Abstract
BackgroundAbnormal uterine bleeding (AUB) is a common problem that affects one in five women during the pre-menopausal years. It is frequently managed by family physicians, especially in northern, rural and isolated areas where severe shortages of gynecologists exist.MethodsWe surveyed 194 family physicians in northern, rural and isolated areas of Ontario, Canada to determine their educational and resource needs for the management of AUB, with a specific focus on the relevance and feasibility of using clinical practice guidelines (CPGs).ResultsMost physicians surveyed did not use CPGs for the management of AUB because they did not know that such guidelines existed. The majority were interested in further education on the management of AUB through mailed CPGs and locally held training courses. A major theme among respondents was the need for more timely and effective gynecological referrals.ConclusionA one-page diagnostic and treatment algorithm for AUB would be easy to use and would place minimal restrictions on physician autonomy. As the majority of physicians had Internet access, we recommend emailing and web posting in addition to mailing this algorithm. Local, hands-on courses including options for endometrial biopsy training would also be helpful for northern, rural and isolated physicians, many of whom cannot readily take time away from their practices.
Highlights
Abnormal uterine bleeding (AUB) is a common problem that affects one in five women during the pre-menopausal years
This study addresses the educational and resource needs of family physicians in northern, rural and isolated areas of Ontario, Canada with respect to the management of AUB with a specific focus on the relevance and feasibility of using clinical practice guidelines (CPGs)
I did not know that such a guideline existed I am not familiar enough with the guideline I am confident in managing abnormal uterine bleeding without a guideline I don't have time to look through the guideline I have searched, but was unable to find such a guideline I never see cases of abnormal uterine bleeding I do not agree with the guideline(s) I do not believe in CPGs in general
Summary
Abnormal uterine bleeding (AUB) is a common problem that affects one in five women during the pre-menopausal years It is frequently managed by family physicians, especially in northern, rural and isolated areas where severe shortages of gynecologists exist. Abnormal uterine bleeding (AUB) is a common problem that affects one in five women during the pre-menopausal years [1]. Primary care physicians (family doctors) are often responsible for the management of women with heavy bleeding, especially in northern, rural and isolated areas where severe shortages of gynecologists exist. This study addresses the educational and resource needs of family physicians in northern, rural and isolated areas of Ontario, Canada with respect to the management of AUB with a specific focus on the relevance and feasibility of using clinical practice guidelines (CPGs)
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