Maternal and Child Health Research Network on Pregnancy-related Care: The Collaborative Ambulatory Research Network (CARN)
Grantee: University of Washington
Principal Investigator: Jay Schulkin
Project Number: UA6MC31609
Project Date: 01/01/2018 (09/01/2010)
Age group(s)
- Women/Maternal
- Prenatal
Abstract
Obstetrician-gynecologists are the principal health care providers for women during pregnancy and the perinatal period. The Collaborative Ambulatory Research Network (CARN) project assesses the clinical care patterns and educational needs of health care providers to women in order to support efforts to improve health care for mothers and their children. Study findings are disseminated within ACOG to inform the College's educational efforts, and are published in peer reviewed journals.Goals and Objectives:
The goals of the CARN project are: 1) Assess the opinions, knowledge, clinical practice, and educational needs of physicians regarding areas of clinical medicine relevant to maternal and child health. 2) Assess the efficacy of ACOG clinical practice guidelines. 3) Inform and support ACOG educational efforts. 4) Disseminate results of the CARN studies to as broad an audience as possible. 5) Monitor the training, recruitment, and retention of health care professionals into maternal and child health, especially under-represented minorities. 6) Assess patient perceptions of care provided by physicians 7) Encourage interaction among different health care professionals, researchers, and policy analysts to study critical issues in maternal and child health. 8) Train and mentor students and young researchers.
Methodology:
The CARN is the only existing national collective of practicing obstetrician-gynecologists who have been recruited to participate in survey studies. CARN study questionnaires are designed to generate descriptive data pertaining to: obstetrician-gynecologists' practice patterns, clinical experiences, basic knowledge, professional training, access to resource materials, and educational needs. CARN studies are often developed in conjunction with the production or revision of ACOG clinical practice guidelines in order to assess the extent to which ACOG Fellows are aware of and following recommended best practices. The CARN project also supports workshops and symposia, production of review articles, and the training of students.
Coordination:
Survey studies are constructed with consultation with ACOG Fellows, the Child and Maternal Health Branch of HRSA, other federal agencies, and US universities and research institutions. CARN-sponsored workshops are another means by which the CARN project interacts and coordinates with the broader community of maternal and child health researchers and policy makers.
Evaluation:
The results from survey studies are published in peer reviewed journals. Periodically, review articles outlining the important findings of multiple CARN studies are produced. This serves the purpose of disseminating the information regarding current practice patterns in obstetrics and gynecology as widely as possible among obstetrician-gynecologists and health care policy researchers and decision makers.
Annotation:
The Collaborative Ambulatory Research Network (CARN) assesses the clinical care patterns and educational needs of health care providers by conducting studies on a wide range of critical topics related to women's health. The results of CARN studies inform health care providers and medical education efforts.
Publications
Listed is descending order by year published.
Jones, K., Carter, M., Bianchi, A., Schulkin, J. (2020). Obstetrician/Gynecologists’ Readiness to Manage Intimate Partner Violence. WOMEN AND HEALTH. 2:1-14.
Power, ML, Snead, C., Reed, E.G. Schulkin, J. (2020) Integrating evolution into medical education for women’s health practitioners. Evolution, Medicine and Public Health. 1: 60-67.
Raglan, G.B., Schulkin, J., Juliano, LM, Micks, E.,A. (2020) Obstetrician-gynecologists screening and management of depression during depression. MENOPAUSE 27:1-5.
Liu, E., Workowski, K., Taouk, L., Schulkin, J., Secor, E., Jones, J. (2019). Survey of obstetrician-gynecologists in the United States about trichomoniasis, 2016. Sexually Transmitted Diseases 46: 9-17.
Castleberry NM, Stark L, Schulkin J, Grossman D. Implementing best practices for the provision of long-acting reversible contraception: a survey of obstetrician-gynecologists. Contraception. 2019;100(2):123-127.
Farrow A V, Ahrens A, Gunther C K, Schulkin J. Women’s healthcare providers: Work factors, personality, and stress. Soc Behav Pers. 2019;47(7):1-11.
Farrow, V., Schulkin, J., Gunthert, K., Ahrens, A. (2019). The role of work-related factors and personality in physician stress. Journal of Women’s Health 47: 1-11.
