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Chapter 15 - Integrating Sexual and Reproductive Health-Care Training into Family Medicine

from Section II - Integration of Abortion into Graduate Medical Education

Published online by Cambridge University Press:  30 July 2021

By
Emily M. Godfrey  and
Christine Dehlendorf
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

Family physicians are uniquely situated to provide comprehensive family planning services to millions of patients who seek primary care services annually. This chapter discusses the landscape of and opportunities for expansion of training for family physicians in contraception and abortion. A growing number of “opt-out” family medicine residency training programs have integrated comprehensive contraceptive and early abortion training into their curricula.These programs train within the primary care, patient-centered medical home, although training at neighboring high-volume family planning clinics is often necessary to achieve adequate procedural volume. Experiences with establishing these programs highlight the importance of strong support from obstetrician-gynecologist colleagues and other stakeholders. The benefits of training include family medicine residency graduates providing a broader range of services to patients upon graduation, having more comfort with pregnancy options counseling and understanding better systems-based practice. The expansion of family medicine training programs is necessary if family physicians are to provide integrated care across the life course.

Keywords

family medicineresidency trainingabortioncontraceptionopt-out trainingcurriculumsystems-based practicecounseling
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 151 - 161
Publisher: Cambridge University Press
Print publication year: 2021

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References

Hsiao, CJ, Cherry, DK, Beatty, PC, Rechtsteiner, EA. National Ambulatory Medical Care Survey: 2007 summary. Natl Health Stat Report. 2010:(27)1–32.Google Scholar
White, KO, Jones, HE, Lavelanet, A, et al. First-trimester aspiration abortion practices: a survey of United States abortion providers. Contraception. 2019;99:10–15.Google Scholar
National Academies of Sciences, Engineering, and Medicine. The safety and quality of abortion care in the United States. http://nationalacademies.org. Accessed November 4, 2019.Google Scholar
Carek, PJ, Anim, T, Conry, C, et al. Residency training in family medicine: a history of innovation and program support. Fam Med. 2017;49:275–281.Google Scholar
Rubin, SE, Godfrey, EM, Shapiro, M, Gold, M. Urban female patients’ perceptions of the family medicine clinic as a site for abortion care. Contraception. 2009;80:174–179.Google Scholar
Wu, JP, Godfrey, EM, Prine, L, Andersen, KL, MacNaughton, H, Gold, M. Women’s satisfaction with abortion care in academic family medicine centers. Fam Med. 2015;47:98–106.Google Scholar
Force, T, Green, L, Graham, R, et al. Task Force 1. Report of the Task Force on Patient Expectations, Core Values, Reintegration, and the New Model of Family Medicine. Ann Fam Med. 2004;2:S33–S50.Google Scholar
National Association of Community Health Centers. Community Health Center Chartbook. www.nachc.org. Accessed November 4, 2019.Google Scholar
Jones, RK, Jerman, J. Abortion incidence and service availability, In the United States, 2014. Perspect Sex Reprod Health. 2017;49:17–27.Google Scholar
Schaff, EA. Mifepristone: ten years later. Contraception. 2010;81:1–7.Google Scholar
Nothnagle, M, Sicilia, JM, Forman, S, et al. Required procedural training in family medicine residency: a consensus statement. Fam Med. 2008;40(4):248–252.Google ScholarPubMed
Brahmi, D, Dehlendorf, C, Engel, D, Grumbach, K, Joffe, C, Gold, M. A descriptive analysis of abortion training in family medicine residency programs. Fam Med. 2007;39:399–403.Google ScholarPubMed
Nothnagle, M. Benefits of a learner-centred abortion curriculum for family medicine residents. J Fam Plann Reprod Health Care. 2008;34:107–110.Google Scholar
Training in Early Abortion for Comprehensive Healthcare. Early Abortion Training Workbook. www.teachtraining.org. Accessed November 4, 2019.Google Scholar
Clark, W, Panton, T, Hann, L, Gold, M. Medication abortion employing routine sequential measurements of serum hCG and sonography only when indicated. Contraception. 2007;75:131–135.Google Scholar
Costescu, D, Guilbert, E, Bernardin, J, et al. Medical abortion. J Obstet Gynaecol Can. 2016;38:366–389.Google Scholar
Dehlendorf, C, Levy, K, Kelley, A, Grumbach, K, Steinauer, J. Women’s preferences for contraceptive counseling and decision making. Contraception. 2013;88:250–256.Google Scholar
Carvajal, DN, Gioia, D, Mudafort, ER, Brown, PB, Barnet, B. How can primary care physicians best support contraceptive decision making? a qualitative study exploring the perspectives of Baltimore Latinas. Womens Health Issues. 2017;27:158–166.CrossRefGoogle ScholarPubMed
Rubin, SE, Fletcher, J, Stein, T, Segall-Gutierrez, P, Gold, M. Determinants of intrauterine contraception provision among US family physicians: a national survey of knowledge, attitudes and practice. Contraception. 2011;83:472–478.Google Scholar
Dehlendorf, C, Brahmi, D, Engel, D, Grumbach, K, Joffe, C, Gold, M. Integrating abortion training into family medicine residency programs. Fam Med. 2007;39:337–342.Google Scholar
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.Google Scholar
Romero, D, Maldonado, L, Fuentes, L, Prine, L. Association of reproductive health training on intention to provide services after residency: the family physician resident survey. Fam Med. 2015;47:22–30.Google Scholar
Goodman, S, Shih, G, Hawkins, M, et al. A long-term evaluation of a required reproductive health training rotation with opt-out provisions for family medicine residents. Fam Med. 2013;45:180–186.Google ScholarPubMed
Kumar, V, Herbitter, C, Karasz, A, Gold, M. Being in the room: reflections on pregnancy options counseling during abortion training. Fam Med. 2010;42:41–46.Google Scholar
Herbitter, C, Greenberg, M, Fletcher, J, Query, C, Dalby, J, Gold, M. Family planning training in US family medicine residencies. Fam Med. 2011;43:574–581.Google Scholar
Darney, BG, Weaver, MR, Stevens, N, Kimball, J, Prager, SW. The family medicine residency training initiative in miscarriage management: impact on practice in Washington State. Fam Med. 2013;45:102–108.Google ScholarPubMed
Herbitter, C, Bennett, A, Schubert, FD, Bennett, IM, Gold, M. Management of Early Pregnancy Failure and Induced Abortion by Family Medicine Educators. The Journal of the American Board of Family Medicine. 2013;26(6):751–758.Google Scholar
Schubert, FD, Akse, S, Bennett, AH, Glassman, NR, Gold, M. A review of contraception and abortion content in family medicine textbooks. Fam Med. 2015;47:524–528.Google ScholarPubMed
US Food and Drug Administration. Risk Evaluation and Mitigation Strategies | REMS. www.fda.gov/drugs/drug-safety-and-availability/risk-evaluation-and-mitigation-strategies-rems. Accessed November 4, 2019.Google Scholar
Raymond, EG, Blanchard, K, Blumenthal, PD, et al. sixteen years of overregulation: time to unburden Mifeprex. N Engl J Med. 2017;376:790–794.Google Scholar

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