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

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Abstract

PURPOSE:

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

BACKGROUND:

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

METHODS:

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.

RESULTS:

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).

DISCUSSION:

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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