One on one training in the theoretical and practical aspects of IUD insertion in a GP's own clinical setting.
This learning activity requires the GP learner to recruit up to 8 of their own patients who are requesting an IUD. The training experience involves the GP inserting IUDs for these patients in their own clinical setting under the one-on-one supervision of the Iris Education IUD Trainer. The GP's nurse assistant's involvement in this training is critical. The training is conducted over two 3-4 hour sessions. Once completed, the GP is awarded the "Certificate of Completion of IUD Insertion Training" required by their Medical Indemnifier and 40 Category 1 RACGP QI&CPD points. The fee for this training is $2000.00.
Given that the Iris Education IUD Trainer resides in SE Qld, this training is necessarily only available in that region.
Relevance to General Practice
Research confirms that Long Acting Reversible Contraception (LARC) is the gold standard in preventing unplanned pregnancy (UPP). 50% of Australian women will experience an UPP in their reproductive lifetimes, and half of these pregnancies will end in abortion. IUDs are highly effective LARCs however their uptake in Australia is <10%. A major impediment to the choice of IUD insertion is limited access. Increasing the number of GPs who have the skill to insert IUDs will allow more women to take up this very effective contraceptive option.
- Undertake a systems review of practice emergency equipment and protocols to manage complications of IUD insertion procedures.
- Describe advantages, disadvantages, risks and benefits of all types of IUDs and their place within the range of available contraceptive options in Australia
- Demonstrate accurate bimanual pelvic assessment of uterine size, lie and position of the cervix
- Demonstrate competence and confidence in the insertion of LNG-IUD, and copper IUD as the opportunity arises in training
- Describe the management of a vasovagal reaction and other IUD insertion related complications and emergencies
Domains of General Practice
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensions
Curriculum Contextual Units
- Women's health
- Sexual and reproductive health