Impact of formal family planning residency training on clinical competence in uterine evacuation techniques.
BACKGROUND
The goal of this study was to assess the impact of formal opt-out family planning training on clinical competence in uterine evacuation.


METHODS
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.
Steinauer
Jody
J
Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco General Hospital, San Francisco, CA 94110, USA. steinauerj@obgyn.ucsf.edu
Silveira
Maria
M
Lewis
Rebekah
R
Preskill
Felisa
F
Landy
Uta
U
D000028:Abortion, Induced / Q000193:education*; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003267:Contraception; D005193:Family Planning Services / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires