Social Mission Content in U.S. OB/GYN Residency Websites

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Local Mentor:Meg Autry, MDAPGO Advisor:Hope Ricciotti, MDOBJECTIVE:A well-trained provider workforce is thought to be essential in caring for underserved US patient populations. We conducted a pilot study to explore how US-based OB/GYN residencies describe their commitment to and training of residents to provide high-quality care in these communities.METHODS OF STUDY SELECTION:A convenience sample of 20 US OB/GYN residency programs was chosen based on input of OB/GYN GME leaders and association of programs with public and/or safety net hospitals.DATA SOURCES:One author conducted a content analysis of the residency programs’ web-based descriptions, specifically searching for the following terms: diversity/minority, underserved or vulnerable, community health or community based, health disparities, social justice, primary care, and shortage areas.RESULTS:Half (10) of the programs described a commitment to training residents to provide care for underserved or diverse patient populations. Seven programs had an explicit statement of valuing care for underserved populations on the residency's home page, often featuring the program director's statement. Several included residents’ comments which served to emphasize the value placed on caring for underserved women and/or addressing health disparities. Programs highlighted their diverse patient populations, clinical sites, and experiences that provided opportunities to care for vulnerable populations locally. Only rarely did programs discuss diversity among trainees/faculty and placement of graduates in health provider shortage areas.CONCLUSION:Only half of identified OB/GYN residency programs explicitly highlight training providers to care for underserved populations on their websites. More research is needed to explore whether this reflects a lack of training focus.

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