Tuesday, June 10, 2014
Background:In 2010, little was known of the coverage of sexually transmitted infections (STIs) in the curricula of Canadian medical schools and residency programs. An evaluation was completed to examine the current status of STI curriculum and training in Canadian undergraduate medicine (UM), family medicine (FM) residency and obstetrics and gynaecology (OBG) residency programs. In 2013, four additional programs were added: emergency medicine (EM), public health and preventive medicine (PHPM), medical microbiology (MM) and infectious diseases (ID). The additional data provide a more comprehensive evaluation of the use of STI Guidelines in medical school and residency programs.
Methods:Directors or deans from all 17 Canadian medical schools representing identified programs (N=102) were contacted to do a self-administered paper questionnaire.
Results:83 (81.4%) completed the surveys. Overall, the management and treatment of specific infections (60.2%) and specific syndromes (54.2%) received the most emphasis. Education and counselling to specific populations (25.3%) received the least emphasis, followed by epidemiology of STIs in Canada (28.9%). HIV pre-test counselling was given considerable or heavy emphasis by 34.9% of programs. The main training method used was clinical experience (91.6%), followed by core lectures (81.9%). 38.2% of programs reported considerable or heavy use of the Canadian Guidelines on Sexually Transmitted Infection. The Canadian STI Guidelines Online were used by 68.7% of programs overall, while the hardcopy binder format was used by 43.4%.
Conclusions:This expanded evaluation allows individual programs to compare themselves to other programs and provides insight on the use of STI training resources. Results will inform knowledge translation activities of the Public Health Agency of Canada as it develops resources in preferred formats and with content designed to meet the specific needs of particular disciplines. Future assessments will examine the impact on uptake and adherence.