Familiarity with Long-acting Reversible Contraceptives among Obstetrics and Gynecology, Family Medicine, and Pediatrics Residents: Results of a 2015 National Survey and Implications for Contraceptive Provision for Adolescents - 31/01/18
, Nikolay P. Braykov, MS 2, Eva Lathrop, MD, MPH 3, Lisa B. Haddad, MD, MS, MPH 3Abstract |
Study Objective |
To assess familiarity with long-acting reversible contraceptives (LARC) among current obstetrics and gynecology (OB/GYN), family medicine (FM), and pediatrics senior residents in the United States.
Design, Setting, Participants, Interventions, and Main Outcome Measures |
We selected 156 OB/GYN, FM, and pediatrics residency programs using the American Medical Association Freida database. Senior residents completed a survey addressing any training they had received on LARC, and rated their comfort level counseling about and inserting LARC. Residents rated their likelihood of recommending LARC to an adolescent, nulliparous patient, and indicated whether they would like additional training on LARC. Descriptive and analytic statistics were generated using R statistical software (The R Project for Statistical Computing; www.r-project.org).
Results |
The survey was completed by 326 of 1,583 residents (20.6% response rate); at least 1 resident completed the survey at 105 (67.3%) of the residency programs contacted. Most programs (84.8%) provided some training on LARC. Residents in OB/GYN programs were comfortable counseling about and inserting contraceptive implants (97%, 83%), copper intrauterine devices (IUDs; 100%, 86%), and levonorgestrel (LNG) IUDs (100%, 86%). In FM programs, fewer residents were comfortable counseling about and inserting contraceptive implants (71%, 47%), copper IUDs (68%, 21%), and LNG IUDs (79%, 18%). Residents in pediatrics programs had low comfort levels counseling about contraceptive implants (14%), copper IUDs (14%), and LNG IUDs (25%); no pediatrics residents were comfortable inserting LARC. OB/GYN residents were significantly more likely to recommend a LARC to an adolescent, nulliparous patient (P = .019). Most pediatric and FM residents desired additional training on LARC (82.7% and 60.7%, respectively).
Conclusion |
This study shows that knowledge gaps exist regarding LARC among FM and pediatrics residents.
Le texte complet de cet article est disponible en PDF.Key Words : Contraception, Long-acting reversible contraception, Intrauterine device, Contraceptive implant, Teenage pregnancy, Resident education
Plan
| The authors indicate no conflicts of interest. |
Vol 31 - N° 1
P. 40-44 - février 2018 Retour au numéro
Article précédent
- Effect of Parent-Daughter Communication about Sex on the Use of Less Effective Contraception among Women from Ages 15-24 Years in France
- Solène Vigoureux, Nathalie Bajos, Virginie Ringa, FECOND Group
- Providers' Experiences with Vaginal Dilator Training for Patients with Vaginal Agenesis
- Vrunda Patel, Julie Hakim, Veronica Gomez-Lobo, Anne-Marie Amies Oelschlager
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?