Brahmi Dalia, Dehlendorf Christine, Engel David, Grumbach Kevin, Joffe Carole, Gold Marji
Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY 10467, USA.
Fam Med. 2007 Jun;39(6):399-403.
Access to abortion services in the United States is declining. While family physicians are well suited to provide this care, limited training in abortion occurs in family medicine residency programs. This study was designed to describe the structure of currently available training and the experience of residents participating in these programs.
E-mail questionnaires were sent to key faculty members and third-year residents in nine programs that have required abortion training. These faculty members and a sample of residents also completed semi-structured interviews.
Residency programs varied in the amount of time dedicated to the procedural aspects of abortion training, ranging from 2 to 8 days, and also in non-procedural aspects of training such as values clarification and didactics. Themes that emerged from interviews with residents included the benefit of training with respect to technical skills and continuity of care. In addition, residents valued discussion of the emotional aspects of abortion care and issues relating to performing abortions after graduation from residency.
While the details of the curricula vary, residents in programs with required abortion training generally felt positively about their experiences and felt that abortion was an appropriate procedure for family physicians to provide. Residents emphasized the importance of both non-procedural and technical aspects of training.
在美国，获得堕胎服务的途径正在减少。虽然家庭医生非常适合提供此类护理，但家庭医学住院医师培训项目中关于堕胎的培训有限。本研究旨在描述当前可用培训的结构以及参与这些项目的住院医师的经历。
向九个有堕胎培训要求的项目中的关键教员和三年级住院医师发送电子邮件问卷。这些教员和部分住院医师样本还完成了半结构化访谈。
住院医师培训项目在用于堕胎培训程序方面的时间量上有所不同，从2天到8天不等，在培训的非程序方面，如价值观澄清和教学方面也存在差异。从对住院医师的访谈中出现的主题包括培训在技术技能和护理连续性方面的益处。此外，住院医师重视对堕胎护理情感方面的讨论以及与住院医师毕业后进行堕胎相关的问题。
虽然课程细节各不相同，但有堕胎培训要求的项目中的住院医师总体上对他们的经历持积极态度，并认为堕胎是家庭医生适合提供的一种程序。住院医师强调了培训中非程序和技术方面的重要性。
