Center for Advanced Reproductive Services, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington, Connecticut.
Center for Advanced Reproductive Services, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Connecticut Health Center, Farmington, Connecticut.
Fertil Steril. 2017 May;107(5):1200-1205.e1. doi: 10.1016/j.fertnstert.2017.03.008. Epub 2017 Apr 6.
To assess medical students' and house staff's knowledge and personal and professional perceptions of age-related fertility and fertility preservation before and after an educational intervention.
Pre-/post intervention survey.
University-based medical center.
PATIENT(S): Medical students and house staff.
INTERVENTION(S): An educational session on age-related fertility decline and elective fertility preservation.
MAIN OUTCOME MEASURE(S): Knowledge scores and perceptions assessed immediately before and after the intervention.
RESULT(S): Sixty-five surveys were administered. Of the 53 respondents, 71.7% were married or in a committed relationship; 89.4% reported that they were delaying childbearing, with career and/or education being the most frequently listed reason (85.7%); 39.5% indicated that they had both personal and professional interest in fertility preservation but identified finances (62.5%) and time (59.4%) as barriers; 86.9% indicated previous exposure, with formal education (80.0%) and social media (40.0%) being the most common sources. Mean scores on a six-question knowledge-based assessment improved significantly following the presentation (54.6 ± 19.0% vs. 78.1 ± 16.0%), as did the number of participants who indicated that they might now recommend elective oocyte cryopreservation to others (71.1% vs. 54.3%). After the intervention, 97.8% thought that it was important for medical professionals to be informed about age-related fertility decline and elective oocyte cryopreservation.
CONCLUSION(S): Despite professional and personal interest, knowledge of age-related fertility decline and elective fertility preservation is limited among medical students and house staff. This study highlights the need for formal education across all levels of training and specialties, with even brief interventions being of potential benefit.
在接受教育干预前后，评估医学生和住院医师对与年龄相关的生育力和生育力保存的知识、个人和专业认知。
干预前后的调查。
大学医疗中心。
医学生和住院医师。
关于与年龄相关的生育力下降和选择性生育力保存的教育课程。
干预前后立即评估知识评分和认知。
共发放 65 份调查问卷，53 份有效回复。其中 71.7%的受访者已婚或处于稳定关系中；89.4%的人表示正在推迟生育，职业和/或教育是最常见的原因（85.7%）；39.5%的人表示对生育力保存既有个人兴趣也有专业兴趣，但认为经济（62.5%）和时间（59.4%）是障碍；86.9%的人表示之前有过相关接触，其中正规教育（80.0%）和社交媒体（40.0%）是最常见的来源。在介绍之后，基于 6 个问题的知识评估的平均分数显著提高（54.6±19.0% vs. 78.1±16.0%），表示现在可能会向他人推荐选择性卵母细胞冷冻保存的参与者人数也增加（71.1% vs. 54.3%）。干预后，97.8%的人认为医生了解与年龄相关的生育力下降和选择性卵母细胞冷冻保存非常重要。
尽管医学生和住院医师对与年龄相关的生育力下降和选择性生育力保存有个人和专业兴趣，但他们的相关知识有限。本研究强调了在所有培训水平和专业领域都需要正规教育，即使是简短的干预也可能带来益处。
