Initiating abortion training in residency programs

Issues and obstacles

Ian Bennett, Abigail Calkins Aguirre, Jean R. Burg, Madelon L. Finkel, Elizabeth Wolff, Katherine Bowman, Joan Fleischman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objectives: Early abortion is a common outpatient procedure, but few family medicine residencies provide abortion training. We wished to assess experiences and obstacles among residency programs that have worked to establish early abortion services. Methods: From 2001-2004, 14 faculty participated in a collaborative program to initiate abortion training at seven family medicine residencies. Ten focus groups with all trainees were followed by individual semi-structured interviews with a smaller group (n=9) that explored the progress and obstacles they experienced. Individual interviews were recorded and analyzed to identify major themes and sub-themes related to initiating abortion training. Results: Five of seven sites established abortion training. Five major themes were identified: (1) establishing support, (2) administration, (3) finance, (4) legal matters, and (5) security/demonstrators. Faculty from sites where training was ultimately established rated the sub-themes of billing/reimbursement, obtaining staff support, and state/hospital regulations as most difficult. Gaining support from within the department and institution was most difficult for the two sites that could not establish training. None experienced difficulty with security/demonstrators. Conclusions: Developing the clinical and administrative capacity to provide early abortion services in family medicine residency programs is feasible. Support from leadership within departments and from the wider institution is important for implementation.

Original languageEnglish (US)
Pages (from-to)330-335
Number of pages6
JournalFamily Medicine
Volume38
Issue number5
StatePublished - May 2006

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Internship and Residency
Medicine
Interviews
State Hospitals
Focus Groups
Outpatients

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Bennett, I., Aguirre, A. C., Burg, J. R., Finkel, M. L., Wolff, E., Bowman, K., & Fleischman, J. (2006). Initiating abortion training in residency programs: Issues and obstacles. Family Medicine, 38(5), 330-335.

Initiating abortion training in residency programs : Issues and obstacles. / Bennett, Ian; Aguirre, Abigail Calkins; Burg, Jean R.; Finkel, Madelon L.; Wolff, Elizabeth; Bowman, Katherine; Fleischman, Joan.

In: Family Medicine, Vol. 38, No. 5, 05.2006, p. 330-335.

Research output: Contribution to journalArticle

Bennett, I, Aguirre, AC, Burg, JR, Finkel, ML, Wolff, E, Bowman, K & Fleischman, J 2006, 'Initiating abortion training in residency programs: Issues and obstacles', Family Medicine, vol. 38, no. 5, pp. 330-335.
Bennett I, Aguirre AC, Burg JR, Finkel ML, Wolff E, Bowman K et al. Initiating abortion training in residency programs: Issues and obstacles. Family Medicine. 2006 May;38(5):330-335.
Bennett, Ian ; Aguirre, Abigail Calkins ; Burg, Jean R. ; Finkel, Madelon L. ; Wolff, Elizabeth ; Bowman, Katherine ; Fleischman, Joan. / Initiating abortion training in residency programs : Issues and obstacles. In: Family Medicine. 2006 ; Vol. 38, No. 5. pp. 330-335.
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