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Area of Science:

  • Medical Education
  • Family Medicine
  • Maternal Health

Background:

  • Declining numbers of family physicians in maternity care threaten access for underserved populations.
  • Accreditation changes in 2014 enabled the creation of specialized maternity care tracks within family medicine residencies.
  • These tracks offer comprehensive maternity care training for interested residents.

Purpose of the Study:

  • To examine the impact of maternity care tracks on residents' educational experiences.
  • To assess the relationship between maternity care tracks and postgraduate practice patterns.
  • To compare outcomes between family medicine residency programs with and without maternity care tracks.

Main Methods:

  • An omnibus survey of family medicine residency program directors (PDs) was conducted.
  • Programs were categorized into "Track," "No Track Needed," and "No Track" groups.
  • Program characteristics, resident delivery numbers, and graduate practice patterns were compared across categories.

Main Results:

  • The survey achieved a 40% response rate, with 32% of programs having a Track, 22% No Track Needed, and 38% No Track.
  • Residents in maternity care tracks attended significantly more deliveries.
  • Programs without a specific track ('No Track Needed') reported the highest proportion of graduates entering inpatient maternity care practice (21%), followed by Track programs (17%) and No Track programs (5%).

Conclusions:

  • Maternity care tracks serve as an effective alternative for providing essential maternity care training when universal robust education is not feasible.
  • These tracks are crucial for producing graduates committed to practicing maternity care.
  • Programs lacking sufficient inpatient maternity care experience should consider implementing a maternity care track.