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Chapter 3 - The History of Integrated Training in Abortion and Contraception for Obstetrician-Gynecologists in the USA

from Section I - Abortion Training: Workforce, Leadership, Social & Political Impact

Published online by Cambridge University Press:  30 July 2021

By
Uta Landy
Edited by
Uta Landy ,
Philip D Darney  and
Jody Steinauer
Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
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Summary

Although academic obstetrician-gynecologists were important advocates for legal abortion, few teaching hospitals became sources of abortion care in the USA. Instead, private clinics provided nearly all abortions and medical students and residents had little opportunity to learn about abortion.Likewise, when contraception was earlier legalized, the major sources became Planned Parenthood and public health department clinics funded through the US Government’s Title X Program.Academic organizations responsible for training obstetrician-gynecologists recognized these deficiencies and moved to require training in family planning and to set standards for it.A few major teaching hospitals provided models for such training.Their efforts were emulated and financially supported at training programs around the USA through the “Ryan Residency Training Program in Abortion and Contraception” reaching one hundred programs over a 20-year effort.Because teaching hospitals largely ignored abortion and their reproductive endocrinologists were busy with IVF, academic training programs failed to develop researchers in abortion and contraception.In response to the need for clinical research and teaching in family planning, post-residency fellowship programs were simultaneously established in 30 medical schools, eventually leading to recognition in 2020 of “Complex Family Planning” as one of the official subspecialties of obstetrics and gynecology.

Keywords

Academic medicineteaching hospitalsRyan ProgramFellowship in Family Planningsubspecialtyresidencymedical schoolsresearch
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 32 - 47
Publisher: Cambridge University Press
Print publication year: 2021

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