title: Medical student intrauterine device knowledge and attitudes: an assessment of clerkship training.
abstract: BACKGROUND
  Studies demonstrate that many clinician populations have poor knowledge of and harbor negative attitudes towards intrauterine devices (IUDs). We set out to assess the impact of the clinical clerkship in obstetrics and gynecology on medical student IUD knowledge and attitudes.
  
  
  METHODS
  In this prospective cohort study, students at seven diverse US medical schools were surveyed at the start and completion of their obstetrics and gynecology clinical clerkships regarding IUD exposure, knowledge and attitudes. Subject responses were compared pre- and postclerkship.
  
  
  RESULTS
  One hundred six students returned completed paired surveys (response rate 82%). The preclerkship mean knowledge percent correct (54%, SD 17%) increased significantly at postclerkship assessment (72%, SD 18%) (p<.0001). The mean attitudes score also increased significantly from pre- (34%, SD 31%) to postclerkship (59%, SD 26%) (p<.0001).
  
  
  CONCLUSIONS
  US medical student IUD knowledge and attitudes are significantly improved through the obstetrics and gynecology clerkship. However, significant gaps in knowledge persist postclerkship.
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Boston, MA 02115, USA. dbartz@partners.org
authors.forename: Deborah
authors.initials: D
authors.lastname: Bartz
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tang
authors.forename: Rie
authors.initials: R
authors.lastname: Maurer
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Janiak
mesh_terms: D000328:Adult; D002982:Clinical Clerkship / Q000379:methods*; D002983:Clinical Competence; D015331:Cohort Studies; D005260:Female; D006176:Gynecology / Q000193:education*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007434:Intrauterine Devices; D008297:Male; D009774:Obstetrics / Q000193:education*; D011247:Pregnancy; D011446:Prospective Studies; D013337:Students, Medical; D011795:Surveys and Questionnaires