BACKGROUND: The goal of this study was to assess the impact of formal opt-out family planning training on clinical competence in uterine evacuation. STUDY DESIGN: Residents who participated in newly established, routine opt-out family planning training completed surveys before and after their rotations. The surveys asked residents to report clinical experience and competence in family planning. RESULTS: One hundred ninety-six pre- and postrotation questionnaires were collected for a total response rate of 63%. After completing the rotation, residents reported higher competence in medical abortion, manual uterine aspiration, electric uterine aspiration and dilation and evacuation (p<.001). Residents also reported increased clinical experience with methods of termination, postabortion contraception, including intrauterine contraception, ultrasound and perioperative pain management. CONCLUSIONS: Participation in a formal opt-out family planning rotation results in increased clinical exposure to family planning and in reported competence in pregnancy termination.
BACKGROUND: The goal of this study was to assess the impact of formal opt-out family planning training on clinical competence in uterine evacuation. STUDY DESIGN: Residents who participated in newly established, routine opt-out family planning training completed surveys before and after their rotations. The surveys asked residents to report clinical experience and competence in family planning. RESULTS: One hundred ninety-six pre- and postrotation questionnaires were collected for a total response rate of 63%. After completing the rotation, residents reported higher competence in medical abortion, manual uterine aspiration, electric uterine aspiration and dilation and evacuation (p<.001). Residents also reported increased clinical experience with methods of termination, postabortion contraception, including intrauterine contraception, ultrasound and perioperative pain management. CONCLUSIONS: Participation in a formal opt-out family planning rotation results in increased clinical exposure to family planning and in reported competence in pregnancy termination.
Authors: Wendy V Norman; Edith R Guilbert; Christopher Okpaleke; Althea S Hayden; E Steven Lichtenberg; Maureen Paul; Katharine O'Connell White; Heidi E Jones Journal: Can Fam Physician Date: 2016-04 Impact factor: 3.275