National Assessment of Obstetrics and Gynecology and Family Medicine Residents’ Experiences with CenteringPregnancy Group Prenatal Care

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Objective: To examine family medicine (FM) and obstetrician-gynecologist (OB/GYN) residents’ level of exposure to CenteringPregnancy (CP) group prenatal care (GPNC) as a correlate to perceived likelihood of implementing CP in future practice, as well as knowledge, attitude, and perceived barriers to implementation. Methods: We conducted a repeated cross-sectional study annually from 2017 to 2019 with FM and OB/GYN residents from 189 residency programs across 33 states in the United States licensed to operate CP. We applied crude and adjusted logistic regression models to identify predictors of intentions to engage withCP in future practice. Results: Of 212 FM and 176 OB/GYN residents included in analysis, 67.01% of respondents intended to participate as a facilitator inCP in future practice and 51.80% of respondents were willing to talk to decision makers about establishing CP. Both FM and OB/GYN residents who spent more than 15 hours engaged withCP and who expressed a supportive attitude towardsCP were more likely to participate as a facilitator. FM residents who were more familiar withCP reported higher intention to participate as a facilitator, while OB/GYN residents exposed to multiple types of engagement withCP were more likely to report an intention to participate as a facilitator. Conclusion: Engagement with and attitudes towardsCP during residency are key factors in residents’ intention to practiceCP in the future. In residency programs that provideCP for patients, program directors should consider the timing ofCP training and types of resident engagement with the model.
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National Assessment of Obstetrics and Gynecology and Family Medicine Residents’ Experiences with CenteringPregnancy Group Prenatal Care | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article National Assessment of Obstetrics and Gynecology and Family Medicine Residents’ Experiences with CenteringPregnancy Group Prenatal Care Jean Marie Place, Kristin Van De Griend, Mengxi Zhang, Melanie Schreiner, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-2321572/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 21 Nov, 2023 Read the published version in BMC Pregnancy and Childbirth → Version 1 posted 9 You are reading this latest preprint version Abstract Objective: To examine family medicine (FM) and obstetrician-gynecologist (OB/GYN) residents’ level of exposure to CenteringPregnancy (CP) group prenatal care (GPNC) as a correlate to perceived likelihood of implementing CP in future practice, as well as knowledge, attitude, and perceived barriers to implementation. Methods: We conducted a repeated cross-sectional study annually from 2017 to 2019 with FM and OB/GYN residents from 189 residency programs across 33 states in the United States licensed to operate CP. We applied crude and adjusted logistic regression models to identify predictors of intentions to engage withCP in future practice. Results: Of 212 FM and 176 OB/GYN residents included in analysis, 67.01% of respondents intended to participate as a facilitator inCP in future practice and 51.80% of respondents were willing to talk to decision makers about establishing CP. Both FM and OB/GYN residents who spent more than 15 hours engaged withCP and who expressed a supportive attitude towardsCP were more likely to participate as a facilitator. FM residents who were more familiar withCP reported higher intention to participate as a facilitator, while OB/GYN residents exposed to multiple types of engagement withCP were more likely to report an intention to participate as a facilitator. Conclusion: Engagement with and attitudes towardsCP during residency are key factors in residents’ intention to practiceCP in the future. In residency programs that provideCP for patients, program directors should consider the timing ofCP training and types of resident engagement with the model. Centering Pregnancy group prenatal care resident education family medicine obstetrics and gynecology Full Text Additional Declarations Competing interest reported. One of the authors, Tanya Munroe, receives salary from the Centering Healthcare Institute. The group prenatal care model, CenteringPregnancy, is the subject of the paper. All other authors declare no competing interests. Cite Share Download PDF Status: Published Journal Publication published 21 Nov, 2023 Read the published version in BMC Pregnancy and Childbirth → Version 1 posted Editorial decision: Major revision 02 Jul, 2023 Reviewers agreed at journal 10 Jun, 2023 Reviews received at journal 08 Jun, 2023 Reviewers agreed at journal 30 May, 2023 Reviewers invited by journal 27 May, 2023 Editor assigned by journal 17 May, 2023 Editor invited by journal 10 Dec, 2022 Submission checks completed at journal 10 Dec, 2022 First submitted to journal 28 Nov, 2022 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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