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Assessing Student and Physician Fertility Awareness Utilizing the Fertility and Infertility Treatment Knowledge Score
Martha Doxsey1, Krishna Patel2, Kristin Faschan3
1Obstetrics and Gynecology, Tufts Medical Center, Boston, USA.
Cureus
|October 28, 2024
Summary
Medical trainees lack fertility knowledge, often overestimating conception chances with age and underestimating infertility treatment success. Early education on family planning is crucial for physicians.
Area of Science:
- Medical Education
- Reproductive Health
- Physician Training
Background:
- Medical trainees delay childbearing due to career demands, financial issues, and limited parental leave.
- Delayed childbearing increases obstetric complication risks, with significant infertility rates among female physicians.
- Fertility and family planning education is scarce in medical training.
Purpose of the Study:
- To assess medical trainees' knowledge of fertility and infertility.
- To evaluate understanding of fecundability, miscarriage risks, and infertility treatment outcomes.
- To identify knowledge gaps in fertility awareness among healthcare professionals.
Main Methods:
- Survey distributed to medical students, residents, fellows, and attendings (assigned female at birth).
- Utilized the Fertility and Infertility Treatment Knowledge Score (FIT-KS) instrument.
- Analyzed knowledge scores based on training stage, specialty, and parity.
Main Results:
- Participants scored an average of 69% on the FIT-KS, indicating significant knowledge gaps.
- High rates of overestimating fecundability with age and underestimating miscarriage risks were observed.
- In vitro fertilization (IVF) success was frequently underestimated for younger women and overestimated for older women.
Conclusions:
- Medical trainees demonstrate insufficient knowledge regarding age-related fertility decline and infertility treatment efficacy.
- There is a critical need for enhanced family planning and fertility education within medical curricula.
- Early discussions on fertility goals are essential for trainees to make informed reproductive decisions.
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