Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, Florida.
Department of Biostatistics, Virginia Commonwealth University, Richmond, Virginia.
J Womens Health (Larchmt). 2020 Feb;29(2):237-241. doi: 10.1089/jwh.2018.7186. Epub 2019 Jan 25.
This 2016 study aimed to investigate the training in contraception and preconception counseling received by cardiovascular science fellows. The authors surveyed current adult and pediatric cardiology fellows in the United States. Questions assessed the availability of family planning counseling training within their training program, current practices of contraception and preconception counseling, and use of available tools for risk stratification of patients. Bivariate logistic regressions were utilized to predict demographic variables associated with survey responses, and associations between hours of training or perceived preparedness and clinical use of training. There were 101 survey responses. Most participating fellows disagreed that their fellowship training had prepared them to counsel patients on contraception (69%) and preconception planning (62%). Sixty-one percent of participants do not routinely discuss contraception options and 55% do not routinely discuss preconception counseling with reproductive-age female patients at routine visits. Having more than 1 hour of training was predictive of more consistent counseling for both contraception and preconception counseling. Approximately 40% of participants routinely refer patients to an OB/Gyn for contraception or preconception counseling. This study highlights the need for increased training in contraceptive and preconception counseling within adult and pediatric cardiology fellowship programs.
这项 2016 年的研究旨在调查心血管科学研究员接受的避孕和备孕咨询培训。作者调查了美国目前的成人和儿科心脏病学研究员。问题评估了他们的培训计划中是否有计划生育咨询培训、当前避孕和备孕咨询的实践，以及是否使用可用工具对患者进行风险分层。利用双变量逻辑回归来预测与调查回答相关的人口统计学变量，并预测培训时间或感知准备程度与培训的临床应用之间的关联。共有 101 份调查回复。大多数参与的研究员不同意他们的研究员培训使他们有能力就避孕（69%）和备孕计划（62%）为患者提供咨询。61%的参与者不会在常规就诊时常规讨论避孕选择，55%的人不会常规与育龄期女性患者讨论备孕咨询。接受超过 1 小时的培训可预测在避孕和备孕咨询方面更一致的咨询。约 40%的参与者会定期将患者转介给妇产科医生进行避孕或备孕咨询。这项研究强调了在成人和儿科心脏病学研究员培训计划中增加避孕和备孕咨询培训的必要性。
