Provider Comfort with Teaching Patients and Learns about Racial and Ethnic Disparities in Ob/Gyn Outcomes
ACOG ePoster. Wheeler S. Apr 27, 2018; 211480
Sarahn Wheeler
Sarahn Wheeler
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Abstract
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Introduction: Although racial and ethnic disparities are well documented in ob/gyn outcomes, it is unclear if ob/gyn providers feel adequately trained to counsel patients and teach learners about healthcare disparities.

Methods: An electronic survey was distributed to the ACOG District IV membership. Participants were also asked how comfortable they feel with 1) their knowledge, 2) counseling patients and 3) teaching learners about racial and ethnic disparities in ob/gyn. Participants selected a single response from a four-point scale – very or somewhat knowledgeable/comfortable, somewhat or very not knowledgeable/ uncomfortable. We compared responses by years out of training using chi-square and Fisher's exact.

Results: A total of 462 participants responded to the survey (30% response rate). The majority of respondents reported they were “somewhat knowledgeable” about racial and ethnic disparities in ob/gyn (58%) and “somewhat comfortable” counseling patients about disparities in health outcomes (45%). Only 36% felt “very comfortable” teaching learners about racial/ethnic disparities. Respondents 30 or more years out of training most often reported feeling “very comfortable” counseling patients yet most often to report they “rarely” counsel patients about disparities (table). Only 37.4% of respondents had formal training about racial and ethnic disparities and 75% reported they would like more training.

Conclusion/Implications: Our survey reveals the majority of providers lack formal training about racial and ethnic disparities in ob/gyn and feel such training would be beneficial in their practice. Further research is needed to develop evidence-based educational programs to enhance provider abilities to educate patients and learners about disparities in ob/gyn outcomes.
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