Farrow, V., Schulkin, J., Gunthert, K., Ahrens, A. (2019). The role of work-related factors and personality in physician stress. Journal of Women’s Health 47: 1-11.
Farrow, V.A., Bosch, J., Crawford, J.N., Snead, C. Schulkin, J. (2019) Screening for history of childhood abuse; Beliefs, practice patterns and barriers among women’s health care providers. Women’s Health Issues. 28: 559-568.
Fritz, R., Klugman, S., Lieman, H., Schulkin, J., Taouk, L., Castleberry, N., Buyuk, E. (2019). Counseling patients on reproductive aging and elective fertility preservation - a survey of obstetricians and gynecologists experience, approach, and knowledge. Journal of Assisted Reproductions and Genetics. 35: 1613-1624.
Grossman D, Grindlay K, Altshuler AL, Schulkin J. Induced Abortion Provision Among a National Sample of Obstetrician- Gynecologists. Obstet Gynecol. 2019;133(3):477-483.
Ko JY, Tong VT, Haight SC, Terplan M, Snead C, Schulkin J. Obstetrician-gynecologists’ practice patterns related to opioid use during pregnancy and postpartum-United States, 2017. J Perinatol. October 2019
Lott ML, Power ML, Reed EG, Schulkin J, Mackeen AD. Patient attitudes toward gestational weight gain and exercise during pregnancy. J Pregnancy. 2019;2019:4176303.
Neese, RM, Schulkin, J. (2019) An evolutionary perspective on pain and its disorders. Philosophical Transactions of the Royal Society. B374:20192088.
Power ML, Gaspar-Oishi M, Gibson K, et al. A survey of women and their providers regarding gestational weight gain. J Womens Health (Larchmt). 2019; 28(10):1399-1406
Power ML, Gaspar-Oishi M, Gibson K, et al. A Survey of women and their providers regarding gestational weight gain. J Womens Health (Larchmt). 2019;28(10):1399-1406.
Power ML, Lott ML, Mackeen AD, DiBari JN, Schulkin J. Associations between maternal body mass index, gestational weight gain, maternal complications, and birth outcome in singleton, term births in a largely Non-Hispanic white, rural population. J Womens Health (Larchmt). 2019;28(11):1563-1568.
Raglan GB, Schulkin J, Micks E. Depression during perimenopause: the role of the obstetrician- gynecologist. Arch Womens Ment Health. February 2019.
Snead CM, Strassberg E, Overcash R, et al. Obstetricians’ knowledge and practices regarding the management of preeclampsia. J Matern Fetal Neonatal Med. January 2019:1-6.
Turrentine M, Ramirez M, Stark L, Snead C, Schulkin J. Role of physician gender in the modern practice of obstetrics and gynecology: do obstetrician-gynecologists perceive discrimination from their sex? South Med J. 2019;112(11):566-570.
Arora KS, Castleberry N, Schulkin J. Variation in waiting period for Medicaid postpartum sterilizations: results of a national survey of obstetricians-gynecologists. Am J Obstet Gynecol. 2018;218(1):140-141.
Delgado A, Stark LM, Macri CJ, Power ML, Schulkin J. Provider and Patient Knowledge and Views of Office Practices on Weight Gain and Exercise during Pregnancy. Am J Perinatol. 2018;35(2):201-208.
Dotters-Katz SK, Smid MC, Mcelwain C, Kuller JA, Schulkin J. Obstetric practice patterns in pregnancies complicated by fetal trisomy 13 or 18. J Matern Fetal Neonatal Med. 2018 Sep;31(18):2441-2445
Fialkow MF, Snead CM, Schulkin J. Benefits and Barriers to Teaching Medical Students in an Ob-Gyn Clinic. Health Serv Res Manag Epidemiol. 2018;16;5:2333392817753518.
Leslie MS, Greene J, Schulkin J, Jelin AC. Umbilical cord clamping practices of U.S. obstetricians. J Neonatal Perinatal Med. 2018;11(1):51-60.
