ArticleFamily medicine2025
Residency Characteristics Associated With Pregnancy Care Among Graduates: A Family Medicine Residency Outcomes Project Study.
Article in Family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesThe number of US family physicians providing pregnancy care continues to decline. The 2023 US family medicine training requirements increased flexibility for pregnancy care training. We aimed to evaluate the correlation between residency program structures and curriculum with graduate maternity care provision.
methodsOur prospective cohort study of family medicine graduates used the 2018 Council of Academic Family Medicine Educational Research Alliance (CERA) program director survey to measure program characteristics and maternity care curricular elements and the 2021 family medicine national graduate survey (NGS) of 2018 residency graduates to measure outcomes. Logistic regression determined the associations between residency elements and graduate provision of maternity care and deliveries.
resultsThe cohort included 779 graduates (48% of the NGS sample). A total of 28.5% reported providing maternity care (MC) and 13.2% reported performing deliveries. In adjusted models, performing more than 80 deliveries during residency (MC OR=4.70 [3.21, 6.88]; Deliveries OR=15.39 [8.21, 28.85]) and exposure to six or more faculty providing this care (MC OR=2.37 [1.62, 3.47]; Deliveries OR=4.75 [2.58, 8.72]) were associated with providing maternity care and deliveries in practice. Four or more months of obstetrics training was associated with performing deliveries only (OR=3.34, [1.98, 5.61]). Neither program characteristics nor a continuity delivery requirement was associated with providing maternity care or deliveries.
conclusionsIn a large national cohort study, performing more than 80 deliveries during residency, exposure to six or more faculty delivering babies, and completing four or more months of obstetrics training (deliveries only) were associated with graduates providing maternity care and deliveries. These findings align with the 2023 Accreditation Council for Graduate Medical Education Family Medicine Residency Requirements for comprehensive pregnancy care training.
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