Home > Abstract Details > Training Residents to Place Immediate Postpartum LARC: An Update Among U.S. Residency Programs

« Back to Search

Training Residents to Place Immediate Postpartum LARC: An Update Among U.S. Residency Programs

Purpose: To survey U.S. Obstetrics and Gynecology (Ob/Gyn) Residency Programs on immediate postpartum (IP) long-acting reversible contraception (LARC) training and challenges.

Background: In 2016, the American College of Obstetricians and Gynecologists (ACOG) released a committee opinion supporting IP LARC. Growing evidence describes provider/hospital barriers which hinder IP LARC provision. We hypothesize similar difficulties have prevented programs from implementing training.

Methods: We distributed an electronic survey addressing IP LARC training to 273 U.S. Accredited Council for Graduate Medical Education (ACGME) Ob/Gyn Residency Program Directors from the 2017-2018 Academic Year. Data analysis was performed with chi-square and Fisher’s exact test.

Results: Of 86 programs that participated, residents were trained in the immediate postpartum period to place implants in 54 programs (63%) and to place intrauterine devices (IUDs) in 52 programs (60%).

Prior to 2015, only 20% of the programs were training their residents to place IP IUDs. Thirty-one percent of eligible programs initiated training in 2017. The majority of programs focused training interns (98%). Patient/provider convenience motivated 46% of programs to offer IP LARC and compliance motivated 27%.

The two barriers most frequently encountered, regardless of program training status, were problems with billing and compensation for services (61%) and the pharmacy (33%).

Programs that reported primarily seeing patients with insurance, either private or Medicaid, were more likely to have IP IUD training compared to programs seeing mostly indigent/uninsured populations (p<0.05).

Discussions: IP LARC training has increased since the ACOG Committee Opinion was published, however many programs are still facing challenges with implementation, affecting resident training.

Topics: Contraception or Family Planning, Advocacy, Public Health, GME, Systems-Based Practice & Improvement, Patient Care, Residency Coordinator, Residency Director, Osteopathic Faculty, Clerkship Coordinator, Clerkship Director, Faculty, Resident, Student, 2019, CREOG & APGO Annual Meeting,

General Information


Intended
Audience
Student,Resident,Faculty,Clerkship Director,Clerkship Coordinator,Osteopathic Faculty,Residency Director,Residency Coordinator,
Competencies
Addressed
Patient Care,Systems-Based Practice & Improvement,
Educational
Continuum
GME,
Educational
Focus
Public Health,Advocacy,
Clinical Focus
Contraception or Family Planning,

Author Information

Caroline Starling, BSA, McGovern Medical School, University of Texas Health Science Center at Houston; Han-Yang Chen, PhD; Randa Jalloul, MD; Cristina Wallace Huff, MD

Additional Materials


Related Abstracts


Association of Professors of Gynecology and Obstetrics

2130 Priest Bridge Drive, Suite 7, Crofton, MD 21114

410-451-9560

APGO logo

Follow Us


COPYRIGHT © 2020
Association of Professors of
Gynecology and Obstetrics (APGO)