Abortion training in U.S. obstetrics and gynecology residency programs

P. D. Darney, U. Landy, S. MacPherson, Richard L Sweet

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

The majority (72 percent) of U.S. residency programs in obstetrics and gynocology include first-trimester abortion techniques in their training. Programs affiliated with public hospitals or with private non-Catholic institutions are the most likely to provide such training, while Catholic-affiliated training programs and those at military hospitals are the least likely to do so. Approximately 23 percent of institutions include abortion training as a routine part of residency, and 50 percent offer it as optional training. The 28 percent of residency programs that offer no abortion training represents an almost fourfold increase since 1976. Although more of the large programs affiliated with public hospitals now include such training as a routineg part of their residency programs, fewer of of the private non-Catholic programs - where the largest proportion of residents are trained - do so. Consequently, the number of residents exposed to abortion training may have declined slightly over the past decade. Little difference exists between the proportion of programs that offer training in first-trimester techniques and the proportion that train in second-trimester techniques. Nine percent of programs report that all residents participate in first-trimester abortion training, and another 56 percent report that at least half of their residents do so. The participation rate is linked to the expectations of the program: Approximately 88 percent of programs that routinely incorporate abortion techniques in their training report that from one-half to all of their residents participate, compared with about 55 percent of programs that offer the training as an option. Approximately 82 percent of programs teach abortion techniques up to at least 20 weeks gestation. However, in only 10 percent of programs do residents collectively perform more than 10 abortions per week.

Original languageEnglish (US)
Pages (from-to)158-170
Number of pages13
JournalFamily Planning Perspectives
Volume19
Issue number4
StatePublished - 1987

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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