ArticleFamily practice2025
Pregnancy-care intentions and practice among family medicine physicians: residents, obstetric fellows, and fellowship alumni.
Article in Family practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Piloting the Clinician Scholars Program: Structured Mentoring, Staff Support, and Dedicated Academic Time to Build Family Medicine Research Capacity.Family medicine · 2026Article
- From Pipeline to Practice: Supporting Family Physicians as a Maternal Health Solution.Journal of the American Board of Family Medicine : JABFM · 2026Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundPregnancy care in the USA is in crisis, particularly in rural areas. Shortages and maldistribution of care are contributing factors. Family medicine (FM) physicians could be crucial to addressing the crisis.
objectivesThis study compared pregnancy and rural practice intentions of FM residents and FM obstetrics (FMOB) fellows, and current practices of FMOB fellowship alumni.
methodIn this cross-sectional survey study, 25 FM residents, 7 FMOB fellows, and 37 FMOB fellowship alumni completed practice intentions or actual practice surveys. Variables of interest included intention or practice in rural locations and medically underserved areas, and pregnancy-care intentions or practice, including items on delivery types and advanced obstetrics. We used Fisher's exact test to compare residents, fellows, and alumni.
resultsTrainee intention and alumni practice were similar in practice characteristics except a higher rate of residents (80%) and fellows (100%) intended to practice in a medically underserved area (MUA) than alumni (29%) who practiced in an MUA (P < .001 and P = .001, respectively). Specific to pregnancy care, fellows and alumni respectively intended and provided low-risk, high-risk, and cesarean deliveries, and advanced obstetrics at higher rates than resident intentions. DISCUSSION: Results suggest FMOB fellows are more likely intend to provide pregnancy-related care compared to FM residents, and alumni provide pregnancy-related care at rates similar to fellow intentions. Few FM residents complete obstetrics fellowships. FMOB fellowships alone cannot sufficiently address care shortages. Expanding and promoting FMOB fellowships would increase the pregnancy -care workforce, but more is needed for FM to realize its potential to resolve the crisis.
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Registered trials
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