Residents' Papers GynecologyThe effect of training on the provision of elective abortion: A survey of five residency programs☆
Section snippets
Material and methods
An anonymous pretested survey was mailed to graduates of five obstetrics-gynecology programs from 1989 through 1998. The Human Research Committee at the University of California, San Francisco, approved the study. We asked about demographic characteristics, residency training, and abortion provision. Factors that were associated with abortion provision were analyzed by Fisher exact test and the Student t test. Variables that were associated at a probability of <.1 in univariate analysis were
Results
We obtained current addresses of 262 of the 293 graduates; 161 physicians (61%) returned surveys. Most of the respondents were women who practiced general obstetrics and gynecology and who were in private practice (Table I).Characteristic No. (%) Female 113 (70) Married or cohabiting 138 (86) Children 111 (69) Religious affiliation 103 (64) Jewish† 26 (25) Protestant† 45 (44) Catholic† 25 (24) Practice details General
Comment
Almost one half of the surveyed physicians reported having provided abortions in the previous year; most respondents (58%) reported having performed abortions since residency. If we were to assume that all nonresponders had performed zero abortions, the percentage of those physicians who had provided first-trimester abortions in the last year would decrease from 46% to 28%, second-trimester abortions from 26% to 16%, and since residency from 58% to 36%. Even with this adjustment, these numbers
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Cited by (43)
Willing but unable: Physicians' referral knowledge as barriers to abortion care
2022, SSM - Population HealthCitation Excerpt :Despite this long-standing requirement, only about two-thirds of the ob-gyn residency programs surveyed in 2014 reported having an opt-out abortion training program with dedicated time for training (Steinauer et al., 2018). Training on abortion during medical residency is crucial for increasing the availability of abortion care as previous research has indicated that completing an ob-gyn residency program with abortion training is associated with a higher likelihood of the physician providing abortions post-residency (Steinauer et al., 2003). Nevertheless, physicians who are trained and willing to provide abortion care face several institutional and professional barriers toward doing so (Freedman, 2010; Freedman et al., 2010; Stulberg et al., 2016).
Twenty years of the Ryan Residency Training Program
2021, ContraceptionRacial diversity in abortion education and intention to provide abortion in postresidency practice: data from the Ryan Program
2020, American Journal of Obstetrics and GynecologyCitation Excerpt :Regardless, this suggests that minority obstetrics-gynecology residents may have disproportionately less access to training in abortion care. Increasing access to training is critical to open opportunities to provide abortion in postresidency practice.33 Minority physicians are more likely to serve patients in underserved areas, patients of racial ethnic minorities, and patients facing poverty.10–13
Family planning training at Catholic and other religious hospitals: a national survey
2020, American Journal of Obstetrics and GynecologyMulticenter study on midwifery students’ attitudes towards abortion and it's place in their future practice – Comparison of respondents at early and late stages of the university education
2019, Nurse Education in PracticeCitation Excerpt :Also approximately 60% of medicine students from Ireland had no reservations to perform abortions (Fitzgerald et al., 2014a) (O'Grady, Doran and O'Tuathaigh, 2016c). Essentially similar results were also reported by researchers from other countries (Steinauer et al., 2003b) (Rominski et al., 2017a). Compared to these data, the proportion of Polish female midwifery students who declared their acceptance for abortion on request is dramatically low.
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Reprint requests: Jody Steinauer, MD, Department of Obstetrics, Gynecology, and Reproductive Sciences, San Francisco General Hospital, 1001 Potrero Ave, Ward 6D, San Francisco, CA 94110. E-mail: [email protected]