Dilation and evacuation training in maternal-fetal medicine fellowships

Melissa G. Rosenstein, Jema K. Turk, Aaron Caughey, Jody E. Steinauer, Jennifer L. Kerns

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective Many maternal-fetal medicine (MFM) specialists provide dilation and evacuation (D&E) procedures for their patients with fetal or obstetric complications. Our study describes the D&E training opportunities that are available to MFM trainees during their fellowship. Study Design National surveys of MFM fellows and fellowship program directors assessed the availability of D&E training in fellowship. Univariate and multivariate comparisons of correlates of D&E training and provision were performed. Results Of the 270 MFM fellows and 79 fellowship directors who were contacted, 92 (34%) and 44 (56%) responded, respectively. More than one-half of fellows (60/92) and almost one-half of fellowship programs (20/44) report organized training opportunities for D&E. Three-quarters of fellows who were surveyed believe that D&E training should be part of MFM fellowship, and one-third of fellows who have not yet been trained would like training opportunities. Being at a fellowship that offers D&E training is associated with 7.5 times higher odds of intending to provide D&E after graduation (P =.005; 95% confidence interval, 1.8-30). Conclusion MFM physicians are in a unique position to provide termination services for their patients with pregnancy complications. Many MFM subspecialists provide D&E services during fellowship and plan to continue after graduation. MFM fellows express a strong interest in D&E training; therefore, D&E training opportunities should be offered as a part of MFM fellowship.

Original languageEnglish (US)
Pages (from-to)569.e1-569.e5
JournalAmerican Journal of Obstetrics and Gynecology
Volume210
Issue number6
DOIs
StatePublished - Jan 1 2014

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Dilatation
Mothers
Medicine
Pregnancy Complications
Obstetrics
Confidence Intervals
Physicians

Keywords

  • dilation and evacuation
  • maternal-fetal medicine training
  • second-trimester abortion

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Dilation and evacuation training in maternal-fetal medicine fellowships. / Rosenstein, Melissa G.; Turk, Jema K.; Caughey, Aaron; Steinauer, Jody E.; Kerns, Jennifer L.

In: American Journal of Obstetrics and Gynecology, Vol. 210, No. 6, 01.01.2014, p. 569.e1-569.e5.

Research output: Contribution to journalArticle

Rosenstein, Melissa G. ; Turk, Jema K. ; Caughey, Aaron ; Steinauer, Jody E. ; Kerns, Jennifer L. / Dilation and evacuation training in maternal-fetal medicine fellowships. In: American Journal of Obstetrics and Gynecology. 2014 ; Vol. 210, No. 6. pp. 569.e1-569.e5.
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abstract = "Objective Many maternal-fetal medicine (MFM) specialists provide dilation and evacuation (D&E) procedures for their patients with fetal or obstetric complications. Our study describes the D&E training opportunities that are available to MFM trainees during their fellowship. Study Design National surveys of MFM fellows and fellowship program directors assessed the availability of D&E training in fellowship. Univariate and multivariate comparisons of correlates of D&E training and provision were performed. Results Of the 270 MFM fellows and 79 fellowship directors who were contacted, 92 (34{\%}) and 44 (56{\%}) responded, respectively. More than one-half of fellows (60/92) and almost one-half of fellowship programs (20/44) report organized training opportunities for D&E. Three-quarters of fellows who were surveyed believe that D&E training should be part of MFM fellowship, and one-third of fellows who have not yet been trained would like training opportunities. Being at a fellowship that offers D&E training is associated with 7.5 times higher odds of intending to provide D&E after graduation (P =.005; 95{\%} confidence interval, 1.8-30). Conclusion MFM physicians are in a unique position to provide termination services for their patients with pregnancy complications. Many MFM subspecialists provide D&E services during fellowship and plan to continue after graduation. MFM fellows express a strong interest in D&E training; therefore, D&E training opportunities should be offered as a part of MFM fellowship.",
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N2 - Objective Many maternal-fetal medicine (MFM) specialists provide dilation and evacuation (D&E) procedures for their patients with fetal or obstetric complications. Our study describes the D&E training opportunities that are available to MFM trainees during their fellowship. Study Design National surveys of MFM fellows and fellowship program directors assessed the availability of D&E training in fellowship. Univariate and multivariate comparisons of correlates of D&E training and provision were performed. Results Of the 270 MFM fellows and 79 fellowship directors who were contacted, 92 (34%) and 44 (56%) responded, respectively. More than one-half of fellows (60/92) and almost one-half of fellowship programs (20/44) report organized training opportunities for D&E. Three-quarters of fellows who were surveyed believe that D&E training should be part of MFM fellowship, and one-third of fellows who have not yet been trained would like training opportunities. Being at a fellowship that offers D&E training is associated with 7.5 times higher odds of intending to provide D&E after graduation (P =.005; 95% confidence interval, 1.8-30). Conclusion MFM physicians are in a unique position to provide termination services for their patients with pregnancy complications. Many MFM subspecialists provide D&E services during fellowship and plan to continue after graduation. MFM fellows express a strong interest in D&E training; therefore, D&E training opportunities should be offered as a part of MFM fellowship.

AB - Objective Many maternal-fetal medicine (MFM) specialists provide dilation and evacuation (D&E) procedures for their patients with fetal or obstetric complications. Our study describes the D&E training opportunities that are available to MFM trainees during their fellowship. Study Design National surveys of MFM fellows and fellowship program directors assessed the availability of D&E training in fellowship. Univariate and multivariate comparisons of correlates of D&E training and provision were performed. Results Of the 270 MFM fellows and 79 fellowship directors who were contacted, 92 (34%) and 44 (56%) responded, respectively. More than one-half of fellows (60/92) and almost one-half of fellowship programs (20/44) report organized training opportunities for D&E. Three-quarters of fellows who were surveyed believe that D&E training should be part of MFM fellowship, and one-third of fellows who have not yet been trained would like training opportunities. Being at a fellowship that offers D&E training is associated with 7.5 times higher odds of intending to provide D&E after graduation (P =.005; 95% confidence interval, 1.8-30). Conclusion MFM physicians are in a unique position to provide termination services for their patients with pregnancy complications. Many MFM subspecialists provide D&E services during fellowship and plan to continue after graduation. MFM fellows express a strong interest in D&E training; therefore, D&E training opportunities should be offered as a part of MFM fellowship.

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