The Pregnancy Support Counselling initiative commenced on 1 November 2006. It provides for Medicare benefits to be paid for non-directive pregnancy support counselling services provided to women who are concerned about a current pregnancy, or a pregnancy that occurred in the preceding 12 months.
GPs who complete the Pregnancy advice and support (including assessment) activity can use Medicare Benefits Schedule (MBS) item number 4001 when consultations meet the necessary requirements.
This activity should take approximately 4 hours to complete and is divided into 4 parts which much be completed. Parts must be completed in sequence. The final part of this activity will consist of an assessment in which you will need to achieve a pass rate of 80%.
This activity has been developed by RACGP and has been approved by RACGP Quality Improvement and Continuing Professional Development (QI&CPD) Program for 8 Category 2 points in the 2017-2019 triennium.
Relevance to General Practice
Australia has one of the highest abortion rates in the western world. While there is already a range of pregnancy counselling services available to women and their partners, women may be unaware of available services or may find it difficult to access them, particularly in rural areas and after hours.
It is important that women are able to access non-directive counselling when they are uncertain about a pregnancy and that they are able to do so quickly. By providing a Medical Benefits Schedule (MBS) item for this purpose, a broad network of service providers becomes available, increasing the likelihood that women will be able to get the support they need.
Learners will be able provide non-directive counselling to women facing an unintended pregnancy as well as information on options for managing a pregnancy to assist a woman in making an informed decision.
- develop a systematic approach to maximise care for patients presenting with a previous or current pregnancy
- differentiate between non-directive counselling and more directive counselling
- outline non-directive, client or patient-centred counselling principles and techniques
- provide on-request, unbiased, evidence-based information about options and services available in relation to a previous pregnancy
- provide on-request, unbiased, evidence-based information about options and services available in relation to a current pregnancy
Domains of General Practice
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensions
Curriculum Contextual Units
- Children and young people health
- Pregnancy care
- Women's health
- Sexual and reproductive health