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首页> 外文期刊>Family medicine >Initiating Abortion Training in ResidencyPrograms: Issues and Obstacles
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Initiating Abortion Training in ResidencyPrograms: Issues and Obstacles

机译：在住院医师项目中进行堕胎培训：问题与障碍

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OBJECTIVES: Early abortion is a common outpatient procedure, but few family medicine residenciesprovide abortion training. We wished to assess experiences and obstacles among residencyprograms that have worked to establish early abortion services. METHODS: From 2001-2004, 14faculty participated in a collaborative program to initiate abortion training at seven family medicineresidencies. Ten focus groups with all trainees were followed by individual semi-structuredinterviews with a smaller group (n=9) that explored the progress and obstacles they experienced.Individual interviews were recorded and analyzed to identify major themes and sub-themes relatedto initiating abortion training. RESULTS: Five of seven sites established abortion training. Five majorthemes were identified: (1) establishing support, (2) administration, (3) finance, (4) legal matters,and (5) security/demonstrators. Faculty from sites where training was ultimately established ratedthe sub-themes of billing/reimbursement, obtaining staff support, and state/hospital regulations asmost difficult. Gaining support from within the department and institution was most difficult for thetwo sites that could not establish training. None experienced difficulty with security/demonstrators.CONCLUSIONS: Developing the clinical and administrative capacity to provide early abortion servicesin family medicine residency programs is feasible. Support from leadership within departments andfrom the wider institution is important for implementation.
机译：目的：早期流产是一种常见的门诊程序，但是很少有家庭医学住院医师提供流产培训。我们希望评估为建立早期堕胎服务而努力的居住计划之间的经验和障碍。方法：从2001年至2004年，14个教职员工参加了一项合作计划，以在七个家庭医学住院医生那里进行流产培训。在所有受训者的十个焦点小组之后，进行了一个半小组访谈（n = 9），探讨了他们的进步和遇到的障碍。记录并分析了各个访谈，以识别与进行流产培训有关的主要主题和子主题。结果：七个地点中的五个建立了堕胎培训。确定了五个主要主题：（1）建立支持，（2）管理，（3）财务，（4）法律事务和（5）安全/示威者。最终建立培训的站点的教师对计费/报销，获得员工​​支持以及州/医院法规等子主题的评估最为困难。对于无法建立培训的两个站点，获得部门和机构内部的支持最为困难。结论：在家庭医学住院医师项目中发展临床和行政管理能力以提供早期流产服务是可行的。部门内部和广泛机构的领导层的支持对于实施至关重要。

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