Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-76fb5796d-2lccl Total loading time: 0 Render date: 2024-04-26T08:20:44.229Z Has data issue: false hasContentIssue false

Chapter 13 - Family Planning Training at Catholic and Other Faith-Based Hospitals

from Section II - Integration of Abortion into Graduate Medical Education

Published online by Cambridge University Press:  30 July 2021

By
Maryam Guiahi
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
Get access

Summary

At least 10% of accredited obstetrics and gynecology residency programs primarily train their residents at religiously-affiliated hospitals and at least two-thirds of these programs are at Catholic-owned or affiliated hospitals.Based on institutional guidelines to care, Catholic programs face limitations to most family planning services, including contraception, sterilization, and abortion care.Other faith-based hospitals often face restrictions to abortion provision. Prior surveys of residents and program leaders have confirmed these restrictions to care and have demonstrated concerns for poor procedural training.In particular, many Catholic graduates have vocalized frustrations with delayed or inadequate competency for long-acting reversible contraceptives and sterilizations.Prior investigations have also confirmed inadequate abortion training at Catholic and other faith-based programs, and found that many residents remain unable to provide uterine evacuation procedures, despite intentions to do so.Although some programs rely on educational activities to enhance resident understanding and also utilize off-site training locations to improve training, many still report concerns for inadequate sterilization and/or abortion training.

Keywords

religious / faith-based / Catholic hospitalsresidency trainingabortioncontraceptionsterilizationmedical educationresidency training
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 136 - 142
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Guiahi, M, Westhoff, CL, Summers, S, Kenton, K. Training at a faith-based institution matters for obstetrics and gynecology residents: results from a regional survey. J Grad Med Educ. 2013;5(2):244–251.Google Scholar
Accreditation Council for Graduate Medical Education Review Committee for Obstetrics and Gynecology Clarifications of Program Requirements. ww.Acgme.Org/Portals/0/Pfassets/Programresources/220_Obgyn_Abortion_Training_Clarification.Pdf. Accessed July 23, 2019.Google Scholar
Committee on Health Care for Underserved Women. ACOG Committee Opinion No. 612: abortion training and education. Obstet Gynecol. 2014;124(5):1055–1059.CrossRefGoogle Scholar
Guiahi, M. Catholic health care and women’s health. Obstet Gynecol. 2018;131(3):534–537.CrossRefGoogle ScholarPubMed
United States Conference of Catholic Bishops. Ethical and Religious Directives for Catholic Health Care Services. 2018. www.usccb.org/about/doctrine/ethical-and-religious-directives/upload/ethical-religious-directives-catholic-health-service-sixth-edition-2016-06.pdf. Accessed July 23, 2019.Google Scholar
Uttley, L. Growth of Catholic hospitals and health systems: 2016 update of the Miscarriage of Medicine Report. 2016. http://static1.1.sqspcdn.com/static/f/816571/27061007/1465224862580/MW_Update-2016-MiscarrOfMedicine-report.pdf?token=rf3rsQaaCVCzLV9hKOIHuFcaWiU%3D. Accessed June 4, 2019.Google Scholar
Thorne, NB, Soderborg, TK, Glover, JJ, Hoffecker, L, Guiahi, M. Reproductive health care in Catholic facilities: a scoping review. Obstet Gynecol. 2019;133(1):105–115.CrossRefGoogle ScholarPubMed
Turk, JK, Landy, U, Chien, J, Steinauer, JE. Sources of support for and resistance to abortion training in obstetrics and gynecology residency programs. American J Obstet Gynecol. 2019;221(2):P156.E1–156.E6.Google Scholar
Guiahi, M, Teal, S, Kenton, K, Decesare, J, Steinauer, J. Family planning training at Catholic and other religious hospitals: a national survey. American J Obstet Gynecol. 2020;222(3):273.e1–273.e9.CrossRefGoogle ScholarPubMed
MacKay, HT, MacKay, AP. Abortion training in obstetrics and gynecology residency programs in the United States, 1991–1992. Fam Plann Perspect. 1995;27(3):112–115.Google Scholar
Almeling, R, Tews, L, Dudley, S. Abortion training in U.S. obstetrics and gynecology residency programs, 1998. Fam Plann Perspect. 2000;32(6):268–271, 320.Google Scholar
Eastwood, KL, Kacmar, JE, Steinauer, J, Weitzen, S, Boardman, LA. Abortion training in United States obstetrics and gynecology residency programs. Obstet Gynecol. 2006;108(2):303–308.Google Scholar
Steinauer, JE, Turk, JK, Pomerantz, T, Simonson, K, Learman, LA, Landy, U. Abortion training in US obstetrics and gynecology residency programs. Am J Obstet Gynecol. 2018;219(1):86 e81–86 e86.Google Scholar
American Medical Association FREIDA™, the AMA Residency & Fellowship Database® 2015; https://freida.ama-assn.org/Freida/#/. Accessed March 7, 2019.Google Scholar
Guiahi, M, Wilson, C, Claymore, E, Simonson, K, Steinauer, J. Influence of a values clarification workshop on residents training at Catholic Hospital programs. Contracept X. 20212021 Jan 20;3:100054.CrossRefGoogle ScholarPubMed
Guiahi, M, Hoover, J, Swartz, M, Teal, S. Impact of Catholic hospital affiliation during obstetrics and gynecology residency on the provision of family planning. J Grad Med Educ. 2017;9(4):440–446.Google Scholar
Guiahi, M, Cortland, C, Graham, MJ, et al. Addressing ob/gyn family planning educational objectives at a faith-based institution using the TEACH program. Contraception. 2011;83(4):367–372.Google Scholar
Wollschlager, K, White, K. A contraception simulation lab developed for ob/gyn residents in Catholic hospitals. Obstet Gynecol. 2016;12:58S.CrossRefGoogle Scholar
Fennimore, R, Guiahi, M, Gottesfeld, M, Ricciotti, H. Enhancing family planning training at a Catholic obgyn residency program. Obstet Gynecol. 2017;130:56S.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×