Does a comprehensive multidisciplinary care program impact utilization of genetics in breast cancer management?
Doe S, Quigg M, Bell M, and Swain M. Does a comprehensive multidisciplinary care program impact utilization of genetics in breast cancer management? Obstet Gynecol 2018; 131:131S-132S.
Methods: Researchers emailed a web-based survey to program directors or coordinators for 204 pediatric and 498 family medicine programs, with a request to forward the survey to residents in each program. Responses were recorded, and relationships between participants' demographics, knowledge, and experience regarding contraceptive implants were assessed using chi-squared analyses. Results: Among 665 participants, 81.2% recommended the contraceptive implant to adolescents, yet 73.2% had never inserted an implant in this population. 68.5% had received lectures and 52.0% had received hands-on training regarding contraceptive implants. Compared to pediatric residents, more family medicine residents had received lectures (80.1% vs 49.0%, P<.00001) and hands-on training (77.8% vs 19.2%, P<.00001). More family medicine residents had placed one or more implants than pediatric residents (40.5% vs 9.2%, P<.00001). Most participants correctly answered three knowledge-based questions about the contraceptive implant (66.0%, 72.5%, 85.6% correct). Reported setbacks to provision of contraceptive implants included lack of training or experience, lack of patient interest, and lack of implant availability at clinical sites. Conclusion: The provision of contraceptive implants for adolescents by primary care residents is low, particularly among pediatric residents. Primary care residency programs should focus more on contraceptive implant training.