Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Boston, MA 02115, USA.
Contraception. 2013 Aug;88(2):257-62. doi: 10.1016/j.contraception.2012.10.028. Epub 2012 Dec 4.
Studies demonstrate that many clinician populations have poor knowledge of and harbor negative attitudes towards intrauterine devices (IUDs). We set out to assess the impact of the clinical clerkship in obstetrics and gynecology on medical student IUD knowledge and attitudes.
In this prospective cohort study, students at seven diverse US medical schools were surveyed at the start and completion of their obstetrics and gynecology clinical clerkships regarding IUD exposure, knowledge and attitudes. Subject responses were compared pre- and postclerkship.
One hundred six students returned completed paired surveys (response rate 82%). The preclerkship mean knowledge percent correct (54%, SD 17%) increased significantly at postclerkship assessment (72%, SD 18%) (p<.0001). The mean attitudes score also increased significantly from pre- (34%, SD 31%) to postclerkship (59%, SD 26%) (p<.0001).
US medical student IUD knowledge and attitudes are significantly improved through the obstetrics and gynecology clerkship. However, significant gaps in knowledge persist postclerkship.
研究表明，许多临床医生群体对宫内节育器（IUD）的了解甚少，且持有负面态度。我们旨在评估妇产科临床实习对医学生 IUD 知识和态度的影响。
在这项前瞻性队列研究中，来自美国七所不同医学院的学生在妇产科临床实习前后接受了关于 IUD 接触、知识和态度的调查。比较了学生在实习前后的反应。
106 名学生返回了完整的配对调查（应答率为 82%）。实习前的平均知识正确百分比（54%，SD 17%）在实习后评估时显著增加（72%，SD 18%）（p<.0001）。态度得分也从实习前（34%，SD 31%）显著增加到实习后（59%，SD 26%）（p<.0001）。
通过妇产科实习，美国医学生的 IUD 知识和态度有了显著提高。然而，实习后知识仍存在显著差距。
