Contraceptive Procedures in Internal Medicine Clinics and Resident Education: a Qualitative Study of Implementation Methods, Barriers, and Facilitators

Preventive care visits with OB/GYNs and generalist physicians among reproductive‐age women with chronic conditions

“…It is also possible that reproductive‐related services are under‐provided in generalist physician visits. Recent studies have shown that only 50% of family medicine physicians and 20% of internal medicine physicians provide prescription contraceptives, with even smaller proportions providing long‐acting reversible contraceptives 22,23 . Additionally, many women are prescribed potentially teratogenic medications to manage chronic conditions without documented contraceptive management 24 .…”

“…Recent studies have shown that only 50% of family medicine physicians and 20% of internal medicine physicians provide prescription contraceptives, with even smaller proportions providing long-acting reversible contraceptives. 22,23 Additionally, many women are prescribed potentially teratogenic medications to manage chronic conditions without documented contraceptive management. 24 We were unable to observe the full set of services that reproductive-age women received over time due to the visit-level unit of analysis.…”

Credentialing Internal Medicine Physicians to Expand Long-Acting Reversible Contraceptive Access

“…2 Many obstacles prevent patients from receiving these methods, including a critical lack of access in internal medicine (IM) primary care clinics. 3 A subset of patients, including those at risk for adverse reproductive health outcomes, prefer to receive their contraceptive care in primary care. 4 One third of United States (US) primary care physicians (PCPs) are trained in IM.…”

“…Unfortunately, few IM clinics offer on-site LARC care due to a critical lack of training and credentialing of IM physicians. 3…”

Integrating long-acting reversible contraceptives into primary care internal medicine practices: A clinical innovation to reduce wait time

“…Existing research has laid preliminary groundwork describing practice-level feasibility, provider interest, and patient preferences. [3][4][5]8 However, little has been done to examine how integrating LARC service within one's primary care home versus referral to specialty providers influences wait time-a factor that not only greatly impacts patient care, but also may help inform a practice if it is worth the time investment to begin offering LARC in their practice versus relying on traditional referral routes. For example, in our institution, wait time for a new patient appointment in Gynecology can range from 2 to 8 weeks on the shorter end, often extending to several months.…”