The benefits of family planning training: a 10-year review of the Ryan Residency Training Program

Shifting abortion care from a hospital to a community sexual and reproductive health care setting

“…It is also possible that there may be cost savings to the NHS from moving abortion services from an acute hospital site to a community setting 14. Of course, shifting all abortion care out of hospitals would risk obstetricians and gynaecologists losing experience in abortion care, and knowledge of contraception and associated skills, that have been shown to enhance other parts of gynaecological training 15. A careful balance of abortion care delivered from the hospital and community, and/or rotation of hospital trainees to community abortion services as part of their core training, is essential.…”

Comparison of uptake of long-acting reversible contraception after abortion from a hospital or a community sexual and reproductive healthcare setting: an observational study

“…Moreover, at a time when there is growing recognition of the need to improve the quality of postpartum contraception from maternity services,24 25 it seems counterproductive to remove abortion care and post-abortal contraception from a hospital setting. Furthermore, there is evidence that doctors who receive training in abortion as part of their training in obstetrics and gynaecology enhance their skills in counselling, contraception, ultrasound and uterine aspiration, which is to the benefit of women with other gynaecological conditions 26. Rather, hospital and community SRH services should be working more closely to improve provision of contraception for women following all reproductive events.…”

State of Family Planning

“…Residents who partially participate in a residency family planning program but perform uterine evacuation for miscarriage or other indications have similar experience in uterine evacuation training. 91 Residents involved in the Ryan Program during residency are more likely to provide abortion to patients in the future.…”

“…Through the Ryan Program, >2000 OB/GYN residents have been trained in the provision of abortion. 91 Residents who train in residencies with Ryan programs receive improved pregnancy options counseling and provision of contraception, training in medical abortion, uterine aspiration, and dilation and evacuation. 91 For residents who opt out of abortion provision, the Ryan Residency program continues to provide training in uterine evacuation.…”

“…91 Residents who train in residencies with Ryan programs receive improved pregnancy options counseling and provision of contraception, training in medical abortion, uterine aspiration, and dilation and evacuation. 91 For residents who opt out of abortion provision, the Ryan Residency program continues to provide training in uterine evacuation. Residents who partially participate in a residency family planning program but perform uterine evacuation for miscarriage or other indications have similar experience in uterine evacuation training.…”