PT - JOURNAL ARTICLE AU - P Matthews AU - J Fletcher TI - Sexually transmitted infections in primary care: a need for education. DP - 2001 Jan 01 TA - British Journal of General Practice PG - 52--56 VI - 51 IP - 462 4099 - http://bjgp.org/content/51/462/52.short 4100 - http://bjgp.org/content/51/462/52.full SO - Br J Gen Pract2001 Jan 01; 51 AB - General practitioners and practice nurses require the clinical skills that will enable them to detect sexually transmitted infections in the context of a shift to having no, or insidious symptoms. They need to be able to confirm the diagnosis and have clear models for management and referral. Primary care and genitourinary medicine need to work more closely together to increase mutual understanding and clarify the issues which surround referral and attendance. Sexual health risk assessment through the investigation of sexual history is a helpful way forward in both differential diagnosis and in targeting sexual health promotion and care. Many aspects of these clinical skills are specific to the primary care context. There is a need for improved undergraduate, postgraduate, and in-service training. Multidisciplinary educational approaches are ideal for the subject of sexual health. Primary care groups offer a potential way forward to help develop quality in primary care and some are developing health improvement programmes that aim to address sexual health issues.