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Clinical experience of trainees of The Royal Australian and New Zealand College of Obstetricians and Gynaecologists in insertion of long‐acting reversible contraceptives
Author(s) -
Abdalla Orit,
Black Kirsten,
Bateson Deborah,
Woods Cindy,
de Costa Caroline
Publication year - 2021
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.13344
Subject(s) - medicine , certificate , family medicine , family planning , health professionals , obstetrics and gynaecology , gynecology , reproductive health , nursing , health care , obstetrics , pregnancy , population , research methodology , environmental health , algorithm , biology , computer science , economics , genetics , economic growth
Background Long‐acting reversible contraceptives (LARCs) include both progestogen‐containing implants and intrauterine devices releasing either a progestogen or copper, providing highly effective contraception. Increasing uptake of LARCs is advocated by governments and professional organisations as an important strategy to reduce unintended pregnancy; such uptake requires, among other measures, adequate training of doctors in the areas of obstetrics and gynaecology and women’s health. Aims To assess The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) trainees’ (Fellowship, Diploma or Certificate of Women’s Health) experience and training in insertion and removal of LARCs. Materials and methods An invitation email to participate in an anonymous survey approved by the Continuing Professional Development Committee of RANZCOG was sent to all current RANZCOG trainees in the three categories. The responses were categorised and analysed. Results Of 1686 invited trainees, 294 (17.4%) responded: 250 in Australia and 44 in New Zealand; 127 were undertaking Fellowship training (8.3% of those invited) and 166 (100% of those invited) were undertaking training for the Diploma (either DRANZCOG and DRANZCOG Advanced) or the Certificate of Women’s Health. Significant numbers of all categories of trainees had no or limited experience of insertion or removal of LARCs of all types and/or lacked self‐confidence in LARC provision. Conclusion RANZCOG needs to address this training deficiency to continue as the leader in Australia in the provision of women’s reproductive healthcare.