Roe 2022: It's Not 1972.

The recent U.S. Supreme Court decision cannot take obstetricians and gynecologists back to 1972, because abortion practice, training, and research have made 50 years of progress.

Professionalism in Family Planning Care Workshop.

Introduction: When clinicians feel negative emotions toward patients, providinge patient-centered care can be difficult. This can occur in family planning scenarios, such as when a provider is uncomfortable with a patient choosing abortion. The Professionalism in Family Planning Care Workshop (PFPCW), framed around professionalism values, used guided reflection to foster self-awareness and empathy in order to teach future providers to provide patient-centered care.

Interprofessional Abortion Opposition: A National Survey and Qualitative Interviews with Abortion Training Program Directors at U.S. Teaching Hospitals.

Context: Hospital policies and culture affect abortion provision. The prevalence and nature of colleague opposition to abortion and how this opposition limits abortion care in U.S.

Twenty Years of the Ryan Residency Training Program in Abortion and Family Planning.

Objective: To summarize the effects of routine, opt-out abortion and family planning residency training on obstetrics and gynecology (ob-gyn) residents' clinical skills in uterine evacuation and intentions to provide abortion care after residency.

Methods: Data from ob-gyn residency programs supported during the first 20 years of the Kenneth J. Ryan Residency Training Program in Abortion and Family Planning were analyzed.

Abortion Policies in U.S. Teaching Hospitals: Formal and Informal Parameters Beyond the Law.

Objective: To evaluate the prevalence and features of policies regulating abortion in U.S. teaching hospitals.

Racial diversity in abortion education and intention to provide abortion in postresidency practice: data from the Ryan Program.

Background: In 2011, 38% of US reproductive-aged women lived in the 89% of counties with no abortion provider. Physicians from racial and ethnic minority backgrounds (black, Latino, Native American, and Asian American) are more likely than white physicians to practice in underserved areas and serve patients who are poor or minorities. Abortion patients are racially diverse.

Sources of support for and resistance to abortion training in obstetrics and gynecology residency programs.

Background: Only 64% of obstetrics and gynecology program directors report routine, scheduled training in abortion, despite the Accreditation Council for Graduate Medical Education's requirements for routine training. Most report that exposure to training is limited to specific clinical circumstances.

Objective: We sought to describe residency program directors' perspectives of support for and resistance to abortion training in residency training programs in the United States.

The importance of access to comprehensive reproductive health care, including abortion: a statement from women's health professional organizations.

Barriers to women's reproductive health care access, particularly for termination of pregnancy, are increasing at the local, regional, and national levels through numerous institutional, legislative, and regulatory restrictions. Lack of access to reproductive health care has negative consequences for women's health. Twelve women's health care organizations affirm their support for access to comprehensive reproductive health care, including abortion.

Abortion training in US obstetrics and gynecology residency programs.

Background: Nearly 15 years ago, 51% of US obstetrics and gynecology residency training program directors reported that abortion training was routine, 39% reported training was optional, and 10% did not have training. The status of abortion training now is unknown.

Objective: We sought to determine the current status of abortion training in obstetrics and gynecology residency programs.

Exploring How Residents Who Partially Participate in Family Planning Training Determine Their Level of Participation.

Objectives: The Accreditation Council for Graduate Medical Education (ACGME) requires that obstetrics and gynecology residency programs provide access to abortion training, though residents may elect to opt out of participating due to religious or moral objections. While clinical benefits of partial participation have previously been explored, our study aimed to explore how residents navigate partial participation in abortion training and determine their limits.

Study Design: This study was qualitative in nature.

Impact of partial participation in integrated family planning training on medical knowledge, patient communication and professionalism.

Introduction: Obstetrics and gynecology residency programs are required to provide access to abortion training, but residents can opt out of participating for religious or moral reasons. Quantitative data suggest that most residents who opt out of doing abortions participate and gain skills in other aspects of the family planning training. However, little is known about their experience and perspective.

Availability and characteristics of abortion training in US ob-gyn residency programs: a national survey.

