Confidence Evaluation Frequency

pre (N=5) post (N=8) Total (N=13)
I feel comfortable discussing sexual health with a patient.
   Undecided 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Agree 4 (80.0%) 2 (25.0%) 6 (46.2%)
   Strongly agree 0 (0.0%) 6 (75.0%) 6 (46.2%)
I feel comfortable obtaining all the essential details of a comprehensive sexual history.
   Disagree 3 (60.0%) 0 (0.0%) 3 (23.1%)
   Agree 2 (40.0%) 2 (25.0%) 4 (30.8%)
   Strongly agree 0 (0.0%) 6 (75.0%) 6 (46.2%)
I feel comfortable asking patients about their sexual orientation.
   Undecided 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Agree 4 (80.0%) 3 (37.5%) 7 (53.8%)
   Strongly agree 0 (0.0%) 5 (62.5%) 5 (38.5%)
I feel comfortable taking a comprehensive sexual health history using the 8Ps.
   Strongly disagree 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Disagree 2 (40.0%) 0 (0.0%) 2 (15.4%)
   Undecided 1 (20.0%) 1 (12.5%) 2 (15.4%)
   Agree 1 (20.0%) 4 (50.0%) 5 (38.5%)
   Strongly agree 0 (0.0%) 3 (37.5%) 3 (23.1%)
I have the adequate skills to put a patient at ease when taking a sexual history.
   Undecided 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Agree 4 (80.0%) 5 (62.5%) 9 (69.2%)
   Strongly agree 0 (0.0%) 3 (37.5%) 3 (23.1%)
I recognize my own limitations when discussing sexual health with patients.
   Agree 4 (80.0%) 2 (25.0%) 6 (46.2%)
   Strongly agree 1 (20.0%) 6 (75.0%) 7 (53.8%)
I feel comfortable discussing fertility concerns with my patients.
   Strongly disagree 2 (40.0%) 0 (0.0%) 2 (15.4%)
   Undecided 2 (40.0%) 2 (25.0%) 4 (30.8%)
   Agree 1 (20.0%) 5 (62.5%) 6 (46.2%)
   Strongly agree 0 (0.0%) 1 (12.5%) 1 (7.7%)
I feel comfortable discussing pelvic floor issues with my patients.
   Strongly disagree 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Disagree 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Undecided 1 (20.0%) 1 (12.5%) 2 (15.4%)
   Agree 1 (20.0%) 5 (62.5%) 6 (46.2%)
   Strongly agree 1 (20.0%) 2 (25.0%) 3 (23.1%)
I feel comfortable discussing disorders related to male or female genitalia with my patients.
   Disagree 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Agree 4 (80.0%) 4 (50.0%) 8 (61.5%)
   Strongly agree 0 (0.0%) 4 (50.0%) 4 (30.8%)

Confidence Evaluation Numeric

pre (N=5) post (N=8) Total (N=13) p value
I feel comfortable discussing sexual health with a patient. 0.0041
   Mean (SD) 3.8 (0.4) 4.8 (0.5) 4.4 (0.7)
   Median (Q1, Q3) 4.0 (4.0, 4.0) 5.0 (4.8, 5.0) 4.0 (4.0, 5.0)
   Range 3.0 - 4.0 4.0 - 5.0 3.0 - 5.0
I feel comfortable discussing disorders related to male or female genitalia with my patients. 0.0421
   Mean (SD) 3.6 (0.9) 4.5 (0.5) 4.2 (0.8)
   Median (Q1, Q3) 4.0 (4.0, 4.0) 4.5 (4.0, 5.0) 4.0 (4.0, 5.0)
   Range 2.0 - 4.0 4.0 - 5.0 2.0 - 5.0
I feel comfortable asking patients about their sexual orientation. 0.0141
   Mean (SD) 3.8 (0.4) 4.6 (0.5) 4.3 (0.6)
   Median (Q1, Q3) 4.0 (4.0, 4.0) 5.0 (4.0, 5.0) 4.0 (4.0, 5.0)
   Range 3.0 - 4.0 4.0 - 5.0 3.0 - 5.0
I feel comfortable taking a comprehensive sexual health history using the 8Ps. 0.0041
   Mean (SD) 2.4 (1.1) 4.2 (0.7) 3.5 (1.3)
   Median (Q1, Q3) 2.0 (2.0, 3.0) 4.0 (4.0, 5.0) 4.0 (3.0, 4.0)
   Range 1.0 - 4.0 3.0 - 5.0 1.0 - 5.0
I have the adequate skills to put a patient at ease when taking a sexual history. 0.0661
   Mean (SD) 3.8 (0.4) 4.4 (0.5) 4.2 (0.6)
   Median (Q1, Q3) 4.0 (4.0, 4.0) 4.0 (4.0, 5.0) 4.0 (4.0, 4.0)
   Range 3.0 - 4.0 4.0 - 5.0 3.0 - 5.0
I recognize my own limitations when discussing sexual health with patients. 0.0591
   Mean (SD) 4.2 (0.4) 4.8 (0.5) 4.5 (0.5)
   Median (Q1, Q3) 4.0 (4.0, 4.0) 5.0 (4.8, 5.0) 5.0 (4.0, 5.0)
   Range 4.0 - 5.0 4.0 - 5.0 4.0 - 5.0
I feel comfortable obtaining all the essential details of a comprehensive sexual history. < 0.0011
   Mean (SD) 2.8 (1.1) 4.8 (0.5) 4.0 (1.2)
   Median (Q1, Q3) 2.0 (2.0, 4.0) 5.0 (4.8, 5.0) 4.0 (4.0, 5.0)
   Range 2.0 - 4.0 4.0 - 5.0 2.0 - 5.0
  1. Linear Model ANOVA

