Teaching Internal Medicine Residents to Care for Reproductive-Age and Pregnant Women: An Effective Web-Based Curriculum

Spagnoletti, Carla; Sanders, Aimee M; McGee, James B.; Bost, James E.; McNeil, Melissa

doi:10.1080/10401330801991907

Cited by 4 publications

(3 citation statements)

References 29 publications

(28 reference statements)

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“…Nevertheless, the rapid training intervention increased the level of knowledge of the health providers similar to results observed in studies conducted in the USA with health care students and residents [ 13 , 15 ]. As insufficient training is reported to negatively impact the confidence and ability of a health care provider to provide preconception care [ 5 , 6 , 35 , 36 ], our result resonates with others that highlight the need for specific and continuous in-work trainings that may allow updates in preconception care-related topics to optimize its provision [ 29 ].…”

Section: Discussionsupporting

confidence: 64%

“…Studies that assessed the effects of training in preconception care for health providers and health science students showed an increase in the level of the knowledge on the topic [ [13] , [14] , [15] ] and in the provision of preconception care [ 14 , 16 ], mainly because they felt more prepared to do so [ 17 ]. However, these studies were conducted only in high-income countries, and there is no mention of whether there was a control group for comparison [ [13] , [14] , [15] , [16] , [17] , [18] ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Training in preconception care focused on primary health care providers: Effects on preconception care knowledge and provision

Castro Nascimento,

Borges,

Fujimori

et al. 2024

Heliyon

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Section: Discussionsupporting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Training in preconception care focused on primary health care providers: Effects on preconception care knowledge and provision

Castro Nascimento,

Borges,

Fujimori

et al. 2024

Heliyon

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“…Develop national curricula on SRH and widely disseminate them (e.g., through the American Association of Medical College's MedEdPortal), particularly for training programs that lack local expertise. 48,51 Develop local SRH curricula, done by faculty leaders from ObGyn/MFM and/or experts in subspecialty medicine with expertise in SRH.…”

Section: Subspecialists Require Training and Continuing Medical Educa...mentioning

confidence: 99%

A blueprint for a new model of sexual and reproductive health care in subspecialty medicine

Talabi

Callegari

Kazmerski

et al. 2022

Health Services Research

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The United States has the highest rate of maternal mortality of any developed country in the world. 1 This excess mortality burden is related, in part, to the rising prevalence of pregnant people with chronic diseases, such as systemic lupus erythematosus, pulmonary hypertension, asthma, cystic fibrosis, diabetes, hypertension, epilepsy, chronic kidney disease, and inflammatory bowel disease. [2][3][4][5][6] Patients with chronic diseases are significantly more likely to experience adverse pregnancy and perinatal outcomes than healthy people. [7][8][9] In addition, people of color, people who are poor, or who are otherwise socially marginalized, experience the worst pregnancy outcomes as a result of the complex intersections between chronic disease and social determinants of health, structural and medical racism, and inadequate access to quality health care. 10,11 Medicine subspecialists are often consulted to provide expert clinical care to people whose chronic diseases are particularly severe, complicated, or rare. 12 Subspecialists are responsible for helping to manage the pregnancies of some of the most complex and severely ill patients-the very patients who are at greatest risk of death during pregnancy. Subspecialists who are armed with salient knowledge and experience may be better able to prepare patients for a healthy pregnancy; counsel patients with accurate and up-to-date information; address issues that might complicate a pregnancy, such as the use of teratogenic medications; advise patients about the safety of their contraception options; identify "red flags" that might suggest worsening disease severity of life-threatening sequelae during pregnancy (e.g., preeclampsia); and make referrals for abortion care when needed and if available. Such competencies may be lifesaving. However, at present, subspecialty medical practice may paradoxically potentiate adverse reproductive outcomes. 10 Subspecialists across the internal medicine disciplines of rheumatology, pulmonary and critical care medicine, gastroenterology/transplant hepatology, cardiology, nephrology, endocrinology, infectious disease, and hematology-oncology, indicate that they do not have the basic knowledge, skills, or resources to manage disease-related aspects of sexual and reproductive health (SRH). [13][14][15][16][17][18][19][20][21][22] Our collective of multidisciplinary subspecialty clinicians and health services researchers has described some of the common challenges that subspecialists feel undermine their provision of SRH

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A Scoping Review of Obstetrics and Gynecology Curricula in Primary Care Residency Programs

Ramírez,

Partin,

Snyder

et al. 2024

J GEN INTERN MED

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Teaching Internal Medicine Residents to Care for Reproductive-Age and Pregnant Women: An Effective Web-Based Curriculum

Abstract: A Web-based approach to teaching these topics to internal medicine residents increased knowledge and perceived preparedness and was well received.

Cited by 4 publications

References 29 publications

Training in preconception care focused on primary health care providers: Effects on preconception care knowledge and provision

Training in preconception care focused on primary health care providers: Effects on preconception care knowledge and provision

A blueprint for a new model of sexual and reproductive health care in subspecialty medicine

A Scoping Review of Obstetrics and Gynecology Curricula in Primary Care Residency Programs

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