Why start a Ryan Program?

Routine Abortion Training Benefits Residents.

Residents at programs with routine training are more likely to be competent in abortion care, including 1st-trimester medication and aspiration abortion and 2nd-trimester dilation and evacuation, and in all aspects of early pregnancy loss care.

Routine abortion training also allows residents to devel­op important skills for caring for patients in other com­mon clinical circumstances. These include counseling, contraception care, early pregnancy loss care, pain man­agement in procedures, uterine examination, ultrasound, diagnosis and management of early pregnancy loss and fetal demise, and preventing and managing rare abortion complications.

Routine Abortion Training Benefits Patients.

Residents who receive routine abortion training are more likely to provide comprehensive reproductive health care after graduation, including pregnancy options counsel­ing, abortion referrals, abortion care, and comprehensive early pregnancy loss care.

Nearly half (40%) of Ryan Program-trained obstetri­cian-gynecologists provide abortions in practice, and another 19% would if not prohibited by their work.

Routine Training Benefits Teaching Hospitals.

In addition to compliance with ACGME requirements, the establishment of a Ryan Program supports departments to improve patient care through the integration of evidence-based and patient-centered practices such as office-based manual vacuum aspiration. Integrated abortion training attracts residen­cy applicants who want to learn these important clinical skills. The expanded care and training lay the foundation for programs to become a Complex Family Planning Fellowship site.

Residents Want Routine Abortion Training.

Ob-gyn residents think that training is important. Res­idency program directors report that 82% of residents rank the family planning rotation higher than other rota­tions, and Ryan-affiliated residencies report the affiliation has a positive influence on resident recruitment.

A 2021 study found that 87% of ob-gyn residents with routine abortion training were satisfied with their family planning training. Only 40% of those in programs with optional training were satisfied, and 10% of residents with no training were satisfied.

The Value of Partial Participation

In accordance with ACGME guidelines, residents with religious or moral objections may opt out of training in or performing induced abortions.

The vast majority of residents fully participate in family planning training. Some choose to opt out of portions of the rotation, but most of these residents participate in many or most clinical care activities. We now refer to residents who opt out of portions of training as “partially participating residents”.

Partially participating residents learn many skills nec­essary and relevant to ob-gyn practice. On the family planning rotation partially participating residents gain:

In our evaluation of partially participating residents, even though some were initially reluctant to participate, all valued what they gained from family planning training.

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