Statement Frequency Breakdown

pre (N=5) post (N=8) Total (N=13) p value
I believe that STIs can be a consequence for promiscuous sexual behavior. 0.1281
   Unchecked 3 (60.0%) 8 (100.0%) 11 (84.6%)
   Checked 2 (40.0%) 0 (0.0%) 2 (15.4%)
I think most of my patients are heterosexual. 0.2931
   Unchecked 2 (40.0%) 6 (75.0%) 8 (61.5%)
   Checked 3 (60.0%) 2 (25.0%) 5 (38.5%)
I would be uncomfortable if a patient told me they were transgender. 0.3851
   Unchecked 4 (80.0%) 8 (100.0%) 12 (92.3%)
   Checked 1 (20.0%) 0 (0.0%) 1 (7.7%)
I refer to my patients as Mr. and Ms. as a sign of respect. 1.0001
   Unchecked 4 (80.0%) 7 (87.5%) 11 (84.6%)
   Checked 1 (20.0%) 1 (12.5%) 2 (15.4%)
The forms in my office offer options for transgender and nonbinary patients. 1.0001
   Unchecked 4 (80.0%) 6 (75.0%) 10 (76.9%)
   Checked 1 (20.0%) 2 (25.0%) 3 (23.1%)
  1. Fisher’s Exact Test for Count Data

