Confidence in adolescent contraceptive counseling among residents and fellows training at the University of Texas Southwestern in Dallas, Texas

Objectives: Evaluate trainees’ perceptions of past training and confidence in counseling about five contraceptive methods. Study design: Trainees completed an online survey in 2020. Logistic regressions evaluated the relationship between participant characteristics and confidence. Results: Among 227 respondents (63% response rate), pediatric trainees reported the least confidence in counseling across each contraceptive method. Past training and confidence were associated. Conclusions: Gaps in training should be addressed to improve confidence in contraceptive counseling among pediatricians in reproductively restricted states. Implications: This study highlights gaps in physician trainee confidence regarding adolescent contraception counseling that should be addressed to improve adolescent sexual and reproductive healthcare.