Table 2.
Frequency of Contraceptive Counseling and Assessment of Potential Factors Affecting Counseling
All respondents n (%) | Medicine residents n (%) | Outpatient GIM faculty n (%) | p-value | |
---|---|---|---|---|
Frequency of contraceptive counseling | ||||
Routinely (≥80%) | 37 (25.3%) | 15 (18.8%) | 22 (33.3%) | 0.1430 |
Often (50%–79%) | 48 (32.9%) | 27 (33.8%) | 21 (31.8%) | |
Sometimes (21%–49%) | 43 (29.5%) | 28 (35.0%) | 15 (22.7%) | |
Rarely (≤20%) | 14 (9.6%) | 9 (11.3%) | 5 (7.6%) | |
Potential barriers | ||||
Perceived inadequate time | 110 (75.3%) | 68 (85.0%) | 42 (63.6%) | 0.0029 |
Perceived inadequate knowledge | 108 (74.0%) | 66 (82.5%) | 42 (63.6%) | 0.0097 |
<20% of practice are women 15–45 years of age | 102 (69.9%) | 57 (71.3%) | 45 (68.2%) | 0.6876 |
<10% of practice are women 15–45 years of age | 42 (28.8%) | 20 (25.0%) | 22 (33.3%) | 0.2683 |
Obtain sexual history <50% | 56 (38.4%) | 29 (36.3%) | 27 (40.9%) | 0.5645 |
Presence of contraception misconception | 46 (31.5%) | 25 (31.3%) | 21 (31.8%) | 0.9414 |
Low self-efficacy | 31 (21.2%) | 21 (26.3%) | 10 (15.2%) | 0.1027 |
Presence of religious or ethnic culture of origin that opposes at least one form of contraception | 15 (10.3%) | 12 (15.0%) | 3 (4.6%) | 0.0641 |
Plans as nonoutpatient (hospitalist, subspecialty, other) (residents only) | N/A | 56 (70.0%) | N/A | N/A |
Plan to stop working in outpatient in the next 5 years (faculty only) | N/A | N/A | 2 (3.0%) | N/A |
Low perceived importance | 5 (3.4%) | 3 (3.8%) | 2 (3.0%) | 1.000a |
Potential facilitators | ||||
Prior women's health elective (faculty and residents) | 34 (23.3%) | 10 (12.5%) | 24 (36.4%) | 0.0010 |
Contraceptive-related CME in the past 5 years (faculty) | N/A | N/A | 21 (31.8%) | N/A |
Prior contraceptive counseling lecture (residents only) | N/A | 63 (78.8%) | N/A | N/A |
Fisher's exact test used to calculate this p-value, owing to small cell sizes; all other p-values calculated with chi-square test for association.
CME, continuing medical education; GIM, general internal medicine.