P096Nexplanon training: Knowledge, experience, and perspectives among family medicine residents and preceptors in new jersey

Abstract

<h3>Objectives</h3> To explore contraceptive implant experiences, knowledge and attitudes among family medicine residents and preceptors. To identify barriers and facilitators to contraceptive implant training in family medicine. <h3>Methods</h3> This mixed-methods study began with a survey distributed to family medicine residents and preceptors across New Jersey, assessing knowledge, attitudes, and experiences about contraceptive implant training. We then interviewed residents and preceptors from programs with the highest and lowest resident implant training numbers. Participants discussed factors that supported or inhibited implant training and provision. We transcribed, coded, and analyzed interviews on a rolling basis until identifying saturation. We used deductive and inductive techniques to identify themes. <h3>Results</h3> Fifty-three preceptors and 146 residents from 15 family medicine residency programs completed the survey. Knowledge, attitudes, and experiences varied between programs, with a resident mean of 4.7 contraceptive implant insertions and 3.5 removals. Programs with the most implant provision had higher rates of resident comfort with insertions and higher rates of preceptor comfort with insertions and removals. We interviewed 14 residents and 11 preceptors from four family medicine residency programs, two with the highest and two with the lowest implant training numbers. Barriers included lack of trained preceptors, patient financial barriers, and office logistics. Facilitators included formal training, preceptor comfort, dedicated office sessions and staff, and patient demand. <h3>Conclusions</h3> Family medicine residency training provides a unique opportunity for impacting access to long-acting reversible contraceptives (LARCs). We identified potential interventions including formal implant training sessions, dedicated procedure office sessions, stocking devices in office, and staff focused on reproductive health.