254457 Expanding Access: The impact of clinical training on the intention to provide abortion care

Wednesday, October 31, 2012 : 9:15 AM - 9:30 AM

Lisa M. Maldonado, MPH , Reproductive Health Access Project, New York, NY
Ruth Lesnewski, MD , Reproductive Health Access Project, New York
Linda Prine, MD , Reproductive Health Access Project, New York, NY
Liza Fuentes, MPH , Community, Society and Health, CUNY School of Public Health, New York, NY
Diana Romero, PhD, MA , CUNY School of Public Health, at Hunter College, New York, NY
Susan Yanow, MSW , Reproductive Health Consultant, Cambridge, MA
Family physicians provide the bulk of primary care in the United States. Integrating abortion into family medicine could greatly expand access to abortion care, especially in underserved communities where family physicians are more likely than other medical specialties to work.

Only 6.5% of the 436 family medicine residency programs in the United States offer abortion training. Residents attending all other family medicine residency programs interested in abortion training must seek training during their elective time.

This study analyzes data from a multi-year survey of third year family medicine residents graduating primarily from family medicine residency programs offering abortion training. Residents were asked to report: • whether they received training in a range of reproductive health services, including abortion, • their intention to provide these services in their post-residency practice, and • where and in what capacity they would be practicing medicine post-residency.

This presentation will report on factors associated with residents' intention to provide abortion care, on where residents intended to practice medicine and provide abortions, the residency training factors associated with planning to provide abortion care, the barriers to abortion provision perceived by those who do not intend to provide abortions, and the current policy environment around abortion care. In addition, by mapping trained residents future practice sites, we assess the impact training family physicians has on expanding access to abortion care. The presentation will also suggest some recommendations on improving the uptake and utility of family medicine residency abortion training.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
1. Understand the role family physicians play in the delivery of primary care in the United States. 2. Describe how integrating abortion into family medicine and primary care will impact access to abortion care, especially among underserved populations. 3. Differentiate the various models of abortion training available in family medicine residency programs. 4. Discuss the factors associated with a family physician’s intention to provide abortion care post-residency. 5. List the barriers family medicine residents perceive in providing abortion care post-residency. 6. Assess the impact training family medicine residents has on access to abortion care.

Keywords: Abortion, Primary Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I participated in every stage of this project, from program design, developing and implementing the evaluation, designing the survey instrument, collecting the data, etc. I was also integrally involved in the data analysis.
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.