Jennifer Rusiecki1, Juan Rojas2, Julie Oyler3, Amber Pincavage3. 1. Section of General Internal Medicine, University of Chicago Medical Center, 5758 S. Maryland Ave. MC 3051, Chicago, IL, 60637, USA. jrusiecki@medicine.bsd.uchicago.edu. 2. University of Chicago Pritzker School of Medicine, Chicago, USA. 3. Section of General Internal Medicine, University of Chicago Medical Center, 5758 S. Maryland Ave. MC 3051, Chicago, IL, 60637, USA.
Abstract
BACKGROUND: Internal medicine (IM) residents are underprepared in women's health. Lack of properly trained faculty and clinic culture limits the ability to provide bedside teaching. AIM: Assess the impact of a primary care-based, women's clinic on residents' quality of care for females. SETTING: Large academic, urban primary care clinic with resident and faculty practices PARTICIPANTS: PGY-2 IM and Med-Peds (MP) residents PROGRAM DESCRIPTION: A weekly half-day, women's clinic to provide expanded women's healthcare to primary care group patients. Residents rotate through the clinic to receive bedside teaching. PROGRAM EVALUATION: Chart review was performed for a representative sample of reproductive-aged women seen in primary care before and after the establishment of the women's clinic. A total of 666 charts were reviewed (314 pre, 352 post). Improvement was seen in residents' rate of sexual histories (54% vs 75%, p< 0.01) with a significant decrease in women not asked about contraception (15% vs 3%, p<0.01). Overall there was a decrease in gynecology referrals (18 to 11%, p=0.02). DISCUSSION: After implementing the women's health clinic, more women were asked about sexual health needs, and fewer were referred to gynecology, suggesting increased women's healthcare provided by residents.
BACKGROUND: Internal medicine (IM) residents are underprepared in women's health. Lack of properly trained faculty and clinic culture limits the ability to provide bedside teaching. AIM: Assess the impact of a primary care-based, women's clinic on residents' quality of care for females. SETTING: Large academic, urban primary care clinic with resident and faculty practices PARTICIPANTS: PGY-2 IM and Med-Peds (MP) residents PROGRAM DESCRIPTION: A weekly half-day, women's clinic to provide expanded women's healthcare to primary care group patients. Residents rotate through the clinic to receive bedside teaching. PROGRAM EVALUATION: Chart review was performed for a representative sample of reproductive-aged women seen in primary care before and after the establishment of the women's clinic. A total of 666 charts were reviewed (314 pre, 352 post). Improvement was seen in residents' rate of sexual histories (54% vs 75%, p< 0.01) with a significant decrease in women not asked about contraception (15% vs 3%, p<0.01). Overall there was a decrease in gynecology referrals (18 to 11%, p=0.02). DISCUSSION: After implementing the women's health clinic, more women were asked about sexual health needs, and fewer were referred to gynecology, suggesting increased women's healthcare provided by residents.
Authors: Patricia A Lohr; Eleanor Bimla Schwarz; Jay E Gladstein; Anita L Nelson Journal: J Womens Health (Larchmt) Date: 2009 Jan-Feb Impact factor: 2.681
Authors: Rachael R Dirksen; Benjamin Shulman; Stephanie B Teal; Amy G Huebschmann Journal: J Womens Health (Larchmt) Date: 2014-04-25 Impact factor: 2.681