Trends in vasectomy. Analysis of one teaching practice.
OBJECTIVE
How can a teaching practice develop a referral service and incorporate educational opportunities for family medicine residents, clinical clerks, and community family physicians?


OBJECTIVE
To develop a high-quality vasectomy service within a teaching practice to change the surgical procedure to the no-scalpel vasectomy (NSV) technique; to educate family medicine residents, clinical clerks, and community family physicians about vasectomy and the NSV technique; and to monitor outcomes and compare them with published results.


METHODS
The program took place in an urban family medicine residency program. Data on number of procedures, types of patients choosing vasectomy, and outcomes are presented, along with information on number of learners who viewed, assisted with, or became competent to perform NSV.


CONCLUSIONS
A few family medicine residents and some interested community physicians could be trained to perform NSV competently. Involving learners in the procedure does not seem to change the rate of complications.
Reynolds
J L
JL
Department of Family Medicine, University of Western Ontario, London. reynolds@julian.uwo.ca
D000328:Adult; D017677:Age Distribution; D005194:Family Practice / Q000193:education* / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D016730:Program Development; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012017:Referral and Consultation / Q000458:organization & administration*; D014659:Vasectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends*