Objective: The objective was to determine the effect of routine, opt-out abortion and family planning training on clinical exposure to uterine evacuation, contraception and other gynecologic skills.
Methods: Data from the first 10 years of the Kenneth J. Ryan Residency Training Program in Abortion and Family Planning were analyzed. Pre- and postrotation surveys assessed residents' experience with abortion, contraception and other gynecologic skills. Thirty-nine residency program director surveys were analyzed to assess benefits of the training from the educators' perspective.
Results: A total of 491 residents completed both pre- and postrotation surveys. During the rotation, residents, including those who partially participated, gained significant exposure to all methods of first- and second-trimester termination and contraception care. Ninety-seven percent of Residency Program Directors reported that training improved resident competence in abortion and contraception care.
Conclusion: Routine, opt-out training in abortion and family planning gives OB-GYN residents an opportunity to increase proficiency in patient counseling, contraception care, ultrasound and all aspects of uterine evacuation, regardless of level of participation.
Keywords: Abortion; Clinical competence; Family planning; Resident education; Training.
Published by Elsevier Inc.