Integrating medical abortion into a residency practice
Linda Prine1, Ruth Lesnewski, Rachel Bregman
1Beth Israel Residency Program in Urban Family Practice, New York, NY 10003, USA. lindaprine@earthlink.net
Implementing medical abortion services in residency programs can face resistance. This study outlines a structured approach to address concerns and integrate these services, ensuring patient access while managing staff reservations.
Area of Science:
- Medical Education
- Reproductive Health
- Healthcare Administration
Background:
- Integrating new medical services, particularly controversial ones like medical abortion, into residency programs presents significant challenges.
- Resistance to change in established medical curricula and services can be substantial, requiring careful management.
Purpose of the Study:
- To describe an innovative strategy for introducing medical abortion services into a residency program.
- To address and mitigate reservations from staff, faculty, and residents regarding medical abortion.
- To ensure continued patient access to medical abortion care.
Main Methods:
- A survey was conducted among staff, faculty, residents, and colleagues to identify concerns about medical abortion services.
- Educational forums were utilized to systematically address the identified reservations.
- Resident participation in the medical abortion service was made voluntary.
Main Results:
- The study successfully identified and categorized reservations regarding medical abortion.
- A structured educational approach was implemented to manage these concerns.
- Despite challenges, a framework was established for integrating medical abortion services.
Conclusions:
- Addressing stakeholder concerns through structured education is crucial for implementing controversial medical services.
- Ensuring voluntary resident participation while guaranteeing patient access is a key component of successful integration.
- This innovative approach provides a model for other institutions seeking to incorporate medical abortion into residency training.
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