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Chapter 3 - The History of Integrated Training in Abortion and Contraception for Obstetrician-Gynecologists in the USA

from Section I - Abortion Training: Workforce, Leadership, Social & Political Impact

Published online by Cambridge University Press:  30 July 2021

By
Uta Landy
Edited by
Uta Landy ,
Philip D Darney  and
Jody Steinauer
Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
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Summary

Although academic obstetrician-gynecologists were important advocates for legal abortion, few teaching hospitals became sources of abortion care in the USA. Instead, private clinics provided nearly all abortions and medical students and residents had little opportunity to learn about abortion.Likewise, when contraception was earlier legalized, the major sources became Planned Parenthood and public health department clinics funded through the US Government’s Title X Program.Academic organizations responsible for training obstetrician-gynecologists recognized these deficiencies and moved to require training in family planning and to set standards for it.A few major teaching hospitals provided models for such training.Their efforts were emulated and financially supported at training programs around the USA through the “Ryan Residency Training Program in Abortion and Contraception” reaching one hundred programs over a 20-year effort.Because teaching hospitals largely ignored abortion and their reproductive endocrinologists were busy with IVF, academic training programs failed to develop researchers in abortion and contraception.In response to the need for clinical research and teaching in family planning, post-residency fellowship programs were simultaneously established in 30 medical schools, eventually leading to recognition in 2020 of “Complex Family Planning” as one of the official subspecialties of obstetrics and gynecology.

Keywords

Academic medicineteaching hospitalsRyan ProgramFellowship in Family Planningsubspecialtyresidencymedical schoolsresearch
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 32 - 47
Publisher: Cambridge University Press
Print publication year: 2021

