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Obstetrics & Gynecology 2005;105:1335-1340
© 2005 by The American College of Obstetricians and Gynecologists
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ORIGINAL RESEARCH

Obstetrics and Gynecology Resident Satisfaction With an Integrated, Comprehensive Abortion Rotation

Jody Steinauer, MD, MAS*, Eleanor A. Drey, MD, EdM*, Rebekah Lewis, MPH{dagger}, Uta Landy, PhD{dagger} and Lee A. Learman, MD, PhD*

From the* Department of Obstetrics, Gynecology and Reproductive Sciences, and {dagger}Center for Reproductive Health Research and Policy, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California.

OBJECTIVE: To evaluate obstetrics and gynecology resident satisfaction with a comprehensive, integrated abortion rotation.

METHODS: The University of California, San Francisco obstetrics and gynecology residency program includes a 6-week PGY-3 family planning rotation at an in-hospital clinic where abortions are provided up to 23 weeks of gestation. Residents annually evaluate the educational value of all clinical rotations on a 5-point Likert scale, with 5 indicating "maximum value," and 1 "no value." Using data from 1998–2003, we compared ratings of the family planning rotation with all other PGY-3 rotations. We also surveyed residents 1 to 3 years after graduation to assess the rotation qualitatively and quantitatively.

RESULTS: Forty residents completed the abortion training, none opted out of training, and all completed the evaluations. Of all rotations in the third year, the family planning rotation was the highest rated (4.70), was similar in value to a high-volume surgical rotation (4.51, P > .10) and the elective rotation (4.45, P >.05), and surpassed the average score for all inpatient rotations (4.00, P < .001), continuity clinic (4.10, P < .001), and outpatient clinical experiences (4.06, P <.01). According to residency graduates, the family planning rotation was rated 4.8 (where 5 indicates "far greater value" than other rotations), and 85% of respondents rated it of "maximum learning value."

CONCLUSION: Obstetrics and gynecology residents place high value in the University of California, San Francisco PGY-3 family planning rotation during their training and in their first years of practice.

LEVEL OF EVIDENCE: II-3






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