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Remote, Off-site Abortion Training: Experiences of Obstetrics and Gynecology Residents at an Academic Program

Purpose: To describe the experiences of obstetrics and gynecology residents regarding a local compared to a remote, off-site family planning (FP) rotation.

Background: The Accreditation Council for Graduate Medical Education (ACGME) requires that obstetrics and gynecology residency programs provide access to abortion training.   Residents at our institution had the option of such training at a local, free-standing abortion clinic until 2013.  This training was then replaced by a rotation at a remote, free-standing abortion clinic three hours away. 

Methods: We surveyed graduated obstetrics and gynecology residents who trained at our institution from 2009-2017. The survey contained both closed-ended and open-ended questions about graduates’ experiences with FP training.  We asked about respondent’s assessment of the rotation’s educational value and support of its integration into the residency curriculum.  We assessed predictors of FP rotation participation with Fisher’s exact tests.

Results: Of the 32 eligible graduates surveyed, we received 21 complete responses (67%).  Overall, 13 (62%) respondents participated in the FP rotation.  Ten respondents trained when the local rotation was available and six of them would have been interested in a remote rotation.  Of the 11 respondents who trained when the remote rotation was available, 8 participated and all 8 described the rotation as having high educational value.  Almost all respondents strongly supported integration of an FP rotation into the curriculum (19/21).  Relationship status, having children, and current practice type were not associated with FP rotation participation.

Discussions: Trainees in obstetrics and gynecology value access to abortion training, even if the training is off-site and remote. 

Topics: Contraception or Family Planning, Advocacy, Public Health, GME, Practice-Based Learning & Improvement, Residency Coordinator, Residency Director, Resident, Student, 2019, CREOG & APGO Annual Meeting,

General Information


Keywords
Intended
Audience
Student,Resident,Residency Director,Residency Coordinator,
Competencies
Addressed
Practice-Based Learning & Improvement,
Educational
Continuum
GME,
Educational
Focus
Public Health,Advocacy,
Clinical Focus
Contraception or Family Planning,

Author Information

Selina Sandoval, MD, University of Kansas Medical Center; Carrie Wieneke, MD; Sharon Fitzgerald, MPH; Valerie French, MD, MA

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