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Impact of an Immediate Postpartum Intrauterine Device Insertion Simulation on Resident and Attending Providers

Background: PPIUD use may be reduced if providers feel they have inadequate knowledge and skills. 


Methods: From 11/2013-2/2015, obstetrical providers at two teaching hospitals participated in a 30-minute PPIUD simulation workshop. We assessed knowledge of PPIUD indications, technique, and safety, and comfort with knowledge and skills pre-intervention, immediately following, and 6 months post-training.  


Results: Training participants (n=84) included 39 residents and 45 attendings (25 certified nurse-midwives and 20 OB/GYNs). Fifty-seven participants (68%) completed the 6-month assessments. Many participants had placed PPIUDs (54% of residents vs 64% of attendings, p=0.32); 52% were comfortable with their knowledge and 45% with their insertion skills defined by self-assessment of ≥7 on a10-point scale.  On the pre-test, 77% answered ≥80% of the knowledge-based questions correctly; this proportion rose to 95% and 97% on the immediate and 6-month assessments respectively, and were similar between residents and attendings. Immediately post-simulation, 94% of participants scored their comfort with PPIUD knowledge at ≥7/10; this fell to 86% by 6 months.  Likewise, 87% and 74% scored their comfort with skills at ≥7/10 immediately and at 6 months respectively. By 6 months, 81% reported placing ≥1 PPIUD (92% of residents and 71% of attendings, p=0.05).


Discussions: Residents and attendings demonstrate sustained improvement in knowledge and comfort with PPIUDs 6 months after a standardized simulation workshop.  This may lead to increased provision of PPIUDs to patients.


Keywords: evaluation; PPIUD; simulation

Topics: CREOG & APGO Annual Meeting, 2016, Resident, Faculty, Residency Director, Patient Care, Medical Knowledge, GME, CME, Assessment, Simulation, Contraception or Family Planning,

General Information

Oral Abstract
2016 C & A Annual
Resident,Faculty,Residency Director,
Patient Care,Medical Knowledge,
Clinical Focus
Contraception or Family Planning,

Author Information

Lisa Goldthwaite, MD, MPH, Stanford University School of Medicine, Department of Obstetrics and Gynecology; Jeanelle Sheeder, PhD; Stephanie Teal, MD, MPH; Kristina Tocce, MD, MPH

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