Knowledge Check Summary

pre (N=5) post (N=8) Total (N=13)
A pregnant woman appears at a hospital emergency room, clearly experiencing symptoms of an ectopic pregnancy. The physician on call concludes that an abortion would be the appropriate treatment under the circumstances, but state law bans the procedure. Can the physician justify providing the care anyway?
   Likely yes, pursuant to EMTALA’s protections regarding emergency medical conditions. 2 (40.0%) 5 (62.5%) 7 (53.8%)
   Likely yes, pursuant to EMTALA, but the doctor will still be prosecuted without defense at the state level, as the Supreme Court clarified in Dobbs v. Jackson Women’s Health Organization (2022) that EMTALA cannot preempt state medical practice regulations. 1 (20.0%) 1 (12.5%) 2 (15.4%)
   Likely no, as Dobbs v. Jackson Women’s Health Organization (2022) entrusted legal decisions on abortion to state governments, to the exclusion of federal action. 2 (40.0%) 2 (25.0%) 4 (30.8%)
Which of the following restrictions on abortion would have been clearly unconstitutional before the Dobbs v. Jackson Women’s Health Organization (2022) decision, but are clearly constitutional post-Dobbs?
   A 24-week ban on all abortions except in cases of medical emergency. 0 (0.0%) 2 (25.0%) 2 (16.7%)
   A 6-week abortion ban with no exceptions for rape or incest. 1 (25.0%) 5 (62.5%) 6 (50.0%)
   A law banning access to contraceptive methods that a state considers to be abortifacients. 3 (75.0%) 1 (12.5%) 4 (33.3%)
What are the main types of erectile dysfunction?
   Psychological and organic 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Psychogenic and organic 2 (40.0%) 8 (100.0%) 10 (76.9%)
   Psychogenic and inorganic 2 (40.0%) 0 (0.0%) 2 (15.4%)
Which of the following is not a guideline supported treatment for erectile dysfunction?
   Stem cell therapy 4 (80.0%) 8 (100.0%) 12 (92.3%)
   Surgery 1 (20.0%) 0 (0.0%) 1 (7.7%)
Which of the following would not be a potential cause of male factor infertility?
   Exogenous testosterone 0 (0.0%) 1 (12.5%) 1 (7.7%)
   Young age 3 (60.0%) 6 (75.0%) 9 (69.2%)
   Varicocele 2 (40.0%) 0 (0.0%) 2 (15.4%)
   Hot tub use 0 (0.0%) 1 (12.5%) 1 (7.7%)
What would not be part of the initial male fertility evaluation?
   Semen analysis 1 (20.0%) 0 (0.0%) 1 (7.7%)
   Scrotal ultrasound 4 (80.0%) 7 (87.5%) 11 (84.6%)
   Hormone evaluation 0 (0.0%) 1 (12.5%) 1 (7.7%)
Testosterone is primarily made by the:
   Sertoli Cells 1 (20.0%) 2 (25.0%) 3 (23.1%)
   Leydig cells 4 (80.0%) 6 (75.0%) 10 (76.9%)
Which of the following is true?
   Testosterone is linked to the development of prostate cancer. 2 (40.0%) 0 (0.0%) 2 (15.4%)
   Testosterone Deficiency diagnosis is based on both clinical and laboratory findings. 3 (60.0%) 8 (100.0%) 11 (84.6%)
Who needs to get tested for HIV routinely as part of a physical?
   12-year-old girl 0 (0.0%) 1 (12.5%) 1 (7.7%)
   50-year-old man 1 (20.0%) 6 (75.0%) 7 (53.8%)
   all of the above 4 (80.0%) 1 (12.5%) 5 (38.5%)
All of the following are available as over the counter birth control options except one:
   Progestin only pill 3 (60.0%) 3 (37.5%) 6 (46.2%)
   Cervical cap 0 (0.0%) 1 (12.5%) 1 (7.7%)
   Diaphragm 0 (0.0%) 2 (25.0%) 2 (15.4%)
   Phexxi vaginal gel 2 (40.0%) 2 (25.0%) 4 (30.8%)
Which of the following should not be used as a contraceptive in women with a prior history of deep venous thrombosis:
   Opill 0 (0.0%) 3 (37.5%) 3 (23.1%)
   Comined hormonal contraceptive patch 4 (80.0%) 5 (62.5%) 9 (69.2%)
