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- W2013847120 abstract "Study objectives: Emergency physicians are often the first to encounter a patient who has been sexually assaulted. Every emergency physician will inevitably be in this situation and be in the position to offer postcoital contraception to an at-risk patient. The objective of this survey is to evaluate the practice habits of emergency physicians in academic centers about the use of postcoital contraception. Methods: This study surveyed residents and attending physicians at all residency review committee–approved emergency residency programs. A 9-question multiple-choice survey was distributed by residency officials during resident conference and collected at the end of conference. The total number of attendants at the conference was recorded to calculate the return rate. Individual responses were anonymous, but data were grouped according to geographic region. Results: One thousand three hundred sixty-four surveys were distributed, and 914 surveys were returned, with a 67% response rate. Results were as follows: 8.4% of respondents stated that they would not prescribe postcoital contraception in cases of rape, whereas 24.7% stated that they would not prescribe it after consensual sex; 5.1% have encountered nursing refusing to administer postcoital contraception, whereas 3.9% have encountered pharmacy refusing to fill the order; 66.3% stated that postcoital contraception was standard of care, whereas 3.8% said it was not; and 29.9% stated that they did not know whether or not administering postcoital contraception was the standard of care. Conclusion: According to this survey, emergency physicians at academic centers do not consistently provide postcoital contraception. The American Public Health Association, American College of Emergency Physicians, and the American College of Obstetrician and Gynecology all state that postcoital contraception should be offered in cases of rape. Therefore, physicians who would not prescribe postcoital contraception in rape would knowingly compromise the standard of care to which a rape victim is entitled to protect their individual beliefs. This survey shows that emergency physicians at academic centers are not providing uniform care for these patients. Study objectives: Emergency physicians are often the first to encounter a patient who has been sexually assaulted. Every emergency physician will inevitably be in this situation and be in the position to offer postcoital contraception to an at-risk patient. The objective of this survey is to evaluate the practice habits of emergency physicians in academic centers about the use of postcoital contraception. Methods: This study surveyed residents and attending physicians at all residency review committee–approved emergency residency programs. A 9-question multiple-choice survey was distributed by residency officials during resident conference and collected at the end of conference. The total number of attendants at the conference was recorded to calculate the return rate. Individual responses were anonymous, but data were grouped according to geographic region. Results: One thousand three hundred sixty-four surveys were distributed, and 914 surveys were returned, with a 67% response rate. Results were as follows: 8.4% of respondents stated that they would not prescribe postcoital contraception in cases of rape, whereas 24.7% stated that they would not prescribe it after consensual sex; 5.1% have encountered nursing refusing to administer postcoital contraception, whereas 3.9% have encountered pharmacy refusing to fill the order; 66.3% stated that postcoital contraception was standard of care, whereas 3.8% said it was not; and 29.9% stated that they did not know whether or not administering postcoital contraception was the standard of care. Conclusion: According to this survey, emergency physicians at academic centers do not consistently provide postcoital contraception. The American Public Health Association, American College of Emergency Physicians, and the American College of Obstetrician and Gynecology all state that postcoital contraception should be offered in cases of rape. Therefore, physicians who would not prescribe postcoital contraception in rape would knowingly compromise the standard of care to which a rape victim is entitled to protect their individual beliefs. This survey shows that emergency physicians at academic centers are not providing uniform care for these patients." @default.
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- W2013847120 date "2004-10-01" @default.
- W2013847120 modified "2023-09-27" @default.
- W2013847120 title "Academic emergency physicians' understanding and opinions toward emergency contraception" @default.
- W2013847120 doi "https://doi.org/10.1016/j.annemergmed.2004.07.428" @default.
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