Novel method of breaking down barriers in the provision of menopause care in Ireland

Abstract

There is a surge in demand for menopause care and hormone replacement therapy (HRT) in Ireland on a background of neglect of a generation of healthcare professionals’ (HCPs) education in this area. Lack of knowledge of evidence regarding the benefit/risk ratio of personalised HRT is a barrier to providing menopause care. Education of undergraduates and HCP takes investment of time and money. A more immediate solution was required. Aim A novel method of providing education and support to GP’s was developed. The goal was to create a rapidly accessed peer advisory community to empower GP HRT prescribing. Method A core group of doctors with special expertise in HRT were assembled on a GP interest group on the Telegram messaging platform. It is called ‘HRT prescribers’, an educational community with entrance by peer invitation. Most are GPs and number between 800 and 1000. Members post clinical questions and receive evidence-based responses to their dilemmas. Results A survey of members was overwhelmingly positive. 98% agreed the group empowered them to be confident and feel supported in their HRT prescribing. 90% agreed the group helped improve access to HRT for women who needed it in their practice. Conclusion This project developed, with the cooperation of specialists, a cost-effective rapid method of educating and empowering GP’s to be supported to safely treat their patients in their menopause transition. With further support and development, we believe it is the model that could be adopted in many countries.