Right now, the Accreditation Council on Graduate Medical Education (ACGME) proposes to change the training requirements for family physicians.
The proposed changes could greatly weaken training in women’s health. Family physicians would no longer be required to learn about birth control. Training in providing options counseling for unintended pregnancy has been deleted. Training in IUD and contraceptive implants insertion (the two most effective contraceptive options available) will not be required. Learning how to do a uterine aspiration, which can be used for miscarriage or abortion care, isn’t required.
These are basic skills all primary care clinicians should be able to perform. These are skills all primary care clinicians should be taught routinely.
If family planning education is no longer required, some training programs won't teach it, especially religiously affiliated programs. If women can’t get basic reproductive health care from their own health care provider, then where can they get it? Too many women already have to travel long distances, cross picket lines and jump through too many hoops to get basic women's health care as it is.
We were told that we have until April 25, 2013 to let the ACGME know what we think. This issue is not restricted by any time limits. We need to continue making our Voices Heard.
Take a minute to stand with us and RH Reality Check to let the ACGME know that these weaker standards are NOT ok.
Specific changes can be seen here --> http://www.acgme-nas.org/assets/pdf/120_family_medicine_Impact.pdf
And you can read the entire proposed program requirements here --> http://www.acgme-nas.org/assets/pdf/120_family_medicine_PRs_RC.pdf
Your proposed changes to the Family Medicine Program Requirements take out contraception and options counseling for unintended pregnancy and don't include training for miscarriage and abortion. I am a health care consumer and these changes may compromise the care I receive.
I am very concerned that the proposed program requirements will leave family physicians unable to provide basic reproductive health care, such as birth control, pregnancy options counseling and care for miscarriage.
Women's health is basic health care. The Family Medicine Program Requirements need to be strengthened, not weakened, to ensure that:
**Family physicians can provide all FDA-approved birth control options, including IUDs and contraceptive implants.
**Family physicians are trained in pregnancy options counseling. Having a child is one of the most important decisions a woman makes in her life. Support for healthy families requires nothing less than well-trained clinicians who can counsel women on all their options.
**Family physicians can support women in all of their pregnancy outcomes. This includes being able to manage miscarriage. Training in uterine aspiration needs to be included.
Women need to be able to get all their basic health care from their family doctors. This means improving the family medicine residency program requirements for women's health.