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Guiahi M, Lim S, Westover C, et al. Enablers of and barriers to abortion training. J Grad Med Educ. 2013;5(2):238-43doi: 10.4300/JGME-D-12-00067.1.
Guiahi, M., Lim, S., Westover, C., Gold, M., & Westhoff, C. L. (2013). Enablers of and barriers to abortion training. Journal of graduate medical education, 5(2), 238-43. https://doi.org/10.4300/JGME-D-12-00067.1
Guiahi, Maryam, et al. "Enablers of and barriers to abortion training." Journal of graduate medical education vol. 5,2 (2013): 238-43. doi: https://doi.org/10.4300/JGME-D-12-00067.1
Guiahi M, Lim S, Westover C, Gold M, Westhoff CL. Enablers of and barriers to abortion training. J Grad Med Educ. 2013 Jun;5(2):238-43. doi: 10.4300/JGME-D-12-00067.1. PMID: 24404266; PMCID: PMC3693687.
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J Grad Med Educ. 2013 Jun;5(2):238-43. doi: 10.4300/JGME-D-12-00067.1.

Enablers of and barriers to abortion training.

Journal of graduate medical education

Maryam Guiahi, Sahnah Lim, Corey Westover, Marji Gold, Carolyn L Westhoff

PMID: 24404266 PMCID: PMC3693687 DOI: 10.4300/JGME-D-12-00067.1

Abstract

BACKGROUND: Since the legalization of abortion services in the United States, provision of abortions has remained a controversial issue of high political interest. Routine abortion training is not offered at all obstetrics and gynecology (Ob-Gyn) training programs, despite a specific training requirement by the Accreditation Council for Graduate Medical Education. Previous studies that described Ob-Gyn programs with routine abortion training either examined associations by using national surveys of program directors or described the experience of a single program.

OBJECTIVE: We set out to identify enablers of and barriers to Ob-Gyn abortion training in the context of a New York City political initiative, in order to better understand how to improve abortion training at other sites.

METHODS: We conducted in-depth qualitative interviews with 22 stakeholders from 7 New York City public hospitals and focus group interviews with 62 current residents at 6 sites.

RESULTS: Enablers of abortion training included program location, high-capacity services, faculty commitment to abortion training, external programmatic support, and resident interest. Barriers to abortion training included lack of leadership continuity, leadership conflict, lack of second-trimester abortion services, difficulty obtaining mifepristone, optional rather than routine training, and antiabortion values of hospital personnel.

CONCLUSIONS: Supportive leadership, faculty commitment, and external programmatic support appear to be key elements for establishing routine abortion training at Ob-Gyn residency training programs.

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