A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents

Introduction Many women of reproductive age with complex medical conditions receive primary care through an internal medicine (IM) physician rather than an obstetrician/gynecologist. Long-acting reversible contraception methods are the most effective form of contraception; however, IM residents are...

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Autores principales:	Rebeca Ortiz Worthington, Julie Oyler, Amber Pincavage, Nabil Abou Baker, Mark Saathoff, Jennifer Rusiecki
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Contraception Contraception Counseling Shared Decision-Making Long-Acting Reversible Contraception (LARC) Family Planning Patient-Centered Communication Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/4c1a946f884f44a5a9651209fece9073
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spelling	oai:doaj.org-article:4c1a946f884f44a5a9651209fece90732021-11-19T15:20:39ZA Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents10.15766/mep_2374-8265.110462374-8265https://doaj.org/article/4c1a946f884f44a5a9651209fece90732020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11046https://doaj.org/toc/2374-8265Introduction Many women of reproductive age with complex medical conditions receive primary care through an internal medicine (IM) physician rather than an obstetrician/gynecologist. Long-acting reversible contraception methods are the most effective form of contraception; however, IM residents are not routinely trained in them. Infrequent training in, inadequate knowledge of, and discomfort with contraception counseling limit the counseling performed by IM residents. Shared decision-making (SDM) is a method of patient-centered communication that can improve communication about patient preferences and increase patient satisfaction with and adherence to contraception. We developed a curriculum to teach contraception counseling under the framework of SDM for IM residents. Methods The curriculum focused on contraception counseling through the lens of SDM designed for IM and medicine/pediatrics residents (PGY 2-PGY 4). We adapted an existing seven-step model of SDM to fit elements of contraception counseling. The curriculum consisted of a didactic teaching session with integration of an instructional video and structured interactive discussion. The session lasted 60 minutes. Results Fifty-eight residents participated in the curriculum. On pre- and postcurriculum surveys, residents reported improvement in contraception knowledge (overall mean precurriculum = 57%, postcurriculum = 70%, p < .001) and comfort with contraception counseling (overall mean precurriculum = 3.2, postcurriculum = 3.6, p < .01). Residents expressed strong support for SDM before and after the curriculum. Discussion Based on the survey results, the curriculum successfully addressed gaps in residents’ comfort with contraception counseling and knowledge of contraception side effects and efficacy.Rebeca Ortiz WorthingtonJulie OylerAmber PincavageNabil Abou BakerMark SaathoffJennifer RusieckiAssociation of American Medical CollegesarticleContraceptionContraception CounselingShared Decision-MakingLong-Acting Reversible Contraception (LARC)Family PlanningPatient-Centered CommunicationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Contraception Contraception Counseling Shared Decision-Making Long-Acting Reversible Contraception (LARC) Family Planning Patient-Centered Communication Medicine (General) R5-920 Education L
spellingShingle	Contraception Contraception Counseling Shared Decision-Making Long-Acting Reversible Contraception (LARC) Family Planning Patient-Centered Communication Medicine (General) R5-920 Education L Rebeca Ortiz Worthington Julie Oyler Amber Pincavage Nabil Abou Baker Mark Saathoff Jennifer Rusiecki A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents
description	Introduction Many women of reproductive age with complex medical conditions receive primary care through an internal medicine (IM) physician rather than an obstetrician/gynecologist. Long-acting reversible contraception methods are the most effective form of contraception; however, IM residents are not routinely trained in them. Infrequent training in, inadequate knowledge of, and discomfort with contraception counseling limit the counseling performed by IM residents. Shared decision-making (SDM) is a method of patient-centered communication that can improve communication about patient preferences and increase patient satisfaction with and adherence to contraception. We developed a curriculum to teach contraception counseling under the framework of SDM for IM residents. Methods The curriculum focused on contraception counseling through the lens of SDM designed for IM and medicine/pediatrics residents (PGY 2-PGY 4). We adapted an existing seven-step model of SDM to fit elements of contraception counseling. The curriculum consisted of a didactic teaching session with integration of an instructional video and structured interactive discussion. The session lasted 60 minutes. Results Fifty-eight residents participated in the curriculum. On pre- and postcurriculum surveys, residents reported improvement in contraception knowledge (overall mean precurriculum = 57%, postcurriculum = 70%, p < .001) and comfort with contraception counseling (overall mean precurriculum = 3.2, postcurriculum = 3.6, p < .01). Residents expressed strong support for SDM before and after the curriculum. Discussion Based on the survey results, the curriculum successfully addressed gaps in residents’ comfort with contraception counseling and knowledge of contraception side effects and efficacy.
format	article
author	Rebeca Ortiz Worthington Julie Oyler Amber Pincavage Nabil Abou Baker Mark Saathoff Jennifer Rusiecki
author_facet	Rebeca Ortiz Worthington Julie Oyler Amber Pincavage Nabil Abou Baker Mark Saathoff Jennifer Rusiecki
author_sort	Rebeca Ortiz Worthington
title	A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents
title_short	A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents
title_full	A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents
title_fullStr	A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents
title_full_unstemmed	A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents
title_sort	novel contraception counseling and shared decision-making curriculum for internal medicine residents
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/4c1a946f884f44a5a9651209fece9073
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A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents

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