Impact of formal family planning residency training on clinical competence in uterine evacuation techniques
Jody Steinauer1, Maria Silveira, Rebekah Lewis
1Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco General Hospital, San Francisco, CA 94110, USA. steinauerj@obgyn.ucsf.edu
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.
