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OB/GYN Resident Education and Experience with Reproductive Justice

Purpose: To understand OB/GYN resident experience with reproductive justice.  

Background: Reproductive justice (RJ) is defined as: the right to have a child, the right to not have a child, the right to parent the children we have, and the right to control our our birthing and contraceptive options. Despite its relevance to OB/GYN residency milestones, such as patient-centered care, patient advocacy, and informed consent, there is currently no formalized RJ education in residency training.

Methods: We distributed a web-based survey to U.S. OB/GYN residents to bettr understand educational and clinical experiences with RJ. Participants were asked to share clinical experiences with reproductive injustices. Qualitative data were coded using content analysis and quantitative data were analyzed using descriptive statistics.

 Results: We received 358 responses from OB/GYN residents, representing 67 U.S. residency programs.  48% of respondents had not received RJ education during their training. OB/GYN residents reported a variety of clinical experiences with reproductive justice issues; of the 156 cases shared, common themes included fertility treatment access, care of marginalized populations, abortion care, and informed consent. Seventy-seven percent of respondents were interested in receiving further RJ training and 96% of residents felt that they would benefit from training.

Discussions: OB/GYN resident experiences with reproductive injustices are widespread and residents desires additional education. Our results reveal an opportunity to incorporate these shared clinical experiences into an innovative RJ curriculum design where residents learn from each other’s diverse clinical experiences while also applying milestones.      

Topics: Contraception or Family Planning, Advocacy, Public Health, Problem-Based Learning, UME, Practice-Based Learning & Improvement, Interpersonal & Communication Skills, Professionalism, Patient Care, Resident, 2019, CREOG & APGO Annual Meeting,

General Information

Patient Care,Professionalism,Interpersonal & Communication Skills,Practice-Based Learning & Improvement,
Problem-Based Learning,Public Health,Advocacy,
Clinical Focus
Contraception or Family Planning,

Author Information

Upasana Senapati, MD, University of Michigan Department of Obstetrics and Gynecology; Chelsea Finkbeiner, BS; Charisse Loder, MD, MSc

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