Evidence map›Paper›PMID 35917931›Full record

ArticleContraception2022

Effectiveness of training primary care internal medicine residents in etonogestrel implants and impact on their future practice: A cross-sectional study.

Louisa W Holaday, Mary Gover, Shwetha V Iyer, Joseph P DeLuca, Jennifer Stella, Marji Gold, Erin Goss

Open access · greenAbstract read
In one paragraph

Article in Contraception, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Louisa W HoladayPrimary Care/Social Internal Medicine Residency Program, Montefiore Medical Center, Bronx, NY, United States.
Mary GoverPrimary Care/Social Internal Medicine Residency Program, Montefiore Medical Center, Bronx, NY, United States; Division of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, United States.
Shwetha V IyerPrimary Care/Social Internal Medicine Residency Program, Montefiore Medical Center, Bronx, NY, United States; Division of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, United States.
Joseph P DeLucaPrimary Care/Social Internal Medicine Residency Program, Montefiore Medical Center, Bronx, NY, United States; Division of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, United States.
Jennifer StellaUniversity of California, San Francisco, San Francisco, CA, United States.
Marji GoldDepartment of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, United States.
Erin GossPrimary Care/Social Internal Medicine Residency Program, Montefiore Medical Center, Bronx, NY, United States; Division of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, United States. Electronic address: egoss@montefiore.org.
Albert Einstein College of Medicine · USMontefiore Medical Center · USUniversity of California, San Francisco · US

Funding

Research Training for the Care of Vulnerable Older Adults with Alzheimer’s Disease and Related Dementias and Other Chronic ConditionsT32AG066598 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Alex D Federman · 2020 to 2026
$2.3M
NIA NIH HHS T32 AG066598
6 · The paper itself

Abstract

objectiveTo evaluate the impact of an etonogestrel implant training program within a primary care Internal Medicine residency training program. STUDY

designWe surveyed graduates of our primary care Internal Medicine residency program in the Bronx, New York who performed implant procedures though the first 32 months after implementation of a monthly faculty-supervised resident implant clinic. We assessed the number of implants placed and removed per graduate, and surveyed graduates' satisfaction with the implant training program, perceived competence with implant procedures, and intent and ability to perform implant procedures and barriers to performing implant procedures postgraduation.

resultsBetween July 2017 and February 2020, 14 residents placed a total of 34 devices and removed four. All 14 program graduates completed the survey in August 2020. All but one respondent felt this training was valuable and 11 felt competent placing implants without supervision. Although 10 planned to provide implants following graduation, none have been able to, largely because of credentialing and clinic-practice level barriers.

conclusionsThe primary care Internal Medicine program graduates we surveyed (n = 14) valued our etonogestrel implant training program and perceived competence, particularly with implant placement. However, even those who intended to provide etonogestrel implants postgraduation were unable to do so. IMPLICATIONS: Internal Medicine residents trained to place and remove etonogestrel implants are most comfortable with implant placement. However, these physicians may face barriers related to credentialing and ambulatory practice scope when attempting to provide this care in clinical practice.

Indexed as

Internship and ResidencyClinical CompetenceCross-Sectional StudiesCurriculumDesogestrelHumansPrimary Health CareDesogestreletonogestrelContraceptionInternal MedicineLARCNexplanonResidencyTraining

Identifiers

PMID35917931
PMCPMC9994633
OpenAlexW4288885948

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.