Resident Personal Contraceptive Use and LARC Practices in Residency Training [8H]

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Abstract

INTRODUCTION:

In the United States, long acting reversible contraception (LARC) use has been steadily rising, and female physicians use LARC at a higher rate than the general population. Additionally, experience with LARC training and education can vary widely by program and region. The purpose of this study is to determine if choice of personal contraceptive use among OB-GYN residents varies with the number of LARCs placed during their training.

METHODS:

An electronic survey was distributed to all residents taking the annual OB-GYN resident in-training examination January 21st-23rd, 2016. The survey included questions about demographics, residency training experience, and personal contraceptive use. The survey was IRB-approved, voluntary, and anonymous. Experience with LARC was defined as the number of insertions performed during residency: 0, 1-10, 11-25, 26-50, >50.

RESULTS:

In total 4,316 residents completed the survey. Of these, 896 use oral contraceptive pills (OCPs), 88 use implants, and 1444 use intrauterine devices (IUDs) for contraception. All responses were included in this analysis. Overall, the highest proportion of residents using OCPs and implants inserted 1-10 IUDs (37.9%, 47.7%). Of residents who used an IUD, the highest proportion of residents inserted 11-25 IUDs (33.1%). Residents who inserted 26-50 IUDs during training were more likely to use an IUD (24.1%) than residents who used OCPs or implants (19.4%, 14.8%,). Of residents who use OCPs, implants, and IUDs, the highest proportion of residents placed 1-10 implants (43.9%, 36.4%, and 40.3%).

CONCLUSION:

Residents who use an IUD for contraception are more likely to have greater experience with insertion of these devices.

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