   Cervical cap 1 (20.0%) 0 (0.0%) 1 (7.7%)
A 53-YEAR-OLD woman comes to your office for her annual wellness visit. She reports a mutually monogamous relationship with her partner of many years, and her final menstrual period was 2 years ago. You perform cervical cancer screening with cytology and human papillomavirus (HPV). The cytology shows benign cellularity, but high-risk HPV is positive. Her prior testing 5 years ago showed normal cytology and was negative for HPV. How would you counsel this patient?
   4. Positive HPV result can be due to reactivation of a prior potentially distant HPV infection. Obtain a detailed sexual and medical history. 5 (100.0%) 8 (100.0%) 13 (100.0%)
Which of the following is true regarding HPV infection in men?
   Men are not routinely tested for HPV infection 5 (100.0%) 7 (100.0%) 12 (100.0%)
24-year-old female patient is diagnosed with chlamydia. HIV test is negative. She does not use intravenous drugs. She reports she has one steady male partner. However, she would like to come back every 3 months to get HIV test repeated. What is your advice to her?
   Discuss on PREP 5 (100.0%) 8 (100.0%) 13 (100.0%)
25-year-old man came to clinic. He is concerned that he may have been exposed to HIV recently in the last week. Which of the following will be helpful in the diagnosis?
   4th generation HIV antibody 1 (20.0%) 1 (12.5%) 2 (15.4%)
   p24 antigen 0 (0.0%) 2 (25.0%) 2 (15.4%)
   HIV viral load 4 (80.0%) 5 (62.5%) 9 (69.2%)
How effective is oral PrEP in preventing HIV via sexual transmission?
   95% 3 (60.0%) 0 (0.0%) 3 (23.1%)
   Over 99% 2 (40.0%) 8 (100.0%) 10 (76.9%)
A 34-year-old woman is seen in the office for a well woman examination. She is G2P2. Past medical history is significant for right lower extremity deep vein thrombosis (DVT) 4 years ago after a car accident which was treated with anticoagulants for 3 months. She is sexually active with one partner and currently not using any methods of contraception. She prefers to avoid intra-uterine devices (IUDs) or progestin implant, but after hearing about the over-the-counter contraceptive pill (OPill) she is wondering if this is safe to start given her history of DVT. How should you counsel her on contraceptive options?
   She should not take any hormonal contraception and should rely on barrier protection only 0 (0.0%) 1 (12.5%) 1 (7.7%)
   Inform her that all oral hormonal contraceptive pills are safe, and prescribe her an estrogen-progestin contraceptive pill 1 (20.0%) 3 (37.5%) 4 (30.8%)
   Recommend a Levonorgestrel IUD 4 (80.0%) 4 (50.0%) 8 (61.5%)
A 19-year female comes in requesting contraception. She is in good health except for asthma for which she was hospitalized twice previously. She reports regular menses, and her last menstrual cycle was 2 weeks ago. Her BMI is 32. She has never used any contraceptives in the past but has been sexually active for the last 6 months. She is heterosexual and has two sexual partners and used condoms sporadically. She had intercourse about 2 days ago without using condoms and is concerned about becoming pregnant. How would you counsel the patient?
   Initial steps are to counsel her regarding options for EC and offer office pregnancy test. 4 (80.0%) 2 (25.0%) 6 (46.2%)
   Counsel her regarding the LNG-IUD and insert same day 0 (0.0%) 3 (37.5%) 3 (23.1%)
   Start her on oral Levonorgestrel at the regular recommended dosage of 1.5 mgs 0 (0.0%) 1 (12.5%) 1 (7.7%)
   Recommend using Ulipristal acetate (UPA) 1 (20.0%) 2 (25.0%) 3 (23.1%)