Madsen AM, Stark LM, Has P, Emerson JB, Schulkin J, Matteson KA. Opioid Knowledge and Prescribing Practices Among Obstetrician-Gynecologists. Obstet Gynecol. 2018;131(1):150-157.
Strassberg ER, Power M, Schulkin J, Stark LM, Mackeen AD, Murtough KL, Paglia MJ. Patient attitudes toward influenza and tetanus, diphtheria and acellular pertussis vaccination in pregnancy. Vaccine. 2018; 16;36(30):4548-4554.
Taouk LH, Matteson KA, Stark LM, Schulkin J. Prenatal depression screening and antidepressant prescription: obstetrician-gynecologists' practices, opinions, and interpretation of evidence. Arch Womens Ment Health. 2018;21(1):85-91.
Easter SR, Taouk L, Schulkin J, Robinson JN. Twin vaginal delivery: innovate or abdicate. Am J Obstet Gynecol. 2017 May;216(5):484-488.e4
Fialkow MF, Snead CM, Schulkin J. New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices: A Survey of Practicing Ob-Gyns. Health Serv Res Manag Epidemiol. 2017 Sep 19;4:2333392817723981
Hall RL, Anderson B, Schulkin J, Cantey PT, Montgomery SP, Jones JL. Survey of obstetrician-gynecologists in the United States about taeniasis and cysticercosis. Am J Trop Med Hyg. 2017 Jan 11;96(1)233-242.
Jones NL, Schulkin J, Urban RR, et al. Physicians' perspectives and practice patterns toward opportunistic salpingectomy in high- and low-risk women. Cancer Invest. 2017 Jan 2;35)1):51-61.
Marcewicz LH, Anderson BL, Byams VR, Grant AM, Schulkin J. Screening and Treatment for Iron Deficiency Anemia in Women: Results of a Survey of Obstetrician-Gynecologists. Matern Child Health J. 2017 Aug;21(8):1627-1633
Moaddab A, McCullough LB, Chervenak FA, Stark L, Schulkin J, Dildy GA, Raine SP, Shamshirsaz AA. A survey of honor-related practices among US obstetricians and gynecologists. Int J Gynaecol Obstet. 2017 Nov;139(2):164-169.
Mohamed SA, El Andaloussi A, Al-Hendy A, Menon R, Behnia F, Schulkin J, Power ML. Vitamin D and corticotropin-releasing hormone in term and preterm birth: potential contributions to preterm labor and birth outcome. J Matern Fetal Neonatal Med. 2017 Aug 7:1-7.
Power ML, Quaglieri C, Schulkin J. Reproductive Microbiomes: A New Thread in the Microbial Network. Reprod Sci. 2017 Nov;24(11):1482-1492
Power ML, Schulkin J. Obstetrician/Gynecologists' Knowledge, Attitudes, and Practices Regarding Weight Gain During Pregnancy. J Womens Health (Larchmt). 2017 Nov;26(11):1169-1175.
Raglan GB, Margolis B, Paulus RA, Schulkin J. Electronic Health Record Adoption among Obstetrician/Gynecologists in the United States: Physician Practices and Satisfaction. J Healthc Qual. 2017 May/Jun;39(3):144-152
Taouk L, Farrow VA, Schulkin J. Amount and quality of sleep: exploring the role of stress and work experience in a sample of obstetrician-gynecologists. J Psychosom Obstet Gynaecol. 2017 May 2:1-6.
Wright JD, Raglan GB, Schulkin J, Fialkow MF. Attitudes and beliefs regarding the utility of robotically assisted gynecologic surgery among practicing gynecologists. J Healthc Qual. 2015. [Epub ahead of print]
Anderson BL, Peters E, Fialkow MF, Taouk LH, Schulkin J. Obstetricians and gynecologists' opinions about the Affordable Care Act and their expectations about how it will impact their practice. Prev Med Reports. 2016.
Dhesi AS, Murtough KL, Lim JK, et al. Metabolic screening in patients with polycystic ovary syndrome is largely undertuilized among obstetrician-gynecologists. Am J Obstet Gynecol. 2016 Nov;215(5):579.e1-579.e5.
Jelin AC, Anderson B, Wilkins-Haug L, Schulkin J. Obstetrician and gynecologists' population-based screening practices. J Matern Fetal Neonatal Med. 2016;29(6):875-79.
