Men's Health - The Royal New Zealand College of General ...

Men’s HealthCommunicationClinical ExpertiseDomain 1: CommunicationThroughout vocational training a registrar will develop avariety of competencies and be expected to:• understand that men are less likely than women todiscuss their health problems with their doctor foremotional, cultural and gender reasons• understand that this difference may be exaggerated if thedoctor is of the opposite sex• understand that adolescent males have even moredifficulty in discussing issues, particularly those in thearea of mental health and sexuality• communicate the need to anticipate the onset ofcommon male health problems, such as cardiovasculardisease• demonstrate that they are comfortable discussingand creating objective measures of such issues ascardiovascular risk, alcohol consumption, sexual healthand mental health status with male patients of all ages,using language they can understandDomain 2: Clinical ExpertiseThroughout vocational training a registrar will develop avariety of competencies and be expected to:• discuss with peers and colleagues clinical cases relatedto genitourinary disorders in men• be able to discuss, evaluate and treat erectile dysfunction• understand and explain referral criteria for people withabnormal PSA results• recognise the indications for referral for further investigationof patients suspected to have prostate cancer• discuss investigations and management of menpresenting with urinary frequency and nocturia,haematuria and other urinary tract symptoms• explain the investigations and management recognisedas best practice in diagnosing sexually transmitteddiseases and a process by which contact tracing can becarried out• demonstrate that they can communicate results and theirinterpretation.• demonstrate a comprehensive knowledge of the optionsfor smoking cessation and their contraindications andavailability for patients.04Men’s Health