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A survey of contraception knowledge among incoming interns and medical students.

INTRODUCTION: Contraception is an important topic that is taught in medical school. The objective of this study is to assess contraceptive knowledge in incoming interns who have just graduated compared with students just entering medical school.

METHODS: A cross-sectional study was performed using a survey regarding nine methods of contraception (natural family planning, condoms, Depo-Provera, patch, oral contraceptive pills, intrauterine device, diaphragm, NuvaRing, and Implanon). The survey was handed out during resident and student orientation with a response rate of 145 (54.1%) and 99 (52.6%). Results were analyzed using two-sided Mann-Whitney U tests, Spearman's rank correlation, Student's t tests, and a Bonferroni correction.

RESULTS: Interns had a significantly higher overall score compared with students (P<.001). Additionally, interns had more knowledge regarding natural family planning (P<.001), Depo-Provera (P<.001), oral contraceptive pills (P<.001), intrauterine devices (P<.001), and diaphragms (P<.001). Women had a significantly higher overall score (P<.001). Respondents who regularly attended religious service had a lower overall score (P<.003). Age was positively correlated with a higher score (P<.001). Graduation from a U.S. medical school resulted in a higher overall score (P<.001). U.S. graduates were comprised of a younger population, yet still scored significantly higher than international graduates.

CONCLUSION: Sex, religious attendance, age, and type of medical school all were related to contraception knowledge. However, specific knowledge regarding condoms, NuvaRing, Implanon, and the patch should be emphasized in medical school curricula. Although age correlated positively with score, this was not true for type of medical school. U.S. medical schools are more effective at teaching contraception than international schools.

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