/22636
Lumber Down-  https://app.sessions.blue/browse/track/22633
Borough - https://app.sessions.blue/browse/track/24492
Drone Birch - https://app.sessions.blue/browse/track/24498
JoDon - https://app.sessions.blue/browse/track/24489

'I'll tell you when you're older'

Tips, tricks and things that young people want you to know!

The largest group to be diagnosed with sexually transmissible infections (STI) in NSW are people aged 15-29 years. GPs are the health professional that young people are most likely to access   for care. GPs not only play a pivotal role in prevention, testing and treatment of STIs, but are hugely influential in normalising and promoting patient access to sexual health care across the lifespan.

Download this podcast to learn from other GPs about approaches and top tips for delivering sexual health care to young people from a range of backgrounds. This includes how to easily start a conversation to offer and conduct sexual health screening. Also featured are young people talking about what matters to them when accessing sexual health care. Simple and practical techniques are included which GPs can use to improve a young person’s experience when accessing General Practice.

Part 2 - Sexual Health Care for Young People

This podcast features a GP, sexual health specialist, nurse practitioner and patient advocates discussing simple approaches to having conversations with patients about STIs and blood-borne viruses (BBVs). With some STIs on the rise in NSW, you’ll learn about the latest trends, who’s at risk and practical ways to improve patient care to prevent STI and BBV infection among your patients and local community.

The panellists discuss: 
•	What can help GPs to build confidence 
•	What patients want GPs to know and do 
•	The best available tools and resources
•	Strategies for working with young people and LGBTQIA+ patients

Listening notes:
•	The volume of panellist Dr Kym Collins is low – suggest raising volume

Podcast resources:

STI HIV Testing Tool - NSW Health - http://www.stipu.nsw.gov.au/sti-hiv-testing-tool

ASHM – Decision Making in Hepatitis B - https://ashm.org.au/wp-content/uploads/2022/08/ASHM-Decision-Making-in-Hepatitis-B-2021-update-2.pdf

ASHM – Decision Making in Hepatitis C - https://ashm.org.au/wp-content/uploads/2022/04/2021ASHM-Decision-making-in-hepatitis-C_.pdf

Australian STI Management Guidelines - https://sti.guidelines.org.au/

NSW Sexual Health Infolink - https://www.shil.nsw.gov.au/

NSW Sexual Health Clinics - https://www.health.nsw.gov.au/sexualhealth/pages/sexual-health-clinics.aspx

Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) - https://www.ashm.org.au/resources/

ACON - https://www.acon.org.au/

Welcome Here (inclusivity project for LGBTIQ people)- https://www.welcomehere.org.au/about

TransHub - https://www.transhub.org.au/clinicians

Multicultural HIV and Hepatitis Service – NSW Health - http://www.mhahs.org.au/

Hepatitis NSW - resources - https://www.hep.org.au/resources/free-hepatitis-resources/

Eliminate Hepatitis C Australia – practice support toolkits - https://ecpartnership.org.au/toolkit#act_ec_practice_support_toolkit

Tips and resources to comfortably talk sex, STIs and blood-borne viruses - podcast 1/3

This podcast discusses care for a patient diagnosed with syphilis. You’ll learn approaches to patient engagement (from a GP and patient advocates’ perspectives), clinical and practice tips (particularly for engaging young people and LGBTQIA+ patients) and the resources you’ll need to care for this patient. With syphilis on the rise among the general population in NSW, this podcast equips GPs for the important role you play in preventing infection among your patients and community. 
 
This podcast follows on from the first podcast in the series where a GP, sexual health specialist, nurse practitioner and patient advocates discussing approaches to conversations with patients about STIs and blood-borne viruses.  

Listening notes:
•	Podcast 2 has the same introduction as podcast 1 – suggest skipping and starting at: 05:40 if you have previously heard.
•	The volume of panellist Dr Kym Collins is low – suggest raising volume

Podcast resources: 

NSW Sexual Health Infolink - https://www.shil.nsw.gov.au/

NSW Sexual Health Clinics - https://www.health.nsw.gov.au/sexualhealth/pages/sexual-health-clinics.aspx

STI HIV Testing Tool - NSW Health - http://www.stipu.nsw.gov.au/sti-hiv-testing-tool

ASHM - Decision Making in Syphilis - https://ashm.org.au/wp-content/uploads/2022/04/FINALSCREENDecision-makinginsyphilis_V2.2_Nov21-1.pdf

Australian STI Management Guidelines - https://sti.guidelines.org.au/

Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) - https://www.ashm.org.au/resources/
 
Let Them Know - https://letthemknow.org.au/

Melbourne Sexual Health Centre - https://www.mshc.org.au/

Syphilis discussion – tips & resources to comfortably manage syphilis among patients – podcast 2/3

Many patients at risk of HIV (e.g., men who have sex with men or those how travel to high HIV prevalence countries) regularly attend General Practice for a broad range of health conditions which gives GP unique opportunities to prevent transmission in the community. 

