University of California, San Francisco Bixby Center for Global Reproductive Health, San Francisco, CA, USA.
University of California, San Francisco Bixby Center for Global Reproductive Health, San Francisco, CA, USA.
Contraception. 2021 May;103(5):305-309. doi: 10.1016/j.contraception.2020.12.009. Epub 2020 Dec 24.
To summarize the effects of routine, opt-out abortion and family planning residency training on obstetrics and gynecology (ob-gyn) residents' clinical skills in uterine evacuation and intentions to provide abortion care after residency.
Data from ob-gyn residency programs supported during the first 20 years of the Kenneth J. Ryan Residency Training Program in Abortion and Family Planning were analyzed. Postrotation surveys assessed residents' training experiences and acquisition of abortion care skills. Residency program director surveys assessed benefits of the training to residents and the academic department from the educators' perspectives.
A total of 2775 residents in 89 ob-gyn programs completed postrotation surveys for a response rate of 72%. During the rotation, residents - including those who only partially participated - gained exposure to and skills in first- and second-trimester abortion care. Sixty-one percent intended to provide abortion care in their postresidency practice. More than 90% of residency program directors (97.5% response rate) reported that training improved resident competence in abortion and contraception care and 81.3% reported that the training increased their own program's appeal to residency applicants.
Over 20 years, the Ryan Program has supported programs to integrate abortion training to give ob-gyn residents the skills and inspiration to provide comprehensive reproductive health care, including uterine evacuation and abortion care, in future practice. Residency program directors noted that this integrated training meets resident applicants' expectations.
Ryan Program residents are trained to competence and are prepared, both clinically and in their professional attitudes, to care for women's reproductive health.
总结常规、选择退出堕胎和计划生育住院医师培训对妇产科（ob-gyn）住院医师在子宫排空方面的临床技能以及在住院医师培训后提供堕胎护理的意愿的影响。
分析了在肯尼斯·J·瑞安（Kenneth J. Ryan）堕胎和计划生育住院医师培训计划的前 20 年中获得支持的妇产科住院医师培训计划的数据。轮转后调查评估了住院医师的培训经验和获得堕胎护理技能的情况。住院医师培训计划主任的调查评估了培训对住院医师和教育工作者从教育工作者的角度来看对学术部门的好处。
共有 89 个妇产科项目的 2775 名住院医师完成了轮转后调查，回应率为 72%。在轮转期间，包括部分参与的住院医师在内，都获得了第一和第二孕期堕胎护理的经验和技能。61%的人打算在毕业后的实践中提供堕胎护理。超过 90%的住院医师培训计划主任（回应率为 97.5%）报告说，培训提高了住院医师在堕胎和避孕护理方面的能力，81.3%的人报告说，培训增加了他们自己项目对住院医师申请人的吸引力。
在过去的 20 年里，瑞安计划支持了将堕胎培训纳入其中的计划，使妇产科住院医师获得技能和灵感，以便在未来的实践中提供全面的生殖健康护理，包括子宫排空和堕胎护理。住院医师培训计划主任指出，这种综合培训满足了住院医师申请人的期望。
瑞安计划的住院医师接受培训以达到能力水平，并在临床和专业态度方面为照顾妇女的生殖健康做好准备。
