Related Experiment Video
Updated: Aug 16, 2026
04:36
Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
Implementing a Medication Abortion Curriculum in an Internal Medicine Residency: An Educational Innovation
Adam Tapley1, Hannah Biederman2, Rachel Stark3
1is an Instructor in Medicine, Department of Internal Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts, USA.
Journal of Graduate Medical Education
|August 15, 2026
Summary
Internal medicine residents showed increased comfort providing medication abortion after a 6-month curriculum. This training addresses gaps in reproductive health education, improving resident confidence in medication abortion services.
Area of Science:
- Medical Education
- Reproductive Health
- Internal Medicine Training
Background:
- Medication abortion is safe and effective, but few internal medicine physicians offer it due to barriers like stigma and limited training.
- Existing reproductive health training in internal medicine residency programs has recognized deficits.
Purpose of the Study:
- To evaluate the implementation and outcomes of a medication abortion curriculum for internal medicine residents.
- To assess the impact of structured training on residents' comfort and knowledge regarding medication abortion.
Main Methods:
- A 3-component curriculum (online module, in-person session, clinical experience) was developed and implemented.
- Data collected included participation rates and pre/post-curriculum survey results on attitudes, comfort, and knowledge.
Main Results:
- 96% of residents participated in at least one curriculum component.
- Post-curriculum surveys showed significant improvements in residents' comfort with counseling, eligibility determination, and managing medication abortion.
- A high percentage of residents expressed a desire to provide medication abortion services during residency and in their future practice.
Conclusions:
- A structured medication abortion curriculum significantly enhanced internal medicine residents' comfort in providing these services.
- The curriculum effectively addressed gaps in reproductive health training for internal medicine residents.
Related Concept Videos
01:21Intrauterine Drug Delivery Systems
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
01:29Drug Delivery: Parenteral Route
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
01:22Drug Delivery: Miscellaneous Routes
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs through the...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs through the...
01:26Drug Administration and Therapy Phases: Overview
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
01:15Drug Dosage Regimen: Overview
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...