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References

Roe v. Wade, 410 U.S. 113 (1973).Google Scholar
Greenhouse, L, Siegel, R. Before Roe v. Wade: Voices That Shaped the Abortion Debate before the Supreme Court’s Ruling. Rochester, NY: Social Science Research Network; 2012. doi:10.2139/ssrn.2131505Google Scholar
Gold, RB. Lessons from before Roe: will past be prologue? Issues Brief (Alan Guttmacher Inst). 2003;(5):1–4.Google Scholar
Tietze, C, Lewit, S. Joint Program for the Study of Abortion (JPSA): early medical complications of legal abortion. Stud Fam Plann. 1972;3(6):97–122. doi:10.2307/1965375Google Scholar
A statement on abortion by one hundred professors of obstetrics. Am J Obstet Gynecol. 1972;112(7):992–998. doi:10.1016/0002-9378(72)90826-5Google Scholar
Lewit, S. Abortion Techniques and Services. Amsterdam: Excerpta medica; 1972. http://lib.ugent.be/catalog/rug01:000382479Google Scholar
Hodgson, JE, ed. Abortion and Sterilization. London: Academic Press; 1981. www.elsevier.com/books/abortion-and-sterilization/hodgson/978-0-12-792030-6. Accessed March 31, 2020.Google Scholar
Schoen, J. Living through some giant change: the establishment of abortion services. Am J Public Health. 2013;103(3):416–425. doi:10.2105/AJPH.2012.301173Google Scholar
Landy, U, Lewit, S. Administrative, counseling and medical practices in National Abortion Federation facilities. Fam Plann Perspect. 1982;14(5):257–262.CrossRefGoogle ScholarPubMed
Burkman, RT, King, TM, Burnett, LS, Atienza, MF. University abortion programs: one year later. Am J Obstet Gynecol. 1974;119(1):131–136. doi:10.1016/0002-9378(74)90327-5Google Scholar
Donovan, MK. In Real Life: Federal Restrictions on Abortion Coverage and the Women They Impact. Washington, DC: Guttmacher Institute; 2017:7. www.guttmacher.org/sites/default/files/article_files/gpr2000116.pdfGoogle Scholar
Freedman, L, Langton, C, Landy, U, Ly, E, Rocca, C. Abortion care policies and enforcement in U.S. obstetrics–gynecology teaching hospitals: a national survey. Contraception. 2017;96(4):265. doi:10.1016/j.contraception.2017.07.017CrossRefGoogle Scholar
Jones, RK, Jerman, J. Abortion incidence and service availability in the United States, 2014. Perspect Sex Reprod Health. 2017;49(1):17–27. doi:10.1363/psrh.12015Google Scholar
Zekman, P. The abortion profiteers. Chicago Sun-Times; November 12, 1978. http://dlib.nyu.edu/undercover/abortion-profiteers-pamela-zekman-pamela-warrick-chicago-sun-times. Accessed March 31, 2020.Google Scholar
Clendinen, D. Abortion clinic bombings have caused disruption for many. New York Times; February 6, 1985:14.Google Scholar
Grimes, DA, Forrest, JD, Kirkman, AL, Radford, B. An epidemic of antiabortion violence in the United States. Am J Obstet Gynecol. 1991;165(5 Pt 1):1263–1268. doi:10.1016/0002-9378(91)90346-sGoogle Scholar
Grimes, DA. Clinicians who provide abortions: the thinning ranks. Obstet Gynecol. 1992;80(4):719–723.Google ScholarPubMed
Committee on Health Care for Underserved Women. ACOG Committee Opinion No. 612: abortion training and education. Obstet Gynecol. 2014;124(5):1055–1059. doi:10.1097/01.AOG.0000456327.96480.18CrossRefGoogle Scholar
Herbitter, C, Bennett, A, Schubert, FD, Bennett, IM, Gold, M. Management of early pregnancy failure and induced abortion by family medicine educators. J Am Board Fam Med. 2013;26(6):751–758. doi:10.3122/jabfm.2013.06.120248Google Scholar
AAFP Home | American Academy of Family Physicians. www.aafp.org/home.html. Accessed April 3, 2020.Google Scholar
www.govinfo.gov › CREC-1996-03-19-pt1-PgS2268Google Scholar
www.govinfo.gov/content/pkg/CREC-1996-03-19/html/CREC-1996-03-19-pt1-PgS2268.htmGoogle Scholar
Wessell, NY. The triad of medicine. N Engl J Med. 1957;257(13):603–605. doi:10.1056/NEJM195709262571305Google Scholar
Fellowship in Family Planning National Office, 2019 Program Data.Google Scholar
Kenneth J. Ryan Residency Training Program in Family Planning and Abortion National Office, 2019 Program Data.Google Scholar
Landy, U. Is family planning a subspecialty of obstetrics and gynecology? Contraception. 2005;72(6):399–401. doi:10.1016/j.contraception.2005.08.017Google Scholar
Lathrop, E, Landy, U. The Fellowship in Family Planning. Int J Gynaecol Obstet. 2013;121(1):10–13. doi:10.1016/j.ijgo.2012.12.005Google Scholar
Schulz, KF, Grimes, DA. The Lancet Handbook of Essential Concepts in Clinical Research. Philadelphia: Elsevier; 2006.Google Scholar
The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research; 1979. www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index.html#.Google Scholar
Papaya Workshop. About Papaya Workshop. http://papayaworkshop.org/. Accessed April 3, 2020.Google Scholar
ACGME. Accreditation Data System (ADS). https://apps.acgme.org/ads/Public/Reports/Report/3. Accessed April 3, 2020.Google Scholar
Zeldovich, VB, Rocca, CH, Langton, C, Landy, U, Ly, E, Freedman, L. Abortion policies in United States teaching hospitals: formal and informal parameters beyond the law. Obstet Gynecol. 2020;135(6):1296–1305. doi:10.1097/AOG.0000000000003876CrossRefGoogle ScholarPubMed
Steinauer, J, Dehlendorf, C, Grumbach, K, Landy, U, Darney, P. Multi-specialty family planning training: collaborating to meet the needs of women. Contraception. 2012;86(3):188–190. doi:10.1016/j.contraception.2011.12.001Google Scholar
Guiahi, M, Westover, C, Lim, S, Westhoff, CL. The New York City mayoral abortion training initiative at public hospitals. Contraception. 2012;86(5):577–582. doi:10.1016/j.contraception.2012.02.010CrossRefGoogle ScholarPubMed
Guiahi, M, Lim, S, Westover, C, Gold, M, Westhoff, CL. Enablers of and barriers to abortion training. J Grad Med Educ. 2013;5(2):238–243. doi:10.4300/JGME-D-12-00067.1Google Scholar
Fellowship in Complex Family Planning. General Requirements for a Post-Graduate Program in the Subspecialty Area of Complex Family Planning. 2019.Google Scholar

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