Lum DA, Sokol ER, Berek JS, et al. Impact of the 2014 Food and Drug Administration warnings against power morcellation. J Minim Invasive Gynecol. 2016 May-Jun;23(4):548-556.
Lyell DJ, Power M, Murtough K, et al. Surgical techniques at cesarean delivery: a U.S. survey. Surg J 2016;2:e119-e125.
Mohamed SA, Al-Hendy A, Schulkin J, Power ML. Opinions and practice of US-based obstetrician-gynecologists regarding vitamin D screening and supplementaion of pregnant women. J Pregnancy. 2016;2016:1454707.
Raglan GB, Cain JM, Schulkin J. Brief report on obstetricians'/gynecologists' distribution of scarce resources. J Healthc Qual. 2016 Sep-Oct;38(5):322-325.
Smid MC, Smiley SG, Schulkin J, et al. The problem of the pannus: Physician Preference Survey and a review of the literature on cesarean skin incision in morbidly obese women. Am J Perinatol. 2016;33(5):463-472. doi: 10.1055/s-0035-1566000. PMID: 26510932.
Stark LM, Power ML, Turrentine M, et al. Influenza vaccination among pregnant women: patient beliefs and medical provider practices. Infect Dis Obstet Gynecol. 2016;2016:3281975.
Taouk L, Schulkin J. Transgenerational transmission of pregestational and prenatal experience: maternal adversity, enrichment, and underlying epigenetic and environmental mechanisms. J Dev Orig Health Dis. 2016 Dec:7(6):588-601.
Atanasov P, Anderson BL, Cain J, Schulkin J, et al. Comparing physicians personal prevention practices and their recommendations to patients. J Healthc Qual. 2015;37(3):189-198.
Davis SM, Anderson BL, Schulkin J, Jones K, et alL. Survey of obstetrician-gynecologists in the United States about toxoplasmosis: 2012 update. Arch Gynecol Obstet. 2015;291(3):545-55.
Edwards RK, Tang Y, Raglan GB, Szychowski JM, et al. Survey of American obstetricians regarding Group B Streptococcus: opinions and practice patterns. Am J Obstet Gynecol. 2015; 213(2):229.e1-7.
Jones KM, Carter MM, Schulkin J. Racial and ethnic disparities in cardiovascular disease: An assessment of obstetrician-gynecologists’ knowledge, attitudes, and practice patterns. J of Racial and Ethn Health Disparities. 2015 Jun;2(2):256-66.
Jones KM, Power ML, Queenan JT, Schulkin J. Racial and ethnic disparities in breastfeeding. Breastfeed Med. 2015;10(4):186-96.
Jones KM, Raglan GB, Lannon SR, Schulkin J. Obstetrician-gynecologists’ knowledge of health barriers and disparities among American Indian/Alaska Native women in Washington State. Racial Ethn Health Disparities. 2015;8(2):102-117.
Leddy MA, Anderson BL, Schulkin J. Obstetrician-Gynecologists' practices, statistical literacy, and risk communication with regard to sexually transmitted infections. Curr HIV Res. 2015;13(5):391-8.
Micks E, Raglan GB, Schulkin J. Bridging progestogens in pregnancy and pregnancy prevention. Endocr Connect. 2015;4(4):R81-92.
Murtough KL, Power ML, Schulkin J. Knowledge, attitudes, and practices of obstetrician-gynecologists regarding influenza prevention and treatment following the 2009 H1N1 pandemic. J Womens Health. 2015; 24(10):849-54.
Raglan GB, Lawrence H, Schulkin J. Ethical considerations of screening for mental health disorders during periodic well-woman exams. J Psychosomatic Obstet Gynaecol . 2015;2(1-2):1-8.
Raglan GB, Margolis B, Paulus RA, Schulkin J. Obstetrician/gynecologists' experiences with electronic health record systems: a narrative study. J Reprod Med. 2015 Mar-Apr;60(3-4):95-102. PubMed PMID: 25898471.
