Title

Does a comprehensive multidisciplinary care program impact utilization of genetics in breast cancer management?

Document Type

Conference Proceeding

Publication Date

2018

Publication Title

Obstet Gynecol

Abstract

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.

Volume

131

First Page

131S

Last Page

132S

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