Structured integration of family planning curriculum: comparative assessment of knowledge and skills among new medical graduates in Ethiopia

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dc.contributor.author Gebremeskel, Berhanu G.
dc.contributor.author Teklu, Alula M.
dc.contributor.author Gebremedin, Lia T.
dc.contributor.author Beza, Solomon W.
dc.contributor.author Yigzaw, Tegbar
dc.contributor.author Eshetu, Munir K.
dc.contributor.author Damtew, Mengistu H.
dc.contributor.author Smith, Yolanda R.
dc.date.accessioned 2019-10-08T15:42:31Z
dc.date.available 2019-10-08T15:42:31Z
dc.date.issued 2018-04-03
dc.identifier.citation Contraception 98 (2018) 89-94 en_US
dc.identifier.issn 0010-7824
dc.identifier.uri http://hdl.handle.net/2027.42/151762
dc.description.abstract OBJECTIVE: The objective was to assess if structured integration of a comprehensive family planning (FP) training into a medical school curriculum improves FP knowledge and skill scores of medical interns. STUDY DESIGN: We compared mean contraception knowledge scores of interns in a medical school with the integrated FP curriculum [intervention school] (n=56) to interns at four conventional medical curriculum schools without structured reinforcement of FP content [control schools] (n=161) in Ethiopia. A survey with 19 multiple choice contraception questions was administered. We also compared the mean contraception skills scores of the two groups at four Objective Structured Clinical Examination stations. The survey included self-reported number of contraception procedures and self-assessed competencies on a Likert scale. RESULTS: A total of 217 interns who have completed an Obstetrics and Gynecology rotation participated in the study. Interns from the intervention school reported performing substantially higher numbers of contraception procedures and rated themselves as being competent/highly competent across all procedures compared to the control schools (p<.001 for both). The mean knowledge score was significantly higher in the intervention school [13.1 vs. 8.7, difference 4.5, 95% CI: (3.7-5.2), p<.001]. The mean contraceptive implant insertion skill score was twofold higher for interns in the intervention school [22 points vs. 11, difference 10.7, 95% CI: (8.6-12.8), p<.001 out of a maximum possible point of 30]. Statistically significant differences in skill scores were also observed for intrauterine device IUD insertion [15 vs. 12, p<.01] and implant removal [11 vs. 9, p=.01]. CONCLUSION: A structured integration of family planning curriculum was associated with higher scores in knowledge, clinical skills and self-assessed competencies. IMPLICATIONS: Integrating comprehensive family planning training in medical curriculum can lead to graduating physicians who are more competent to offer the full range of FP options. en_US
dc.language.iso en_US en_US
dc.publisher Elsevier en_US
dc.subject Medical Education en_US
dc.subject Contraception en_US
dc.subject Simulation en_US
dc.subject Training en_US
dc.subject LARC en_US
dc.subject Competency en_US
dc.title Structured integration of family planning curriculum: comparative assessment of knowledge and skills among new medical graduates in Ethiopia en_US
dc.type Article en_US
dc.subject.hlbsecondlevel Obstetrics and Gynecology
dc.subject.hlbtoplevel Health Sciences
dc.contributor.affiliationum Center for International Reproductive Health Training (CIRHT) en_US
dc.contributor.affiliationum Department of Obstetrics and Gynecology en_US
dc.contributor.affiliationother St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia en_US
dc.contributor.affiliationother Jhpiego Ethiopia, Strengthening Human Resources for Health Project, Addis Ababa, Ethiopia en_US
dc.contributor.affiliationumcampus Ann Arbor en_US
dc.description.bitstreamurl https://deepblue.lib.umich.edu/bitstream/2027.42/151762/1/Gebremeskel_Contraception_2018.pdf
dc.identifier.source Contraception en_US
dc.identifier.orcid https://orcid.org/0000-0002-8103-3917 en_US
dc.identifier.orcid https://orcid.org/0000-0001-7321-2838 en_US
dc.identifier.orcid https://orcid.org/0000-0003-0850-9154 en_US
dc.identifier.orcid https://orcid.org/0000-0003-1624-9161 en_US
dc.description.filedescription Description of Gebremeskel_Contraception_2018.pdf : Main article
dc.identifier.name-orcid Gebremeskel, Berhanu; 0000-0002-8103-3917 en_US
dc.identifier.name-orcid Smith, Yolanda; 0000-0003-1624-9161 en_US
dc.identifier.name-orcid Teklu, Alula ; 0000-0001-7321-2838 en_US
dc.identifier.name-orcid Gebremedhin, Lia Tadesse; 0000-0003-0850-9154 en_US
dc.owningcollname International Reproductive Health Training, Center for (UM-CIRHT)
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