This podcast features two GPs Dr Michael Burke and Dr Miriam Grotowski and a community representative Jimmy Yu Hsiang Chen to inform GPs when and how to offer testing, PrEP, PEP for HIV utilising evidence-based guidelines and extensive practice experience. Assessing HIV risk  part of sexual health prevention activities detailed in the Royal Australian College of General Practitioners. Guidelines for preventive activities in general practice. 9th edn, updated. East Melbourne, Vic: RACGP, 2018. (last update 08-12-2021).

The panelists discuss: 
•	How to recognise at-risk patient groups for HIV/STI testing
•	Identify challenges and solutions for discussing and providing HIV prevention in General Practice 
•	What tailored GP tools and resources can make HIV prevention in General Practice faster and easier. 

Helpful links:

Sexual Health Infolink (SHIL) 
https://www.shil.nsw.gov.au/ 
SHIL’s aim is to promote the sexual health of the NSW community through providing accurate and timely information and referral options. The service specialises in HIV and STI risk assessment, testing, treatment and support. SHIL also provide specialist support to nurses, doctors, counsellors and other professionals who are caring for people with sexual health problems and are open from 9:00am to 5:30pm, Monday to Friday (excluding public holidays).

ASHM Decision Making in PrEP tool
 https://www.ashm.org.au/resources/decision-making-in-prep/ 
This 2-page Decision Making in PrEP tool provides a prescribing pathway which summarises the key eligibility and recommended assessment for primary care providers in Australia who wish to prescribe PrEP and the ongoing patient education and monitoring requirements.

NSW Sexual Health Clinics finder: 
https://www.health.nsw.gov.au/sexualhealth/Pages/sexual-health-clinics.aspx 

RACGP On-demand webinar PrEP webinar 
https://www.racgp.org.au/racgp-digital-events-calendar/online-event-items/on-demand/prep-prescribing-for-gps 
This 1 hour CDP endorsed webinar teaches the 5 steps all GPs can use to use quickly, safely and easily to prevent HIV infection. 

Australian STI Management Guidelines for Use in Primary Care https://sti.guidelines.org.au/ 
The Guidelines are an online resource for primary care health professionals. They provide concise information to support the prevention, testing, diagnosis, management and treatment of sexually transmissible infections (STIs) for adults and adolescents and are frequently cited and referenced by other guidelines.

The Translating and Interpreting Service (TIS National)– Free to GPs 
https://www.tisnational.gov.au/ 
The Translating and Interpreting Service (TIS National) is an interpreting service provided by the Department of Home Affairs for people who do not speak English. The TIS National immediate phone interpreting service is available 24 hours a day, every day of the year for the cost of a local call for any person or organisation in Australia who needs an interpreter just call 131 450.

HIV Prevention in General Practice (PrEP, PEP, condoms, testing and treatment)

Vaping, or e-cigarette use, is increasing across Australia along with the potential for long-term nicotine addiction. GPs are well placed to identify patients who are vaping and smoking, and to assess nicotine addiction as well as the other harms associated with use. 

This podcast will explore the evolving landscape of e-cigarettes as well as provide practical tips on managing nicotine addiction. It will also address ways to raise the issue of vaping in a non-judgemental way and resources and services available to GPs for continuity of cessation care and support. 

