Setting up the required facilities and maintaining the skills to undertake procedures in the primary care environment can be challenging. During training, clinicians are usually instructed in procedures in hospital settings, where necessary procedures are established, support staff are experienced, and the appropriate equipment is available. Transferring this training into primary care practice is enhanced by practice algorithms. This transfer likewise necessitates a “shopping list” of equipment, training of support staff in the procedures, and quality patient information about the procedures. Gynecological procedures in primary care require substantial sensitivity, both from the perspective of explaining the procedures to patients and undertaking the procedures.
Susan R. Davis. Primary Care Procedures in Women’s Health. JAMA. 2010;304(10):1128–1129. doi:10.1001/jama.2010.1308