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Edited by
Uta Landy, University of California, San Francisco,Philip D Darney, University of California, San Francisco,Jody Steinauer, University of California, San Francisco
At least 10% of accredited obstetrics and gynecology residency programs primarily train their residents at religiously-affiliated hospitals and at least two-thirds of these programs are at Catholic-owned or affiliated hospitals.Based on institutional guidelines to care, Catholic programs face limitations to most family planning services, including contraception, sterilization, and abortion care.Other faith-based hospitals often face restrictions to abortion provision. Prior surveys of residents and program leaders have confirmed these restrictions to care and have demonstrated concerns for poor procedural training.In particular, many Catholic graduates have vocalized frustrations with delayed or inadequate competency for long-acting reversible contraceptives and sterilizations.Prior investigations have also confirmed inadequate abortion training at Catholic and other faith-based programs, and found that many residents remain unable to provide uterine evacuation procedures, despite intentions to do so.Although some programs rely on educational activities to enhance resident understanding and also utilize off-site training locations to improve training, many still report concerns for inadequate sterilization and/or abortion training.
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