Dehlendorf Christine, Brahmi Dalia, Engel David, Grumbach Kevin, Joffe Carole, Gold Marji
Department of Family and Community Medicine, University of California, San Francisco, CA 94110, USA.
Fam Med. 2007 May;39(5):337-42.
Family physicians provide many office-based procedures in primary care settings. While first-trimester abortion is a procedure appropriate for and performed by family physicians, few residency programs offer routine training in this skill. This study explored the experience of residency programs that have initiated or are in the process of initiating required abortion training.
Faculty members responsible for abortion training curricula in identified programs completed questionnaires and semi-structured interviews.
Faculty members from nine programs with required training and seven programs interested in initiating this training were included in the study. Factors that assisted in curriculum development included the support of family medicine and obstetrician-gynecologist faculty. Commonly encountered challenges included the need for dedicated resources, inter-specialty conflict, and limited access to training sites.
Family medicine programs can be successful at developing required abortion training. Collaboration with colleagues inside and outside the family medicine department and with receptive training sites will benefit programs interested in such.
家庭医生在基层医疗环境中开展许多门诊手术。虽然孕早期流产是一项适合家庭医生且由其实施的手术,但很少有住院医师培训项目提供这项技能的常规培训。本研究探讨了已启动或正在启动强制性流产培训的住院医师培训项目的经验。
在所确定项目中负责流产培训课程的教员完成问卷调查和半结构化访谈。
来自九个有强制性培训项目和七个有意启动该培训项目的教员参与了研究。有助于课程开发的因素包括家庭医学和妇产科教员的支持。常见的挑战包括需要专用资源、跨专业冲突以及培训地点有限。
家庭医学项目在开展强制性流产培训方面可以取得成功。与家庭医学部门内外的同事以及接受培训的地点合作,将使对此感兴趣的项目受益。