Sexual health consultation for men who have sex with men

Reading the article on 10-Minute Consultation p 710 I cannot be but
impressed what our Australian colleagues can achieve in 10 minutes:

• Get to how the patient and his background whom we can assume not be
frequent consulter

• Find chaperone

• Full examination of patients gentialia oropharyngx and anal area (
perhaps facilitated by Australian dress code)

• Obtain urine sample

• Take anal swabs

• Take bloods

• Find forms fill in the appropriate forms

• Discuss and offer HIV test Start post-exposure prophylaxis i.e obtain
consent and refer to HIV clinic on urgent appt

• Plan out future treatment with patient

• record all this

• Advise on certain practical aspects as it may be “difficult for a
married man...... to carry condoms”

Henry Ford would have been impressed with such time-efficiency , and the
peer review panel rightly seems to have thought that is the kind of
realistic 10 minute consultation that we tardy lot need to know about.

Or maybe one should be impressed with Australian patients who do obviously
cope with such whirlwind medicine!

Competing interests:
None declared