Related Experiment Video
Updated: May 18, 2026
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Evidence-based IUD practice: family physicians and obstetrician-gynecologists.
Cynthia C Harper1, Jillian T Henderson, Tina R Raine
1Department of Obstetrics, Gynecology, and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco 94118, USA. harperc@obgyn.ucsf.edu
Most family physicians lack training to offer highly effective intrauterine contraception, despite patient interest. Obstetrician-gynecologists need further education on patient selection for these top-tier methods.
Area of Science:
- Reproductive Health
- Contraceptive Care
- Medical Education
Background:
- Family physicians and obstetrician-gynecologists are key providers of US contraceptive care.
- Both specialties aim to prevent unintended pregnancies.
Purpose of the Study:
- Assess physician competency in offering highly effective contraceptive methods.
- Evaluate knowledge and practices related to intrauterine contraception.
Main Methods:
- National probability survey of 1,192 family physicians and obstetrician-gynecologists.
- Measured counseling and provision of intrauterine contraception.
- Used multivariable regression to assess evidence-based knowledge impact.
Main Results:
- Family physicians counseled and offered intrauterine contraception less often than obstetrician-gynecologists.
- Only half of family physicians were trained to competence in offering intrauterine contraception.
- Both groups lacked adequate knowledge of patient eligibility for intrauterine contraception based on CDC criteria.
Conclusions:
- Many family physicians are not offering top-tier contraceptive methods.
- Obstetrician-gynecologists require further education on patient selection for intrauterine contraception.
- Enhanced training is needed to increase access to highly effective contraception.
Related Concept Videos
01:21Intrauterine Drug Delivery Systems
01:22Birth Control Methods
01:19Standards of Care II
01:22Standards of Care I
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.