Advancing women's health through medical education : a systems approach in family planning and abortion / edited by Uta Landy, Philip D. Darney, Jody Steinauer.

Format:

Book

Contributor:

Landy, Uta, editor.

Darney, Philip D., editor.

Steinauer, Jody, 1969- editor.

Language:

English

Subjects (All):

Contraception.

Physical Description:

1 online resource (xiv, 371 pages) : digital, PDF file(s).

Edition:

1st ed.

Place of Publication:

Cambridge : Cambridge University Press, 2021.

Summary:

Neither legalization of abortion nor scientific and political advances in contraception and abortion ensure that training and research in family planning are routinely integrated into medical education. Without integration, subsequent generations of healthcare professionals are not prepared to incorporate evidence-based family planning into their practices, teaching, or research. Omission of this crucial component prevents the cultural and professional normalization of an often stigmatized and embattled aspect of women's health. Taking the successful US-based Ryan and Family Planning Fellowship programs as templates for training, teaching, and academic leadership, this book describes the integration of family planning and pregnancy termination into curricula with an international outlook. With an evidence- and systems-based approach, the book is a unique and practical guide to inspire and train the next generation of healthcare professionals.

Contents:

Cover

Half-title

Reviews

Title page

Copyright information

Dedication

Contents

List of Contributors

Preface

Acknowledgments

Introduction

Integration of Abortion into Medical Education

Family Planning and the COVID 19 Pandemic

Section I Abortion Training: Workforce, Leadership, Social &amp

Political Impact

Chapter 1 A Systems Approach to Medical Education

1.1 Historical Background of Health Education

1.2 Health Systems: Preparing the Workforce

1.2.1 Educating a New Workforce in Family Planning through Integration into the Educational Systems

1.2.2 The US Systems Responsible for Post-Graduate Medical Education

1.2.2.1 The American Board of Medical Specialties (ABMS)

1.2.2.2 American Board of Obstetrics and Gynecology (ABOG)

1.2.2.3 Accreditation Council for Graduate Medical Education (ACGME)

1.2.2.4 The Residency Review Committee (RRC)

1.2.3 The Teaching Hospital Prepares the Workforce

1.2.3.1 Changing Hospital Services to Ensure Family Planning Training

1.2.4 Partnerships with the Private Sector to Enhance Training

1.3 The Global Realm

1.3.1 Impediments to Creating an Effective Workforce

1.3.2 Institutionalizing a Global Physician Community

1.3.2.1 The Fellowship in Family Planning's Global Vision

1.3.2.2 Impact on the Fellows

1.3.2.3 Institutional Impact

1.3.2.4 Research: Mulago Hospital, Makarere University, Uganda and the University of California, San Francisco

1.3.2.5 Research: Malawi College of Medicine and the University of North Carolina

1.3.2.6 Education: Guyana, Kenya and Ethiopia

1.4 Institutional Mandates and Prescriptions for Medical Practice after Legalizing Abortion

1.5 Medication Abortion and Institutionalization of Abortion

1.6 Conclusion

References.

Chapter 2 Training in Contraception and Abortion to Reduce Maternal Mortality

2.1 Introduction

2.2 The Importance of Training in Family Planning to Reduce Maternal Mortality

2.3 Importance of Physician Leaders in Training to Reduce Maternal Mortality

2.4 Characteristics of Maternal Mortality in the USA

2.5 Training in Abortion to Reduce Maternal Mortality in Ethiopia

2.6 Training in Abortion to Reduce Maternal Mortality in Nepal

2.7 The Role of Family Planning Training in Decreasing Maternal Mortality

2.8 Unique Aspects of Abortion Provision

2.9 Conclusion

References

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

3.1 Freestanding Clinics and Teaching Hospitals

3.2 Medical Education and the Teaching Hospital

3.3 The ACGME Abortion Mandate, Medical Education Standards and Enforcement

3.4 The Fellowship in Family Planning

3.4.1 The Fellowship in Family Planning: Outreach and Visibility

3.4.2 Setting and Enforcing Standards

3.4.3 The Pursuit of Subspecialty

3.4.4 Global Health and the FFP

3.4.5 Providing Support: Family Planning Fellowship Workshops

3.4.6 Creating Community

3.5 The Kenneth J. Ryan Program in Abortion and Family Planning: Focus, Growth Documentation

3.5.1 Defining the Ryan Residency Training Program

3.5.2 Program Outreach

3.5.3 Programmatic Support

3.5.4 Site Visits

3.5.5 Evaluation and Research

3.5.6 Successes and Challenges

3.5.7 Ryan Programs as a Model for Institutionalization of Family Planning Training

3.5.8 The Health and Hospitals Corporation Initiative

3.5.9 The Pathfinder/Vietnam Curriculum Reform Partnership

3.5.10 Connecting the FFP and Ryan Program Initiatives to Enhance Success of Both: Creating Workforce Pipelines for Generalists and Subspecialists.

