Online Program

Abortion Training and Service in the Midwest: Barriers and Innovative Strategies for Access

Monday, November 2, 2015 : 3:00 p.m. - 3:15 p.m.

Debra Stulberg, MD, MA, Department of Family Medicine, University of Chicago, Chicago, IL
Kristie Monast, MS Ed, Midwest Access Project, Chicago, IL

Women seeking abortion services in Illinois and the Midwest face barriers to access including lack of providers, prevalent religious hospital sponsorship, and other health care infrastructure that restricts clinician training and practice. The Midwest Access Project (MAP) works to overcome these barriers by training current and future health care providers, such as medical students, residents, physicians in practice, and advance practice clinicians; and by advocating for provider training and patient access. MAP facilitates regional and inter-institutional collaboration to create opportunities for provider training where none existed, and aims to expand opportunities for service provision. Our training program encompasses full scope reproductive health care, with an emphasis on contraception, pregnancy options counseling, miscarriage management, and abortion care. Since its founding in 2007, MAP has provided clinical training experiences to 136 trainees, including 50 residents (37%), 47 fourth-year medical students (34%), 27 first- and second-year medical students (20%), 4 fellows, 4 practicing physicians, and 3 advance practice clinicians. We are conducting post-training data collection to assess the scope and location of practice for trainees who are currently providing patient care. While many alums of the MAP program are still in training (school or residency), from preliminary data review we estimate that the majority of MAP alums currently in practice are involved in providing reproductive health services and/or teaching reproductive health to their peers, residents, or students (estimated n=14).

Learning Areas:

Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health

Learning Objectives:
Describe abortion access barriers related to provider training and health care service delivery in Illinois and the Midwestern region. Identify strategies used by the Midwest Access Project to address these barriers.

Keyword(s): Reproductive Health, Abortion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a health services research and a clinician educator focused on reproductive health. I serve as the Training Director for the Midwest Access Project.
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.