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Related Experiment Videos

An "Invaluable Skill": Reflections on Abortion Training and Postresidency Practice.

Samantha Greenberg1, Melissa Nothnagle2

  • 1University of Montana-Family Medicine Residency of Western Montana, Kalispell, MT.

Family Medicine
|October 12, 2018
PubMed
Summary

Family medicine residents gain confidence in abortion care counseling but face barriers to practice integration. Focusing residency training on medication abortion may overcome these challenges.

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Area of Science:

  • Medical Education
  • Family Medicine
  • Reproductive Health

Background:

  • Family medicine residency programs aim to equip graduates with comprehensive reproductive health skills.
  • Abortion care training within family medicine is crucial for primary care providers.
  • Understanding resident experiences is key to improving abortion care education.

Purpose of the Study:

  • To explore family medicine residents' experiences with abortion training.
  • To identify factors influencing residents' ability to provide abortion care.
  • To uncover barriers and facilitators to integrating abortion services into primary care practice.

Main Methods:

  • Qualitative study utilizing individual recorded interviews with recent family medicine residency graduates.

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  • Participants were from an urban Northeast US program with an opt-out abortion curriculum.
  • Data analysis employed the template analysis method for coding and interpretation.

    • Main Results:

    • Residents reported increased confidence in options counseling but varied comfort levels with medication versus aspiration abortion.
    • Medication abortion was associated with fewer emotional reactions and perceived logistical barriers compared to aspiration abortion.
    • Despite agreement that abortion fits primary care, significant barriers limited post-graduation practice integration for many.

    Conclusions:

    • While abortion training enhances counseling skills, practical integration into family medicine practice faces numerous obstacles.
    • Given fewer perceived barriers, residency programs might benefit from emphasizing medication abortion training.
    • Addressing logistical and technical barriers is essential for increasing abortion care provision by family medicine physicians.