To build capacity and confidence of Filipino GPs to screen, diagnose and manage patients with Hepatitis B and Hepatitis C in their respective practices.
Relevance to General Practice
Chronic hepatitis B (CHB) has a significant public health impact among Filipino community because it is a common cause of end stage liver disease (Ong et al. 2009), the latter being the fourth leading cancer and the second leading cause of cancer death in the country (Philippines Cancer Facts and estimates, 2016; Lucas, Pangan, Patal, Ong, 2009). People born in the Asia and Pacific regions have 38% burden of CHB in Australia. Philippines being the 3rd top countries of birth for chronic hepatitis B in Australia and had around 6,000 people living with CHB in 2011 after China (26,000) and Vietnam (16,000) respectively. (National Report 2016, ASHM)
This information, highlights the need to focus energy and resources toward tailored professional development training of the medical practitioners from this community. This will help meet the identified needs of the community based on population mix and risk profile.
- Identify priority populations for Hepatitis B and Hepatitis C testing
- Interpret test results and diagnose Hepatitis B and Hepatitis C appropriately.
- Explain the importance of early diagnosis, follow up and appropriate management in order to improve patient outcomes
- Assess for liver fibrosis and other co-morbidities; and explain which patients can be managed in primary care and those requiring specialist referral
- Identify treatment options and understand the need for lifelong monitoring for people living with chronic Hepatitis B; Initiate treatment, monitor and follow-up
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
- Refugee and asylum seeker health
1. Storr Liver Centre Westmead Hospital is providing speaker support and one of the nurses speak the same language as of the target group.
2. Philippines Australian Medical Association, a non-profit is helping to promote the workshop within PAMA.