Contraception
Volume 81, Issue 6 , Pages 531-536, June 2010

Future abortion provision among US graduating obstetrics and gynecology residents, 2004☆

  • Rebecca H. Allen

      Affiliations

    • The Department of Obstetrics and Gynecology, Women and Infants' Hospital, Brown University, Providence, RI 02905, USA
    • Corresponding Author InformationCorresponding author. 101 Dudley Street, Providence, RI 02905, USA. Tel.: +1 401 274 1122x2724; fax: +1 401 453 7684.
    • ,
  • Christina Raker

      Affiliations

    • The Department of Obstetrics and Gynecology, Women and Infants' Hospital, Brown University, Providence, RI 02905, USA
    • ,
  • Jody Steinauer

      Affiliations

    • The Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA 94110, USA
    • ,
  • Katherine L. Eastwood

      Affiliations

    • The Department of Obstetrics and Gynecology, Women and Infants' Hospital, Brown University, Providence, RI 02905, USA
    • ,
  • Jennifer E. Kacmar

      Affiliations

    • The Department of Obstetrics and Gynecology, Women and Infants' Hospital, Brown University, Providence, RI 02905, USA
    • ,
  • Lori A. Boardman

      Affiliations

    • University of Central Florida College of Medicine, Orlando, FL 32816, USA

Received 10 August 2009; received in revised form 13 November 2009; accepted 5 January 2010. published online 11 February 2010.

Abstract 

Background

This study was conducted to identify characteristics associated with US obstetric and gynecology graduating residents' intention to provide pregnancy termination services in their clinical practice.

Study Design

In this cross-sectional study, we surveyed all 1148 fourth-year residents in obstetrics and gynecology graduating from US training programs in 2004.

Results

Of 494 respondents, 187 (39%) planned to perform elective abortions after residency. In multivariable analysis controlling for various factors, the following were independently associated with plans to perform pregnancy termination in the future: pre-residency intentions to provide pregnancy termination [odds ratio (OR), 10; 95% confidence interval (CI), 5.3–18.9; p<.001], performing more than 50 first-trimester abortions during residency (OR, 5.1; 95% CI, 1.3–19.6; p=.02) and plans to enter academic practice (OR, 2.5; 95% CI 1.1–6.2; p=.04).

Conclusions

Intentions before residency to provide pregnancy termination services was the strongest predictor of future abortion provision.

Keywords: Induced abortion, Medical education, Residency training

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☆ Presented in part at the Annual Meeting of the Association of Professors of Obstetrics and Gynecology, Council on Residency Education in Obstetrics and Gynecology, Salt Lake City, UT, March 2005.

PII: S0010-7824(10)00002-8

doi:10.1016/j.contraception.2010.01.001

Contraception
Volume 81, Issue 6 , Pages 531-536, June 2010

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