• Jennifer Rusiecki, Juan Rojas, Julie Oyler, and Amber Pincavage.
• Section of General Internal Medicine, University of Chicago Medical Center, 5758 S. Maryland Ave. MC 3051, Chicago, IL, 60637, USA. jrusiecki@medicine.bsd.uchicago.edu.
• J Gen Intern Med. 2022 Jul 1; 37 (9): 231423172314-2317.

BackgroundInternal medicine (IM) residents are underprepared in women's health. Lack of properly trained faculty and clinic culture limits the ability to provide bedside teaching.AimAssess the impact of a primary care-based, women's clinic on residents' quality of care for females.SettingLarge academic, urban primary care clinic with resident and faculty practices PARTICIPANTS: PGY-2 IM and Med-Peds (MP) residents PROGRAM DESCRIPTION: A weekly half-day, women's clinic to provide expanded women's healthcare to primary care group patients. Residents rotate through the clinic to receive bedside teaching.Program EvaluationChart review was performed for a representative sample of reproductive-aged women seen in primary care before and after the establishment of the women's clinic. A total of 666 charts were reviewed (314 pre, 352 post). Improvement was seen in residents' rate of sexual histories (54% vs 75%, p< 0.01) with a significant decrease in women not asked about contraception (15% vs 3%, p<0.01). Overall there was a decrease in gynecology referrals (18 to 11%, p=0.02).DiscussionAfter implementing the women's health clinic, more women were asked about sexual health needs, and fewer were referred to gynecology, suggesting increased women's healthcare provided by residents.© 2022. The Author(s), under exclusive licence to Society of General Internal Medicine.

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