Confidence in adolescent contraceptive counseling among residents and fellows training at the University of Texas Southwestern in Dallas, Texas

Jessica C Sims; Julen N Harris; Caroline L Katzman; Catherine Wong; Katelyn Jetelina; Jasmin A Tiro; Susan L Rosenthal; Jenny K R Francis

doi:10.1016/j.contraception.2024.110478

Confidence in adolescent contraceptive counseling among residents and fellows training at the University of Texas Southwestern in Dallas, Texas

Contraception. 2024 May 3:110478. doi: 10.1016/j.contraception.2024.110478. Online ahead of print.

Authors

Jessica C Sims¹, Julen N Harris², Caroline L Katzman³, Catherine Wong⁴, Katelyn Jetelina⁵, Jasmin A Tiro⁶, Susan L Rosenthal⁷, Jenny K R Francis⁸

Affiliations

¹ Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, United States; Division of Developmental-Behavioral Pediatrics, Children's Health System of Texas, Dallas, TX, United States. Electronic address: Jessica.Sims@UTSouthwestern.edu.
² Department of Pediatrics, Weill Cornell Medicine, New York, NY, United States.
³ Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States.
⁴ Peter O'Donnell Jr. School of Public Health, UT Southwestern, Dallas, TX, United States.
⁵ 0.05 Findings, Oceanside, CA, United States.
⁶ Department of Public Health Sciences, University of Chicago, Chicago, IL, United States.
⁷ Departments of Pediatrics and Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States.
⁸ Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, United States; Division of Developmental-Behavioral Pediatrics, Children's Health System of Texas, Dallas, TX, United States; Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, United States.

PMID: 38705505
DOI: 10.1016/j.contraception.2024.110478

Abstract

Objectives: Evaluate trainees' perceptions of past training and confidence in counseling about five contraceptive methods.

Study design: Trainees completed an online survey in 2020. Logistic regressions evaluated the relationship between participant characteristics and confidence.

Results: Among 227 respondents (63% response rate), pediatric trainees reported the least confidence in counseling across each contraceptive method. Past training and confidence were associated.

Conclusions: Gaps in training should be addressed to improve confidence in contraceptive counseling among pediatricians in reproductively restricted states.

Implications: This study highlights gaps in physician trainee confidence regarding adolescent contraception counseling that should be addressed to improve adolescent sexual and reproductive healthcare.

Keywords: Adolescent sexual health; Contraceptive counseling; Contraceptive training; Pediatrics.