IUDs are considered first-line contraceptive options according to primary care, gynecology, and pediatric guidelines; however, a lack of knowledge about long-acting reversible contraceptives (LARCs) negatively impacts considerations to use these… Click to show full abstract
IUDs are considered first-line contraceptive options according to primary care, gynecology, and pediatric guidelines; however, a lack of knowledge about long-acting reversible contraceptives (LARCs) negatively impacts considerations to use these methods in clinical practice, especially if a clinician does not have the confidence to counsel on risks versus benefits. In the USA, internal medicine (IM) trainees do not have consistent education and exposure specifically on the skills needed to comprehensively counsel on IUDs. 3 Video modules are alternative educational strategies that are effective in teaching residents’ new clinical content. We sought to assess whether a hands-on curriculum, in addition to video modules, would make a difference in knowledge, counseling, and referral practices among providers expected to counsel patients on IUDs. We designed a novel curriculum to improve IM residents’ perceived comfort in counseling on IUDs by combining a hands-on IUD simulation workshop using IUD demo devices, in combination with video modules and compared with traditional lecture-based education. Our primary outcome was change in self-reported comfort and ability to counsel about IUDs. Secondary outcomes were change in knowledge about IUD and the number of self-recorded referrals made for IUD placement in the years following this intervention.
               
Click one of the above tabs to view related content.