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Obstetrics & Gynecology 2006;108:309-314
© 2006 by The American College of Obstetricians and Gynecologists
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ORIGINAL RESEARCH

Abortion Training in Canadian Obstetrics and Gynecology Residency Programs

Genevieve Roy, MD, MPH1, Ram Parvataneni, MD, MPH2, Brooke Friedman2, Katherine Eastwood, MD3, Phillip D. Darney, MD, MSc4 and Jody Steinauer, MD, MAS4

From the 1University of Montreal, Montreal; 2University of California, San Francisco; 3University of Washington, Seattle, Washington; 4Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco.

OBJECTIVE: To study abortion training in Canadian obstetrics and gynecology (ob-gyn) residency programs.

METHODS: An anonymous questionnaire was sent to all postgraduate year (PGY)-4 and PGY-5 ob-gyn residents (n=130) and residency program directors (n=16) in Canada. The questionnaires inquired about demographic information, details of abortion training, resident participation in training, and intention to provide abortions after residency.

RESULTS: Ninety-two of 130 residents (71%) and 15 of 16 program directors (94%) responded. Abortion training is considered routine in approximately half of programs and elective in half. The majority of residents (71%) participated in abortion training, and half plan to do elective abortions after residency. More than half of residents felt competent after training to perform first-trimester aspiration and second-trimester inductions but did not feel competent in first-trimester medical abortions or dilation and evacuation (D&E). Residents were more likely to participate in training if the program arranged the training for residents (P=.04) and were more likely to intend to provide abortions if the training was considered routine (P=.02), while controlling for all significant demographic and training variables.

CONCLUSION: Most Canadian ob-gyn programs offer some training in elective abortion, but only half include it routinely in training, and the minority of residents feels competent in D&E and medical abortion. Integrated abortion training was associated with greater resident participation in training and increased likelihood of intention to provide abortions after residency.

LEVEL OF EVIDENCE: III






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Copyright © 2006 by the American College of Obstetricians and Gynecologists.