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Resident Self-Assessed Competence And Intentions To Provide Abortion Care By Training: 2020 CREOG Survey Results
Purpose: To assess obgyn residents’ self-assessed competence
and intentions to provide abortion care, according to their access to training.
Background: Abortion is a core component of obgyn training and
care. Residents have reported benefits of routine training, such as skill in
manual and electric uterine evacuation (MUA, EUA), but previous studies have
not explored competence in programs with different levels of training.
Methods: Residents completed an anonymous, voluntary,
electronic survey prior to the 2020 CREOG in-training examination, which
included self-assessed competence in abortion-related skills (defined as
feeling prepared to independently provide care), and intentions to provide
Results: A total of 885 PGY-4 residents of 1,241 (71.2%)
completed the questions of interest. 60% reported abortion training as routine,
29% as optional, and 10% as none. In each abortion-related skill, more
residents with routine abortion training reported competence compared to less
comprehensive training types. Significant differences existed with medication
abortion (77% vs. 40% vs. 21%); MUA (78% vs. 45% vs. 34%; EUA (80% vs. 53% vs.
47%); and dilation and evacuation (58% vs. 30% vs. 15%), all p< 0.001. More
residents with routine training reported intentions to provide any abortion
care after residency (79%) than those with other training types (66% vs. 55%,
Discussions: Uterine evacuation techniques are core obgyn skills,
and routine training is critical for ensuring competence. Abortion training is
important for patients accessing care, particularly after the reversal of Roe v
Wade, as routine training is associated with intention to provide. Thus,
residency training programs must continue to ensure routine abortion training.
CREOG & APGO Annual Meeting, 2023, Resident, Residency Director, Patient Care, Medical Knowledge, GME, Assessment, Public Health, Contraception or Family Planning,