Effectiveness of Training Primary Care Internal Medicine Residents in Etonogestrel Implants and Impact on Their Future Practice: A Cross-Sectional Study - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/35917931/
doi: 10.1016/j.contraception.2022.07.013. Online ahead of print. 1 Primary Care/Social Internal Medicine Residency Program, Montefiore Medical Center, 3544 Jerome Avenue, Bronx, NY, 10467, USA. Electronic address: [email protected]. 2 Primary Care/Social Internal...
Conclusion: The primary care Internal Medicine program graduates we surveyed (n=14) valued our etonogestrel implant training program and perceived competence, particularly with implant placement. However, even those who intended to provide etonogestrel implants post-graduation were unable to do so.
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Amy Gonzales, MARK MALONE, MD, PA2yrIt is unfortunate that this group of physicians successfully trained and wanted to provide this service but faced "credentialing and clinic-practice level barriers". This may cause delay in care, more Show More
Adherence among a cohort taking progestin-only pills prescribed by a healthcare provider: Results of the BENCHMARK study
Source : https://www.sciencedirect.com/science/article/pii/S0010782422001081
To measure adherence over six months of progestin-only pill (POP) use. Prospective observational cohort study measuring adherence to daily dosing and timing of dose in patients prescribed a POP, with...
Conclusion: Among participants taking a prescribed POP, participants demonstrated high adherence for daily pill taking and the same time of day, though the majority were not 100% adherent.
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Amy Gonzales, MARK MALONE, MD, PA2yrThis is good news as consistently taking an OCP is important for maximum effectiveness. Always remind patients to use secondary contraception such as condoms to prevent STDs.
Text reminders encourage more women to seek family planning services: Evidence from a randomized control trial in Mozambique
Modern contraception and family planning have substantial health benefits, helping women to manage birth spacing and thus reducing maternal and neonatal mortality and morbidity. However, access is limited in many...
Discussion: How effective would text reminder messages for family planning services be in a country with greater access to technology compared to a country with limited access? Would the former country have more rapid follow-up at clinics.
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Amy Gonzales, Physician2yrI think text reminders would be better in a country with greater access to technology. However, keep in mind that receiving reminders is not enough. The women should have available Show More
Women's experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey - Reproductive Health
Source : https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-022-01492-w
Background Ineffective or no use of contraception following an unintended pregnancy contributes to a subsequent unintended pregnancy. This study aimed to determine whether women's experiences of unintended pregnancies affect changing...
Conclusion: Experience of unintended pregnancy did not change women’s contraception using patterns, which indicates the risk of repeat unintended pregnancies and associated adverse consequences, including maternal and child morbidity and mortality.
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Amy Gonzales, Physician2yrLots of hurdles and factors affects this subject but access to effective contraceptive methods, information and a knowledgeable open-minded physician / clinician who takes time to discuss options available to Show More
Contraception Recommendations: Updates for the Busy Clinician
Source : https://www.aafp.org/pubs/afp/issues/2022/0900/editorial-contraception-recommendations.html
Primary care clinicians are an important source of reproductive health care,1 but it can be challenging for busy clinicians to keep up with new developments. The U.S. Food and Drug...
Conclusion: To help busy clinicians easily access these recommendations, the CDC's smartphone application (available on iOS and Android platforms) enables users to view recommendations by choosing up to three patient characteristics or medical conditions simultaneously and includes a user tutorial. Users can quickly review practice...
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Amy Gonzales, Physician2yrVery useful. May also print a copy of this so you can refer to it quickly while in the office.