Resources:

•	Evidence based approaches to quit nicotine webinar (Oct 2022) - racgp.org.au/racgp-digital-events-calendar/online-event-content/evidence-based-approaches-to-quit-nicotine

•	‘Do you know what you’re vaping?’ Information for Health Professionals, has a range of resources including posters, fact sheets and social media tiles - https://www.health.nsw.gov.au/tobacco/pages/vaping-professionals.aspx 

•	Tools for Health Professionals, includes links to the RACGP supporting smoking cessation: a guide for health professionals - https://www.health.nsw.gov.au/tobacco/Pages/tools-for-health-professionals.aspx 

•	KidsQuit - https://kidshealth.schn.health.nsw.gov.au/kidsquit-brief-interventions-smoking-cessation-e-learning

•	Quitline - https://www.quit.org.au/

E-cigarettes (vaping) and young people

The Gender Centre
https://gendercentre.org.au/ 
The Gender Centre is committed to developing and providing services and activities, which enhance the ability of transgender, gender diverse and gender exploring people make informed choices.  The Centre is recognised as a centre of excellence in NSW through an ASES Award Accreditation, (Australian Service Excellence Standards) and nationally in the delivery of front line specialist multi-purpose services aimed at supporting the transgender, gender diverse and gender questioning community across all stages of transition (pre- mid and post transition).
The service offers support from staff with highly specialised qualifications, skills, experience and capabilities. Allowing the team to respond to the unique needs of this client group through the provision of specialist counselling, psychological and other allied health services, outreach support, case-management, family and youth support, homelessness prevention and intervention services, and referrals to help people navigate the health care system in a safe and culturally competent space. The Gender Centre also undertakes advocacy work, resource development, stakeholder training and corporate education. We also operate as a secondary needle & syringe program (NSP) outlet

TransHub
A digital information and resource platform for all trans and gender diverse people in NSW, loved ones, allies, and health providers.
https://www.transhub.org.au/ 

Maple Leaf House - Transgender & Gender Diversity (under 25)
Provides multi-disciplinary healthcare to trans and gender diverse young people up to the age of 25 years in rural and regional areas of NSW. 
A GP referral is required.

For further information Health care workers can refer to: https://www.hnekidshealth.nsw.gov.au/specialist_services/gender 

Australian STI management guidelines for use in Primary Care
the Guidelines are an online resource for primary care health professionals. They provide concise information to support the prevention, testing, diagnosis, management and treatment of sexually transmissible infections (STIs) for adults and adolescents
https://sti.guidelines.org.au/populations-and-situations/trans-and-gender-diverse-people/ 

NSW Sexual Health Clinics
Find your local clinic for support and referral here: https://www.health.nsw.gov.au/sexualhealth/Pages/sexual-health-clinics.aspx 

Equinox (online GP led and focused resources – Melbourne based)
https://equinox.org.au/resources/

t150 (Surry Hills, Sydney)
http://thealbioncentre.org.au/clinical-services/t150/

Self-collected STI specimens poster and other resources
https://stipu.nsw.gov.au/wp-content/uploads/DIY-sheet-2020.pdf 
https://stipu.nsw.gov.au/gp/hiv-and-sti-clinical-management/ 

ASHM Decision making in PrEP tool
https://ashm.org.au/resources/decision-making-in-prep/

STI & HIV Care for Transgender People in General Practice

This is World AIDS Day 2024. The theme for this year is "It starts with me", showing that we all have a role to play in reducing HIV related stigma.

Stigma reduction has become an increasingly important part of the NSW HIV strategy. Though what is it and what can we do about it?

To discuss the research into the detrimental effects of stigma, I am joined by Dr Timothy Broady. He is a senior research fellow from UNSW's Centre for Social Research in Health. This podcast discusses stigma broadly, but mainly focuses on HIV related stigma among healthcare workers.

Resources:

ASHM: https://ashm.org.au/resources/stigma-discrimination-resources/
Centre for Social Research in Health (UNSW): https://www.unsw.edu.au/research/csrh/our-projects/stigma-research-stream

To stay up to date with the latest information in sexual health, you can follow us on social media:

https://www.facebook.com/SydneySHC
https://twitter.com/SydneySHC
https://www.linkedin.com/company/sydney-sexual-health-centre

Host: Thomas Munro (he/him)
Guests: Dr Timothy Broady (he/him), UNSW. 

We acknowledge the Gadigal people of the Eora Nation, the traditional custodians of the land on which this podcast was recorded. We pay our respects to the elders past, present, and emerging wherever you are listening from.

EP 51 - Stigma and Healthcare Workers

We're the oldest sexual health service in NSW. We're a community-oriented centre offering specialist expertise in STIs and HIV.

Opinions expressed in this podcast are those of the guests and may not  be those of SSHC.

To stay up to date with the latest news on sexual health, follow us on:

https://www.facebook.com/SydneySHC/
https://twitter.com/SydneySHC

EP 51 - Stigma and Healthcare Workers

Sydney Sexual Health Centre