Assessment of Low-cost, Intrauterine Contraception Simulation Training for Preclinical Students

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To assess whether a low-cost didactic workshop on intrauterine devices (IUDs) improves preclinical medical students' knowledge and comfort with counseling patients on IUDs.


Medical school reproductive health curricula often lack teaching regarding IUDs. Preclinical medical students have insufficient knowledge and training to counsel patients about IUDs.


Preclinical medical students completed a survey before and after a voluntary IUD didactic workshop at the University of Washington. The session consisted of a 45-minute lecture and 45-minute hands-on simulation of IUD insertion. The primary outcome was comfort level with IUD counseling.


Ninety-eight students completed both pre- and post-workshop surveys. Most students planned to enter primary care specialties. More than half of students had seen at least one IUD inserted and almost all students (91%) had an IUD themselves or knew someone personally who had one. The proportion of students scoring 75% or higher on the IUD knowledge questions increased from 55% prior to the workshop to 91% after completing the workshop (P<.001). The proportion of students who felt comfortable counseling patients on IUDs increased from 31% to 90% (P<.001).


A simple, low-cost workshop increases medical students’ knowledge and comfort with IUDs. This workshop could serve as a framework for medical schools to ensure students receive appropriate education and hands-on learning related to IUDs prior to entering their clinical rotations and for their future careers.

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