Objective: To assess the availability and characteristics of abortion training in US ob-gyn residency programs.

Methods: We surveyed fourth-year residents at US residency programs by email regarding availability and type of abortion training, procedural experience and self-assessed competence in abortion skills. We conducted multivariable, ordinal logistic regression with general estimating equations to determine individual-level and resident-reported, program-level correlates of quantity of uterine evacuation procedures done during residency.

Barriers to D&E practice among family planning subspecialists.

Objective: Over 95% of all second-trimester abortions are managed by dilation and evacuation procedures (D&E) and account for nearly 9% of all abortions in the United States annually. The Fellowship in Family Planning (FFP) offers subspecialty training in abortion and contraception to obstetrician-gynecologists and family medicine physicians. Twenty years after the FFP founding, we report on the abortion practice characteristics and specific barriers these subspecialists face.

The benefits of family planning training: a 10-year review of the Ryan Residency Training Program.

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.

Medical education and family planning: developing future leaders and improving global health.

Well-trained medical professionals are key to improving global reproductive health and reducing rates of unsafe abortion, but medical training often fails to prepare practitioners to provide essential family planning services. The field of medical education is currently undergoing reformation to better meet the needs of a global population, and comprehensive, integrated family planning training will be an important part of those reforms. Family planning training is not only vital to address global reproductive healthcare demand, but integrates effectively with cornerstones of current medical education reform: competency-based education, leadership development, collaboration with practitioners of all levels, and global health context.

Opting out of abortion training: benefits of partial participation in a dedicated family planning rotation for ob-gyn residents.

Background: This study was conducted to describe the experiences of residents who opt out of some components of a dedicated abortion rotation.

Study Design: Eligible residents at programs receiving funding from the Kenneth J. Ryan Residency Training Program in Abortion and Family Planning were invited to complete a cross-sectional, online survey.

The future of contraception: the future leaders of family planning.

The University of California, San Francisco, initiated a Fellowship in Family Planning in 1991, and since then 23 academic teaching hospitals across the country have adopted the 2 year program model for training obstetrician-gynecologist physicians in a subspecialty focused on contraception and abortion. The program follows a curriculum that includes clinical practice, research, and international work. This review includes information about the Fellowship in Family Planning as well as research opportunities available from academia, independent foundations, and government related sources.

Obstacles to the integration of abortion into obstetrics and gynecology practice.

Context: Obstetrics and gynecology residents who are trained in family planning and intend to provide abortions after residency often do not ultimately do so. The extent of the professional barriers physicians face trying to integrate abortion into their practice is unknown.

Methods: In 2006, in-depth interviews were conducted with 30 obstetrician-gynecologists who had graduated 5-10 years earlier from residency programs that included abortion training.

Obstetrician-gynecologist experiences with abortion training: physician insights from a qualitative study.

Background: Abortion is one of the most contested, yet common surgical procedures in the United States and a required component of obstetrics and gynecology resident education. Approaches to abortion training are variable.

Study Design: We conducted in-depth interviews with 30 physicians who had graduated 5-10 years prior from four US residency programs with routine abortion training.

When there's a heartbeat: miscarriage management in Catholic-owned hospitals.

As Catholic-owned hospitals merge with or take over other facilities, they impose restrictions on reproductive health services, including abortion and contraceptive services. Our interviews with US obstetrician-gynecologists working in Catholic-owned hospitals revealed that they are also restricted in managing miscarriages. Catholic-owned hospital ethics committees denied approval of uterine evacuation while fetal heart tones were still present, forcing physicians to delay care or transport miscarrying patients to non-Catholic-owned facilities.

Predictors of abortion provision among practicing obstetrician-gynecologists: a national survey.

Objective: The objective of the study was to identify the factors that predict whether physicians include pregnancy termination in their practices.

Study Design: We surveyed all 5055 obstetrician-gynecologists who became board certified between 1998 and 2001 about personal characteristics, career plans, intention to provide abortions before residency, residency training, and current abortion practice.

Results: Of 2149 respondents (43%), 22% had provided elective abortion in the past year.