3.6 Professional Collaborations

3.7 The Future of Family Planning and Abortion Education: The Impact of Subspecialty Certification and Accreditation

3.8 Conclusion

Chapter 4 The Medical Community, Abortion and the Crucial Role of Physician Advocacy

4.1 Introduction

4.2 The Nineteenth-Century Campaign for Criminalization of Abortion

4.3 The Century of Criminalization and Subsequent Push for Re-legalization

4.4 Physician Advocacy after Roe v. Wade

4.5 Physicians' Organizational Advocacy for Abortion

4.6 Institutional Advocacy in Clinical Departments, Hospitals and Medical Schools

4.6.1 Influencing Hospital Policy

4.7 Institutional Advocacy in Response to Legislative Interference

4.8 Confronting Stigma

4.9 The Society of Family Planning's Role in Advocacy

4.10 Creating the Evidence Base for Advocacy

4.11 The Fellowship in Family Planning's Inter-professional Collaborations

4.12 Continued Advocacy by Academic Obstetrician-Gynecologists

4.13 The American College of Obstetricians and Gynecologists (ACOG)

4.14 Medical Student Advocacy of Abortion Care and Training

4.15 National Abortion Federation

4.16 Abortion Advocacy in Family Medicine

4.17 Advocacy in Courts of Law

4.18 Physician Advocacy Efforts in Other Countries

Appendix 4.1 Countering Abortion Stigma

Questions to Consider in Developing Your Advocacy Message

REFERENCES

Chapter 5 The US Fellowship in Family Planning as a Community of Practice

5.1 Background

5.2 The Fellowship in Family Planning

5.3 Activities to Support the Family Planning Community of Practice

5.3.1 The First and Most Effective Community-Building Event of the FFP: The Fellowship Annual Meeting

5.3.2 Networking for Fellows

5.3.3 Community of Researchers.

5.3.4 Community of Clinicians: The Fellowship Listserv and Other Platforms of Communication

5.3.5 Community of Educators

5.3.6 Community of Leaders

5.3.7 Community of Advocates

5.3.8 Psychosocial Support for Fellows

5.4 The Ryan Program

5.5 Conclusion

Chapter 6 Building Evidence through Research: The Benefits of Integrating Research Training into Fellowship in Family Planning Programs

Chapter 7 Impact of Integrated Family Planning Training: Culture Change and Access to Care

7.1 ACGME Requirement

7.2 Research and Contribution to Science

7.2.1 Impact on LARC Access

7.2.1.1 The Choice Project

7.2.1.2 The Colorado Initiative (2009-2015)

7.2.2 Impact on Clinical Care

7.2.3 Contraceptive Research and Development

7.2.4 Charlotte Ellertson Social Science Postdoctoral Fellowship in Abortion and Reproductive Health

7.3 Clinical Care and the Ryan and Fellowship in Family Planning Programs

7.4 Family Planning Training and Advocacy

7.5 Political and Legal Effects of Fellowship Advocacy

7.6 Culture Change

7.6.1 Crossing the Threshold of Formal Certification and Accreditation

Chapter 8 Conscientious Provision and Objection in Medical Training in the Context of the Abortion Controversy

8.1 Conscientious Objection

8.2 Conscientious Objection and Medical Practice

8.3 USA

8.4 Conscientious Commitment

8.5 Impact

8.6 Recommendations for Medical Education

8.7 Conclusion

Section II Integration of Abortion into Graduate Mediacl Education

Chapter 9 Abortion Training in the USA: Prevalence, Outcomes and Challenges

9.1 Introduction

9.2 Impacts of Abortion Training on Skills

9.3 Impacts of Abortion Training on Attitudes toward Patients and Abortion Provision

9.4 Impact of Abortion Training on Practice.

9.5 Training Residents Who Do Not Want to Fully Participate in Training

9.6 Benefits of Training as Perceived by Residency Training Leaders

9.7 Challenges in Abortion Training Integration

9.8 Conclusion

Chapter 10 Starting and Optimizing an Academic Abortion Service

10.1 What Makes an Abortion Service Unique?

10.2 Mission

10.3 Legal Support and Resources

10.4 Facility and Hospital Considerations

10.4.1 Tissue Management

10.4.2 Safety

10.4.3 Abortions in a Main OR

10.4.4 Catholic Hospitals

10.4.5 Telemedicine

10.5 Guidelines and Protocols

10.5.1 Gestational Limits

10.5.2 Cervical Preparation

10.6 Patient Education

10.7 Equipment

10.8 Staffing

10.9 Scheduling

10.10 Anesthesia and Comfort

10.11 Integrating Contraception and Sexually Transmitted Infection Evaluation and Care

10.12 Important Relationships

10.13 Fiscal Stability

10.13.1 Building a Financially Sustainable Abortion Practice

10.13.2 A Self-Pay Option for Hospital Abortion Services

10.13.3 Coding Procedures for Insurance Reimbursement

10.14 The UCSF Women's Options Centers

10.14.1 Zuckerberg San Francisco General Hospital's Women's Options Center

10.14.1.1 History

10.14.1.2 Services

10.14.1.3 Training

10.14.2 UCSF at Mt. Zion Women's Options Center (WOC-MZ)

Appendix 10.1 Important Relationship's Starting and Optimizing Academic Abortion Services

Chapter 11 The Role of Early Pregnancy Loss Care in Ensuring Competence in Uterine Evacuation

11.1 Early Pregnancy Loss Background

11.2 Miscarriage in Mainstream Medical Education

11.3 Miscarriage Training as an Introduction to Abortion Training

11.4 Miscarriage Management Training in the Office Setting (the TEAMM Project)

11.5 Integration of EPL Management into the ED Setting.

11.6 Other Miscarriage Management Training Programs.

Notes:

Title from publisher's bibliographic system (viewed on 30 Jul 2021).

ISBN:

1-108-87946-2

1-108-88099-1

1-108-88470-9

OCLC:

1266904576