Predictors of intention to provide abortions after OB/GYN residency training.
<h4>Introduction</h4>Abortion is a common gynecological procedure and plays a central role in women's health and autonomy. To maintain accessibility to abortion, it is important that sufficient obstetrics and gynecology (Ob/Gyn) residents intend to provide abortion care after reside...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0286703 |
| _version_ | 1797788287011651584 |
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| author | Katherine J Kramer Sarah Ottum Conrad R Chao Aliye Runyan Benjamin Rappolee Sandra Sadek Noor E Jannat Maurice-Andre Recanati |
| author_facet | Katherine J Kramer Sarah Ottum Conrad R Chao Aliye Runyan Benjamin Rappolee Sandra Sadek Noor E Jannat Maurice-Andre Recanati |
| author_sort | Katherine J Kramer |
| collection | DOAJ |
| description | <h4>Introduction</h4>Abortion is a common gynecological procedure and plays a central role in women's health and autonomy. To maintain accessibility to abortion, it is important that sufficient obstetrics and gynecology (Ob/Gyn) residents intend to provide abortion care after residency. This study identifies factors that influence a resident's intention to provide abortions (IPA) post-training.<h4>Materials and methods</h4>A multiple-choice survey, addressing demographics, religious background, residency program metrics, training experience and intent to provide abortions (IPA), was answered by 409 Ob/Gyn residents. Chi-square test was performed on descriptive statistics and continuous variables were tested with ANOVA with p<0.05 considered significant.<h4>Results</h4>Residents with IPA were predominantly female (p = 0.001), training in the Northeast and West (p<0.001), identifying either as non-religious, agnostic/atheist or Jewish (p<0.01), not actively practicing their religion (p<0.001) and leaning democrats (p<0.002). Those with IPA were more likely to train at hospitals without religious affiliation (p<0.008), to train at a Ryan Program (p<0.001), to place strong emphasis on choosing a program with family planning training (p<0.001), to join programs where a significant portion of the faculty performs abortions (p<0.001) and to have completed a higher number of first trimester medical and surgical abortion procedures during the last six months of training (p<0.001).<h4>Conclusion</h4>These results suggest that factors influencing a physician's intention to provide abortions are multifactorial, involving personal and program factors. A model predicting IPA is derived. To maximize IPA, residency programs can increase abortion volume, facilitate additional training and build a supportive faculty. |
| first_indexed | 2024-03-13T01:34:24Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-13T01:34:24Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e5bd5179767c40e1af5ed26689bded882023-07-04T05:32:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01186e028670310.1371/journal.pone.0286703Predictors of intention to provide abortions after OB/GYN residency training.Katherine J KramerSarah OttumConrad R ChaoAliye RunyanBenjamin RappoleeSandra SadekNoor E JannatMaurice-Andre Recanati<h4>Introduction</h4>Abortion is a common gynecological procedure and plays a central role in women's health and autonomy. To maintain accessibility to abortion, it is important that sufficient obstetrics and gynecology (Ob/Gyn) residents intend to provide abortion care after residency. This study identifies factors that influence a resident's intention to provide abortions (IPA) post-training.<h4>Materials and methods</h4>A multiple-choice survey, addressing demographics, religious background, residency program metrics, training experience and intent to provide abortions (IPA), was answered by 409 Ob/Gyn residents. Chi-square test was performed on descriptive statistics and continuous variables were tested with ANOVA with p<0.05 considered significant.<h4>Results</h4>Residents with IPA were predominantly female (p = 0.001), training in the Northeast and West (p<0.001), identifying either as non-religious, agnostic/atheist or Jewish (p<0.01), not actively practicing their religion (p<0.001) and leaning democrats (p<0.002). Those with IPA were more likely to train at hospitals without religious affiliation (p<0.008), to train at a Ryan Program (p<0.001), to place strong emphasis on choosing a program with family planning training (p<0.001), to join programs where a significant portion of the faculty performs abortions (p<0.001) and to have completed a higher number of first trimester medical and surgical abortion procedures during the last six months of training (p<0.001).<h4>Conclusion</h4>These results suggest that factors influencing a physician's intention to provide abortions are multifactorial, involving personal and program factors. A model predicting IPA is derived. To maximize IPA, residency programs can increase abortion volume, facilitate additional training and build a supportive faculty.https://doi.org/10.1371/journal.pone.0286703 |
| spellingShingle | Katherine J Kramer Sarah Ottum Conrad R Chao Aliye Runyan Benjamin Rappolee Sandra Sadek Noor E Jannat Maurice-Andre Recanati Predictors of intention to provide abortions after OB/GYN residency training. PLoS ONE |
| title | Predictors of intention to provide abortions after OB/GYN residency training. |
| title_full | Predictors of intention to provide abortions after OB/GYN residency training. |
| title_fullStr | Predictors of intention to provide abortions after OB/GYN residency training. |
| title_full_unstemmed | Predictors of intention to provide abortions after OB/GYN residency training. |
| title_short | Predictors of intention to provide abortions after OB/GYN residency training. |
| title_sort | predictors of intention to provide abortions after ob gyn residency training |
| url | https://doi.org/10.1371/journal.pone.0286703 |
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