244474 First Trimester Abortion Training in the US: A mixed methods analysis

Monday, October 31, 2011

Anita Brakman, MS , Medical Education Research and Training, Physicians for Reproductive Choice and Health, New York
Joyce Cappiello, PhD, FNP , Abortion Access Project, ROE Consortium, Cambridge, MA
Emily Kane-Lee, MA , Training & Education Department, National Abortion Federation, Washington, DC
Lisa M. Maldonado, MPH , Reproductive Health Access Project, New York, NY
Kristie Monast, MS Ed , Midwest Access Project, Chicago, IL
Jennifer O'Donnell, BA , Abortion Access Project, Cambridge, MA
Lauren Porsch, MPH , Planned Parenthood of New York City, New York, NY
Susan Yanow, MSW , Reproductive Health Consultant, Cambridge, MA
Rena Tucker, LMSW , RHEDI/Center for Reproductive Health Education, New York, NY
Given that the number of clinicians in the U.S. who provide abortion services has been in decline, women who choose to terminate an unintended pregnancy may face issues in accessing abortion. To enhance our understanding of the issue preventing providers from entering the field, the Training and Access Work Group (TAWG), a coalition of national, state and local reproductive health, rights and justice organizations conducted research on abortion training.

Qualitative in-depth interviews were conducted with 20 clinicians to assess their pathway to becoming an abortion provider. In addition, surveys were conducted with 15 organizations involved in various aspects of abortion training to assess training opportunities within their organizations.

Four predominant 1st trimester abortion training models were identified. For each model the analysis identified strengths, weakness, geographic distribution and outcomes. Gaps persist across the models. For example, training is not available at all OB/GYN and family medicine residency programs and there is a scarcity of training opportunities available to NPs, CNMs, and PAs. The tracking of and support for trainees is limited after exiting training, despite recognition that many trainees are not well positioned to immediately provide. Trainee competency is difficult to achieve with some models that do not haveaccess to high-volume training opportunities.

The findings could be used to expand the number of abortion providers, address geographic gaps in access, expand access in underserved communities and increase the number of non-traditional providers.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
Describe how the lack of 1st trimester abortion training opportunities in the U.S. fits into the public health framework. Define current 1st trimester abortion training models. Identify gaps and barriers in the current 1st trimester abortion training environment. Identify recommendations to overcome barriers in abortion training.

Keywords: Abortion, Training

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I participated in the research design, data collection and analysis of this paper.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.