Knowledge Check Accuracy

pre (N=5) post (N=8) Total (N=13) p value
A pregnant woman appears at a hospital emergency room, clearly experiencing symptoms of an ectopic pregnancy. The physician on call concludes that an abortion would be the appropriate treatment under the circumstances, but state law bans the procedure. Can the physician justify providing the care anyway?
   Incorrect 5 (100.0%) 8 (100.0%) 13 (100.0%)
Which of the following restrictions on abortion would have been clearly unconstitutional before the Dobbs v. Jackson Women’s Health Organization (2022) decision, but are clearly constitutional post-Dobbs? 0.5451
   Correct 1 (25.0%) 5 (62.5%) 6 (50.0%)
   Incorrect 3 (75.0%) 3 (37.5%) 6 (50.0%)
What are the main types of erectile dysfunction? 0.0351
   Correct 2 (40.0%) 8 (100.0%) 10 (76.9%)
   Incorrect 3 (60.0%) 0 (0.0%) 3 (23.1%)
Which of the following is not a guideline supported treatment for erectile dysfunction? 0.3851
   Correct 4 (80.0%) 8 (100.0%) 12 (92.3%)
   Incorrect 1 (20.0%) 0 (0.0%) 1 (7.7%)
Which of the following would not be a potential cause of male factor infertility? 1.0001
   Correct 3 (60.0%) 6 (75.0%) 9 (69.2%)
   Incorrect 2 (40.0%) 2 (25.0%) 4 (30.8%)
What would not be part of the initial male fertility evaluation? 1.0001
   Correct 4 (80.0%) 7 (87.5%) 11 (84.6%)
   Incorrect 1 (20.0%) 1 (12.5%) 2 (15.4%)
Testosterone is primarily made by the: 1.0001
   Correct 4 (80.0%) 6 (75.0%) 10 (76.9%)
   Incorrect 1 (20.0%) 2 (25.0%) 3 (23.1%)
Which of the following is true? 0.1281
   Correct 3 (60.0%) 8 (100.0%) 11 (84.6%)
   Incorrect 2 (40.0%) 0 (0.0%) 2 (15.4%)
Who needs to get tested for HIV routinely as part of a physical? 0.1031
   Correct 1 (20.0%) 6 (75.0%) 7 (53.8%)
   Incorrect 4 (80.0%) 2 (25.0%) 6 (46.2%)
All of the following are available as over the counter birth control options except one: 1.0001
   Correct 2 (40.0%) 2 (25.0%) 4 (30.8%)
   Incorrect 3 (60.0%) 6 (75.0%) 9 (69.2%)
Which of the following should not be used as a contraceptive in women with a prior history of deep venous thrombosis: 1.0001
   Correct 4 (80.0%) 5 (62.5%) 9 (69.2%)
   Incorrect 1 (20.0%) 3 (37.5%) 4 (30.8%)
A 53-YEAR-OLD woman comes to your office for her annual wellness visit. She reports a mutually monogamous relationship with her partner of many years, and her final menstrual period was 2 years ago. You perform cervical cancer screening with cytology and human papillomavirus (HPV). The cytology shows benign cellularity, but high-risk HPV is positive. Her prior testing 5 years ago showed normal cytology and was negative for HPV. How would you counsel this patient?
   Incorrect 5 (100.0%) 8 (100.0%) 13 (100.0%)
Which of the following is true regarding HPV infection in men?
   Correct 5 (100.0%) 7 (100.0%) 12 (100.0%)
24-year-old female patient is diagnosed with chlamydia. HIV test is negative. She does not use intravenous drugs. She reports she has one steady male partner. However, she would like to come back every 3 months to get HIV test repeated. What is your advice to her?
   Correct 5 (100.0%) 8 (100.0%) 13 (100.0%)
25-year-old man came to clinic. He is concerned that he may have been exposed to HIV recently in the last week. Which of the following will be helpful in the diagnosis? 1.0001
   Correct 4 (80.0%) 5 (62.5%) 9 (69.2%)
   Incorrect 1 (20.0%) 3 (37.5%) 4 (30.8%)
How effective is oral PrEP in preventing HIV via sexual transmission? 0.0351
   Correct 2 (40.0%) 8 (100.0%) 10 (76.9%)
   Incorrect 3 (60.0%) 0 (0.0%) 3 (23.1%)
A 34-year-old woman is seen in the office for a well woman examination. She is G2P2. Past medical history is significant for right lower extremity deep vein thrombosis (DVT) 4 years ago after a car accident which was treated with anticoagulants for 3 months. She is sexually active with one partner and currently not using any methods of contraception. She prefers to avoid intra-uterine devices (IUDs) or progestin implant, but after hearing about the over-the-counter contraceptive pill (OPill) she is wondering if this is safe to start given her history of DVT. How should you counsel her on contraceptive options? 0.5651
   Correct 4 (80.0%) 4 (50.0%) 8 (61.5%)
   Incorrect 1 (20.0%) 4 (50.0%) 5 (38.5%)
A 19-year female comes in requesting contraception. She is in good health except for asthma for which she was hospitalized twice previously. She reports regular menses, and her last menstrual cycle was 2 weeks ago. Her BMI is 32. She has never used any contraceptives in the past but has been sexually active for the last 6 months. She is heterosexual and has two sexual partners and used condoms sporadically. She had intercourse about 2 days ago without using condoms and is concerned about becoming pregnant. How would you counsel the patient? 0.2311
   Correct 0 (0.0%) 3 (37.5%) 3 (23.1%)
   Incorrect 5 (100.0%) 5 (62.5%) 10 (76.9%)
  1. Fisher’s Exact Test for Count Data

Course Eval Questions

Overall (N=11)
How relevant is this course to your medical school training?
   Very relevant 1 (12.5%)
   Extremely relevant 7 (87.5%)
Will you use what you learned in this course in your future?
   Strongly agree 8 (100.0%)
I need additional training in the subject matter
   Unchecked 7 (63.6%)
   Checked 4 (36.4%)
I will not have the resources I need
   Unchecked 10 (90.9%)
   Checked 1 (9.1%)
I will not be provided opportunities to use what I learned
   Unchecked 10 (90.9%)
   Checked 1 (9.1%)
I will not have the time to use what I learned
   Unchecked 11 (100.0%)
I will not be supported in using what I learned
   Unchecked 11 (100.0%)
The course content is not relevant to medical school training
   Unchecked 11 (100.0%)
Other (please specify)
   Unchecked 11 (100.0%)
Did the training session meet the learning objectives and goals?
   Agree 5 (62.5%)
   Strongly Agree 3 (37.5%)

