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J Reprod Med. 1999 May;44(5):428-32.

Induced abortion. Physician training and practice patterns.

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1
Central Maine Clinical Associates, Lewiston, USA.

Abstract

OBJECTIVE:

To examine the relationship between training in induced abortion during residency and subsequent practice patterns in providing abortion services.

STUDY DESIGN:

An anonymous survey of all obstetrician-gynecologists with admitting privileges at a tertiary care hospital in New England was conducted. Physicians were asked about their residency training experience in performing abortions, current practices and attitudes toward abortion.

RESULTS:

Ninety-two of 110 physicians (84%) completed the questionnaire. Six physicians who received training after residency and two with incomplete information were excluded from the analysis. Forty-four respondents received training specifically in first-trimester abortion, and 42 did not. Physicians who received training were more likely to provide abortion services (49% vs. 21%, P = .01), to ask patients about their plans for continuing pregnancy (65% vs. 41%, P = .007) and to support medical assistance funding for abortion (84% vs. 45%, P = .001) than were physicians who did not receive training during residency. Beliefs were significantly associated with current practice, even after controlling for differences in residency training in abortion.

CONCLUSION:

Differences in practice patterns exist between physicians who receive abortion training and those who do not. Practice patterns are associated with beliefs even after controlling for variations in training.

PMID:
10360255
[Indexed for MEDLINE]
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