Tong VT, England LJ, Malarcher A, Mahoney J, et al. Clinicians' awareness of the Affordable Care Act mandate to provide comprehensive tobacco cessation treatment for pregnant women covered by Medicaid. Prev Med Rep. 2015;2:686-688.
Tucker Edmonds B, McKenzie F, Farrow V, Raglan G, et al. A national survey of obstetricians' attitudes toward and practice of periviable intervention. Journal of Perinatology. 2015;35(5):338-43.
Anderson BL, Pearlman M, Griffin J, Schulkin J. Conflicting and changing breast cancer screening recommendations: survey study of a national sample of ob-gyns after the release of the 2009 USPSTF guidelines. J Healthc Qual. 2013;35:25-35.
Anderson BL, Williams S, Schulkin J. Statistical literacy of obstetrics-gynecology residents. J Grad Med Educ. 2013;272-5.
Farrow VA, Goldenberg RL, Fretts RC, Schulkin J. Psychological impact of stillbirths on obstetricians. J Matern Fetal Neonatal Med. 2013;26:748-52.
Farrow VS, Anderson B, Chescheir NC, Schulkin J. Sex differences among obstetrican-gynecologists: a review of survey studies. Obstet Gynecol Surv. 2013;68:235-53.
Fuller E, Anderson BL, Leddy M, Schulkin J. Obstetrician-gynecologists‘ knowledge, attitudes and practices regarding major depressive disorder. J Psychosom Obstet Gynaecol. 2013;34:34-8.
Goldenberg RL, Farrow V, McClure EM, Reddy UM, Fretts RC, Schulkin J. Stillbirth: knowledge and practice among U.S. obstetrician-gynecologists. Am J Perinatol. 2013 Jan 17. [Epub ahead of print] PubMed PMID: 23329563.
Perkins RB, Anderson BL, Sheinfeld Gorn S, Schulkin J. Challenges in cervical cancer prevention: a survey of obstetrician-gynecologists. Am J Prev Med. 2013;45:175-81.
Power ML, Henderson Z, Behler JE, Schulkin J. Attitudes and practices regarding late preterm birth among American obstetrician-gynecologists. J Womens Health. 2013;22:167-72.
Power ML, Wilson E, Hogan S, Loft J, Williams J, Mersereau P, Schulkin J. Patterns of preconception, prenatal and postnatal care for diabetic women by obstetrician-gynecologists. J Reprod Med. 2013;58:7-14.
Raglan GB, Anderson BL, Lawrence H, Schulkin J. Obstetrics and gynecology practices and patient insurance type. Womens Health Issues. 2013;23:e161-5.
Vink J, Anderson B, Fuchs K, Schulkin J, D'Alton ME. Opinions and practice patterns of obstetricians-gynecologists in the United States regarding amniocentesis in twins. Prenat Diagn. 2013 May 22:1-5. [Epub ahead of print] PubMed PMID: 23703651.
Wright JD, Silver RM, Bonanno C, et al. Practice patterns and knowledge of obstetricians and gynecologists regarding placenta accreta. J Matern Fetal Neonatal Med. 2013 May 17. [Epub ahead of print] PubMed PMID: 23565991.
Anderson BL, Carlson R, Anderson J, Hawks D, Schulkin J. What factors influence obstetrician-gynecologists to follow recommended HIV screening and testing guidelines? J Womens Health (Larchmt). 2012;21(7):762-8.
Anderson BL, Gigerenzer G, Parker S, Schulkin J. Statistical literacy in obstetricians and gynecologists. J Healthc Qual, doi: 10.1111/j.1945-1474.2011.00194.x Epub 2012 Jan 31. PMID: 22292459
Anderson BL, Schulkin J, Lawrence HC. Academic workforce trends in community hospitals. Journal of Community Hospital Internal Medicine Perspectives. 2012;2(1):17361.
Byams VR, Anderson BL, Grant AM, Atrash H, Schulkin J. Evaluation of bleeding disorders in women with menorrhagia: a survey of obstetrician-gynecologists. Am J Obstet Gynecol. 2012;207(4):269.e1-5.
