Medical Education - Research Publications

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Author: Simonis, Magdalena ×

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    Female genital cosmetic surgery: Investigating the role of the general practitioner
    Harding, T ; Hayes, J ; Simonis, M ; Temple-Smith, M (ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS, 2015)
    BACKGROUND: Labiaplasty, the surgical reduction of the labia minora, has significantly increased in demand in Australia. Although general practice is one gatekeeper for patients requesting labiaplasty, as a referral is necessary to claim Medicare entitlements, there is little information available to assist general practitioners (GPs) in managing these requests for female genital cosmetic surgery. METHODS: Semi-structured interviews were conducted with health professionals, including GPs, gynaecologists and plastic surgeons. Participants were recruited through the Victorian Primary Care Practice-based Research Network (VicReN), clinical teaching hospitals and snowball sampling. All interviews were digitally recorded, transcribed, and analysed using content and thematic analysis. RESULTS: Twenty-seven interviews were conducted. All participants were aware of genital labiaplasty; many had patients who were concerned about genital appearance, for which information had often been sought opportunistically. All participants agreed on the need for resources to inform women of normal genital appearance. DISCUSSION: This novel study demonstrates a need for clinical resources for GPs managing requests for genital labiaplasty.
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    Female Genital Mutilation/Cutting: Australian Medical Students' Knowledge and Awareness
    Chaudhry, N ; Simonis, M ; Hespe, C (WILEY, 2018)
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    Female Genital Cosmetic Surgery and the Role of the General Practitioner
    Simonis, M ; Creighton, SM ; Liao, LM (CAMBRIDGE UNIV PRESS, 2019)
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    Female genital cosmetic surgery: a cross-sectional survey exploring knowledge, attitude and practice of general practitioners
    Simonis, M ; Manocha, R ; Ong, JJ (BMJ PUBLISHING GROUP, 2016)
    OBJECTIVE: To explore general practitioner's (GP) knowledge, attitudes and practice regarding female genital cosmetic surgery (FGCS) in Australia. DESIGN: Cross-sectional survey. SETTING: Australia. SAMPLE: GPs who attended a women's health seminar and GPs who subscribed to a non-governmental, national health professional organisation database that provides education to primary care professionals. METHOD: A national online survey of GPs was conducted for the 10-week period, starting 1 week prior and 2 months after a Women's Health seminar was held in Perth on 8 August 2015. 31 questions prompted GPs' knowledge, attitudes and practice in managing patients asking about FGCS. RESULTS: The survey was fully completed by 443 GPs; 54% had seen patients requesting FGCS. Overall, 75% (95% CI 71% to 79%) of GPs rated their knowledge of FGCS as inadequate and 97% (95% CI 94% to 99%) had been asked by women of all ages about genital normality. Of those who had seen patients requesting FGCS, nearly half (44%, 95% CI 38% to 51%) reported they had insufficient knowledge of risks of FGCS procedures and 35% (95% CI 29% to 41%) reported seeing females younger than 18 years of age requesting FGCS. Just over half (56%, 95% CI 51% to 60%) of the GPs felt that women should be counselled before making a referral for FGCS. More than half the GPs suspected psychological disturbances in their patients requesting FGCS such as depression, anxiety, relationship difficulties and body dysmorphic disorder. CONCLUSIONS: GPs see women of all ages presenting with genital anatomy concerns and in those who request FGCS, GPs often suspected a range of mental health difficulties. GPs require greater education to support their patients who request FGCS.