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. 2016 May;48(5):345-52.

Are the Contraceptive Recommendations of Family Medicine Educators Evidence-Based? A CERA Survey

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  • PMID: 27159092
Free article

Are the Contraceptive Recommendations of Family Medicine Educators Evidence-Based? A CERA Survey

Justine P Wu et al. Fam Med. .
Free article

Abstract

Background and objectives: Our study aims were to: (1) describe the scope of contraceptive methods provided by US family medicine educators and (2) assess the extent to which US family medicine educators' recommendations regarding eligibility criteria for contraceptive methods are consistent with Centers for Disease Control and Prevention (CDC) guidelines.

Methods: We contributed survey items as part of the 2014 Council of Academic Family Medicine Educational Research Alliance (CERA) omnibus survey, which is distributed annually to a national cohort of US family medicine educators. We created two summary scales, comprised of clinical scenarios, to assess the extent to which provider recommendations regarding eligibility criteria for oral contraceptive pills (OCPs, six scenarios) and the intrauterine device (IUD, eight scenarios) were consistent with CDC guidelines.

Results: Among the 1,054 respondents (33% response rate), 98% prescribe OCPs and 66% insert IUDs. The OCP scale mean was 4.6 ± SD 1.6 (range 0-6), and the IUD scale mean was 4.8 SD ± 2.3 (range 0-8). These scores reflect that 23% of providers' OCP recommendations and 40% of their IUD recommendations were inconsistent with CDC guidelines.

Conclusions: The contraceptive recommendations of this cohort of family medicine educators only partially reflected evidence-based guidelines. More misconceptions were noted regarding eligibility criteria for the IUD than for OCPs. To avoid denying safe and effective contraception to otherwise appropriate candidates and putting women at risk of unintended pregnancy, evidence-based contraceptive recommendations must be improved among family medicine educators.

Comment in

  • Celebrating Complexity.
    Wendling A. Wendling A. Fam Med. 2016 May;48(5):341-2. Fam Med. 2016. PMID: 27159090 No abstract available.

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