Farrow VA, Lawrence H, Schulkin J. Women's healthcare providers' range of services and collaborative care. J Healthc Qual. 2014 Mar-Apr;36(2):39-49. Epub 2012 Aug 22. PMID: 22913302
Green DR, Anderson BL, Burke MF, Griffith J, Schulkin J. Obstetric providers' knowledge, awareness, and use of CDC'S HIV testing recommendations and One Test. Two Lives. Martern Child Health J. 2012;16(5), 1113-19.
Leddy MA, Farrow VA, Joseph GF, Schulkin J. Obstetrician/gynecologists and postpartum mental health: differences between CME course takers and nontakers. Journal of Continuing Education in the Health Professions. 2012;32(1):39-47.
Morgan MA, Anderson BL, Lawrence H, Schulkin J. Well-Woman Care among Obstetrician-Gynecologists: Opportunity for Preconception Care. J Matern Fetal Neonatal Med. 2012;25(6):595-9.
Obrecht NA, Chapman G, Anderson BL, Schulkin J. Retrospective frequency formats promote consistent experience-based Bayesian judgments. Applied Cognitive Psychology. 2012;26(30):436-440.
Power ML & Schulkin J. Maternal obesity, metabolic disease, and allostatic load. Physiol Behav. 2012;106(1):22-8.
Queenan J, Power ML, Farrow V, Schulkin J. U.S. obstetrician-gynecologists' estimates of their patients' breastfeeding rates. Obstet Gynecol. 2012;119(4):838-44.
Rasmussen SA, Power ML, Jamieson DJ, et al. Practices of obstetrician-gynecologists regarding nonvaccinerelated public health recommendations during the 2009 H1N1 influenza pandemic. Am J Obstet Gynecol. 2012;207(4):294.e1-7.
Wenstrom K, Erickson K, Schulkin J. Are obstetrician-gynecologists satisfied with their maternal-fetal medicine consultants? A survey. Amer J Perinatol. 2012; 29(08):599-608.
Anderson BL, Obrecht NA, Chapman G, Driscoll DA, Schulkin J. Physicians' communication of Down Syndrome screening test results: the influence of physician numeracy. Genetics in Medicine. 2011;13(8):744-49.
Anderson BL, Schulkin J. Physicians' perceptions of patients' knowledge and opinions regarding breast cancer: associations with patient education and physician numeracy. Breast Care. 2011;6(4):285-88.
Burwick RM, Schulkin J, Cooley SW, Janakiraman V, Norwitz ER, Robinson JN. Recent Trends in Continuing Medical Education Among Obstetrician-Gynecologists. Obstetrics & Gynecology. 2011;117(5):1060-4.
Dalton VK, Harris LH, Bell JD, et al. Treatment of early pregnancy failure: does induced abortion training affect later practices? Am J Obstet Gynecol. 2011;204(6):493.e1-6.
Farrow VA, Leddy MA, Lawrence H, Schulkin J. Ethical concerns and career satisfaction in obstetrics and gynecology: a review of recent findings from the Collaborative Ambulatory Research Network. Obstet Gynecol Surv. 2011;66(9):572-9.
Kissin DM, Power ML, Kahn EB, et al. Attitudes and practices of obstetrician-gynecologists regarding influenza vaccination in pregnancy. Obstet Gynecol. 2011;118(5):1074-80.
Leddy M, Haaga D, Gray J, Schulkin J. Postpartum mental health screening and diagnosis by obstetrician-gynecologists. J Psychosom Obstet Gynaecol. 2011;32(1):27-34.
Link-Gelles R, Chamberlain AT, Schulkin J, Ault K, Whitney E, Seib K, Omer SB. Missed opportunities: a national survey of obstetricians about attitudes on maternal and infant immunization. Matern Child Health J. 2011. [Epub ahead of print]
Matteson K, Anderson BL, Pinto SB, Lopes V, Schulkin J, Clark MA. Practice patterns and attitudes about treating abnormal uterine bleeding: A national survey of obstetricians and gynecologists. Am J Obstet Gynecol. 2011;205(4):32.e1-8.
Matteson KA, Anderson BL, Pinto SB, Lopes V, Schulkin J, Clark MA. Surveying ourselves: examining the use of a web-based approach for a physician survey. Evaluation and Health Professions. 2011;34(4):448-63.
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