Rotation through family planning clinic affiliated with young men’s clinic

Rotation through family planning clinic affiliated with young men’s clinic: This clinic focuses primarily on contraception and is staffed by family planning fellows. The young men’s clinic allows residents to gain experience with counseling adolescent males about contraception and STDs.

Three sessions per week in gynecology procedure clinic

Three sessions per week in gynecology procedure: Residents perform colposcopies and endometrial biopsies with an ob/gyn who works within the Family Health Center.

Monthly lecture on women’s health

Monthly lecture on women’s health: Lecture is in the weekly residency conference series. Past topics have included “Management of Post-Abortion Phone Triage Complaints,”“Surgical Abortion” and “Medication Abortion.”

Weekly session in integrated abortion clinic with termination training

Weekly session in integrated abortion clinic with termination training

Evidence-based exam template intervention

Evidence-based exam template intervention is pending as part of a new EMR being introduced at our clinic. Separate pop-up message is not an available feature with this program. Template includes prompts to discuss birth control, use of folate, safer sex and emergency contraception. Plan to add a more detailed birth control/family planning section to the adolescent patient template already in use.

Planned: Annual in-service on Emergency Contraception and availability of handouts

This in-service will discus the mechanism of action and safety protocol of emergency contraception, with the intent of increasing provider comfort with prescribing and calling in refills of emergency contraception for patients. Handouts will be on the residency’s provider website for access and distribution. Inservice is scheduled for December, 2006. Handouts have been identified and their addition to the residency website (which is being redesigned) is pending.

Evaluates: internet-based program. Evaluation of residents by faculty

Evalues: internet-based program
Evaluation of residents by faculty: competency-based

Electronic procedure log maintained by residents

This is verified by supervising attendings and is reviewed at each resident’s biannual evaluation meetings. Women’s health procedures to be logged include: amniotomy, C-birth, cervical biopsy, circumcision, colposcopy, continuity delivery, D and C, ECC, endometrial biopsy, episiotomy, IUD placement, IUPC placement, neonatal resuscitation, pelvic exam with PAP/GC/chl, vaginal repair (nd degree) and vulvar biopsy. Please note that some of these procedures are performed during the gynecology rotation while others are performed during the OB rotations and continuity clinic.

Evaluation of curricula by residents

Evaluation of curricula by residents: residents evaluate gynecology and contraceptive rotations.

Pre- and post-intervention chart review survey

Please contact program for more information.

Compile data regarding number of contraception counseling visits

Pre- and post-intervention survey with patients: Assess the frequency of documented contraceptive counseling at visits with female patients between the ages of 16 and 45. We have collected data on the frequency of documented contraceptive (and emergency contraception) counseling from 100 patient charts of female patients of reproductive age (18-45) over the past year. We will collect comparable post-intervention data after our EMR template has been instituted.

Ongoing response to evaluation of curricula by residents

Please contact program for more information.

Annual in-service on emergency contraception, future presentation of data from chart review assessing frequency of contraceptive counseling in clinic, patient and provider handouts on EC to be added to residency website, new women’s health elective (first resident to rotate through this fall).

Please contact program for more information.

Skills survey of residents which asks their comfort level with performing gyn related skills, including contraceptive care, abortion care, IUD insertion, among others.

Please contact program for more information.

Survey of residents which asks their intent to provide a wide range of gyn-related skills upon graduation.

Please contact program for more information.