VARIATION IN OB-GYN RESIDENTS’ ABORTION-RELATED SKILLS

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111057

A Beasley, G Sierra, E King, J Keller, T Ogburn, K White

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引用次数: 0

Abstract

Objectives

We aimed to assess variation in abortion-related skills Ob-Gyn residents anticipate having upon program completion.

Methods

In January 2024, as part of the CREOG exam, Ob-Gyn residents self-reported their anticipated ability to provide miscarriage and abortion care after residency. We categorized 12 key skills as medical (counseling/medication management), procedural (uterine aspiration/evacuation), and medical/procedural for abortion. We computed percentage of PGY3/4 residents who indicated that they would be able to competently and independently perform each skill. We used chi-squared tests to evaluate the association between state policy context and abortion training importance when signaling programs and medical, procedural, and abortion-specific skills.

Results

PGY3/4 respondents (n=1,660), anticipated being able to perform 10 of 12 (SD=1.7) skills, on average. Confidence was lowest for dilation and evacuation procedures (64%) and highest in management of spontaneous abortion complications (99%). Although 95% were confident they would achieve all core medical skills, fewer were confident about achieving all procedural (63%) and abortion-related skills (71%). A higher percentage of residents in abortion-protected states vs. restricted states anticipated competence in procedural (73% vs. 46%) and abortion-related skills (81% vs. 55%; all p<0.001). Residents who considered abortion training important were more confident about medical (96% vs. 92%; p=0.01), procedural (73% vs. 42%; p<0.001), and abortion-related skills (81% vs. 50%; p<0.001) than those for whom abortion training was less important.

Conclusions

Graduating residents, particularly those in more restricted states or for whom abortion training was less important, are not confident in their ability to independently and competently perform several core patient care skills.

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妇产科住院医师堕胎相关技能的差异

目的：我们旨在评估妇产科住院医师在项目完成后预期的堕胎相关技能的变化。方法2024年1月，作为CREOG考试的一部分，妇产科住院医师自我报告了他们在住院后提供流产和流产护理的预期能力。我们将12项关键技能分类为医学（咨询/药物管理）、程序（子宫抽吸/排出）和堕胎的医学/程序。我们计算了PGY3/4的居民中表示他们能够胜任并独立执行每项技能的百分比。我们使用卡方检验来评估国家政策背景与流产培训重要性之间的关联，当信号程序与医疗、程序和流产特定技能相关时。结果spgy3 /4受访者（n=1,660）平均预计能够执行12项技能中的10项（SD=1.7）。置信度最低的是扩张和疏散手术（64%），最高的是自然流产并发症的处理（99%）。虽然95%的人有信心掌握所有核心医疗技能，但对掌握所有程序（63%）和堕胎相关技能（71%）有信心的人较少。与限制堕胎的州相比，堕胎保护州的居民预期在程序（73%对46%）和堕胎相关技能（81%对55%；所有p<；0.001）方面的能力更高。认为堕胎培训重要的住院医生对医疗（96%对92%；p=0.01）、程序（73%对42%；p<0.001）和堕胎相关技能（81%对50%；p<0.001）比那些认为堕胎培训不那么重要的住院医生更有信心。结论：即将毕业的住院医生，特别是那些在堕胎限制较多的州或对堕胎培训不太重要的州的住院医生，对自己独立和称职地执行几项核心病人护理技能的能力缺乏信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.