Course Eval Questions Free Text

Overall (N=11)
What content do you plan to use from this course? If none, why not?
   N-Miss 3
   All of the content. Specifically, content surrounding contraception, trauma informed care, sexual dysfunction in males and females, testosterone therapy. 1 (12.5%)
   Identifying medical conditions related to the reproductive system and sexual dysfunction, knowledge of laws regarding abortion care, discussions of STD prevention with patients. 1 (12.5%)
   Pretty much everything - contraceptive options, partner violence, male and female fertility, hormone therapy, pelvic floor dysfunction, etc. 1 (12.5%)
   Recognizing signs of abuse and trafficking. 1 (12.5%)
   Sexual health discussion and recognition of common GU problems in men and women 1 (12.5%)
   Sexual history taking, different types of contraception, techniques when treating patients with a history of violence or trafficking. 1 (12.5%)
   Strategic history taking, recognizing signs of domestic abuse and trafficking, understanding the differences in contraception and recognized when PrEP would be appropriate. 1 (12.5%)
   as much as possible 1 (12.5%)
How could this course be improved to make it a more effective learning experience?
   N-Miss 4
   Decrease amount of lecture style content, increase small group and interactive content 1 (14.3%)
   Less emphasis on lecture style instruction and more with case-based question learning, working with models, time to practice pelvic exams on models 1 (14.3%)
   More hands-on training (IUD insertion, pap smear, pelvic exam on models) 1 (14.3%)
   N/A 1 (14.3%)
   Offer more interactive/hands-on content and limit lectures. 1 (14.3%)
   Shortening the number of lectures per day either by increasing the length of the selective or by having a couple of them be pre-recorded and available as prework 1 (14.3%)
   the interactive lectures and case presentations were a great way to teach material and keep interest. Perhaps quick recommendations for types of OCPs because there are so many it can get confusing in practice 1 (14.3%)
What part of this course was most helpful to your learning?
   N-Miss 4
   Cases, small groups with faculty 1 (14.3%)
   I enjoyed the lectures on abortion given by Dr. Furgeson and also the content on Dobbs. 1 (14.3%)
   Multiple guest speakers every day! 1 (14.3%)
   OSCE practice. I also really enjoyed the talks from the ASU law professors about abortion policy! 1 (14.3%)
   The case-based learning, smaller group discussion. Also esp enjoyed the lectures from Drs. Reddy and Punjani 1 (14.3%)
   The lecturers were very enthusiastic and the small group of learners allowed me to ask all the questions I wanted answered. 1 (14.3%)
   legal and abortion care, LGBTQ care, reproductive care. 1 (14.3%)

Paired and Independent T-tests on Confidence

Variable Mean Difference Independent T-Test P-Value Independent T-Test CI Paired T-Test P-Value Paired T-Test CI
I feel comfortable discussing sexual health with a patient. 0.8 0.0353 (-1.53, -0.07) 0.0161 (-1.36, -0.24)
I feel comfortable obtaining all the essential details of a comprehensive sexual history. 1.8 0.0111 (-3.06, -0.54) 0.0086 (-2.84, -0.76)
I feel comfortable asking patients about their sexual orientation. 0.6 0.0943 (-1.33, 0.13) 0.0705 (-1.28, 0.08)
I feel comfortable taking a comprehensive sexual health history using the 8Ps. 1.4 0.0339 (-2.66, -0.14) 0.0249 (-2.51, -0.29)
I have the adequate skills to put a patient at ease when taking a sexual history. 0.4 0.1950 (-1.05, 0.25) 0.1778 (-1.08, 0.28)
I recognize my own limitations when discussing sexual health with patients. 0.6 0.0667 (-1.25, 0.05) 0.0705 (-1.28, 0.08)
I feel comfortable discussing fertility concerns with my patients. 1.4 0.0831 (-3.03, 0.23) 0.0516 (-2.82, 0.02)
I feel comfortable discussing pelvic floor issues with my patients. 0.8 0.3080 (-2.49, 0.89) 0.2420 (-2.42, 0.82)
I feel comfortable discussing disorders related to male or female genitalia with my patients. 0.8 0.1265 (-1.88, 0.28) 0.0993 (-1.84, 0.24)