Dataset Information

Impact of Catholic Hospital Affiliation During Obstetrics and Gynecology Residency on the Provision of Family Planning.

ABSTRACT:

Background?

Catholic hospitals operate under the Ethical and Religious Directives for Catholic Health Care Services, which for obstetrics and gynecology residents may create barriers to receiving adequate training in family planning.

Objective?

We evaluated how training at a Catholic hospital affects trainees' subsequent provision of reproductive health services at secular institutions.

Methods?

This qualitative study used semistructured interviews with recent obstetrics and gynecology graduates in generalist practice at secular institutions. We queried about their training experiences, perceived deficiencies, and current provision of family planning services. Three researchers independently coded transcripts, using grounded theory.

Results?

We reached thematic saturation after 15 of 31 graduates (48%) from 7 Catholic hospital residencies participated in interviews between June 2014 and February 2015. Many participants reported a lack of awareness regarding limitations on this aspect of their training. All participants reported reproductive health care training deficiencies, and many explained that "elective" training required resident initiative to obtain. After graduation, participants reported dissatisfaction with training in family planning, delayed competency in this area, and a lack of ability to provide certain family planning procedures. All felt that Catholic programs should improve family planning training by providing routine, opt-out family planning opportunities.

Conclusions?

Obstetricians and gynecologists who trained at Catholic institutions felt that religion-based policies negatively affected their training experiences and the range of reproductive health services they subsequently provide in practice. Forming collaborations with off-site facilities, particularly for postpartum tubal ligation and uterine evacuation, may improve the reproductive care these physicians ultimately provide to women.

SUBMITTER: Guiahi M

PROVIDER: S-EPMC5559237 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

Impact of Catholic Hospital Affiliation During Obstetrics and Gynecology Residency on the Provision of Family Planning.

Guiahi Maryam M Hoover Jennifer J Swartz Maryke M Teal Stephanie S

Journal of graduate medical education 20170801 4

<h4>Background</h4>Catholic hospitals operate under the <i>Ethical and Religious Directives for Catholic Health Care Services</i>, which for obstetrics and gynecology residents may create barriers to receiving adequate training in family planning.<h4>Objective</h4>We evaluated how training at a Catholic hospital affects trainees' subsequent provision of reproductive health services at secular institutions.<h4>Methods</h4>This qualitative study used semistructured interviews with recent obstetric ...[more]

PMID: 28824755

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Project description:ImportanceThe residency application process is flawed, costly, and distracts from the preparation for residency. Disruptive change is needed to improve the inefficiencies in current selection processes.ObjectiveTo determine interest in an early result acceptance program (ERAP) among stakeholders in obstetrics and gynecology (OBGYN), and to estimate its outcome in future application cycles.Design, setting, and participantsSurveys of stakeholders in March 2021 queried interest in ERAP across the US. Respondents included OBGYN residency applicants, members of the Association of American Medical Colleges Group on Student Affairs, OBGYN clerkship directors, and residency program directors. Statistical analysis was performed from March to April 2021.ExposuresRespondents completed surveys sent by email from the Association of American Medical Colleges (to OBGYN applicants and members of the Group on Student Affairs), the Association of Professors of Gynecology and Obstetrics (to clerkship directors), and the Council on Resident Education in Obstetrics and Gynecology (to program directors).Main outcomes and measuresApplicants and program directors indicated their interest in participating in ERAP, and clerkship directors and members of the Group on Student Affairs indicated their likelihood of recommending ERAP using a 5-point Likert scale.ResultsRespondents included 879 (34.0%) of 2579 applicants to OBGYN, 143 (50.3%) of 284 residency program directors, 94 (41.8%) of 225 clerkship directors, and 51 (32.9%) of 155 student affairs deans. The majority of respondents reported being either somewhat or extremely likely to participate in ERAP, including 622 applicants (70.7%) and 87 program directors (60.8%). Interest in ERAP was independent of an applicant's reported board scores, medical school type, race, number of applications submitted, or number of interviews completed. Among program directors, those at university programs were more likely to participate. Stakeholders supported a limit of 3 applications for ERAP, to fill 25% to 50% of residency positions. Estimating the outcome of ERAP using these data suggests 26 280 to 52 560 fewer applications could be submitted in the regular match cycle.Conclusions and relevanceStakeholders in the OBGYN application process expressed broad support for the concept of ERAP. The majority of applicants and programs indicated that they would participate, with potentially substantial positive impact on the application process. Careful pilot testing and research regarding implementation are essential to avoid worsening an already dysfunctional application process.

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Dataset Information

Impact of Catholic Hospital Affiliation During Obstetrics and Gynecology Residency on the Provision of Family Planning.

Background?

Objective?

Methods?

Results?

Conclusions?

Publications

Impact of Catholic Hospital Affiliation During Obstetrics and Gynecology Residency on the Provision of Family Planning.

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