Advancing Women S Health Through Medical Education

"While this book's focus is on integrating training after contraception and abortion become legal, many, if not all of the systems and approaches described in this book are equally applicable in countries where abortion is illegal or access to abortion and contraception is limited. Our educational concepts and approaches may seem too complex, expensive or impractical for resource-poor countries where family planning services, no matter how poorly delivered, are judged adequate or are so controversial that ignoring them is the safest course. In fact, this attitude perpetuates the status quo, prevents progress or leads to a deterioration of health care. In the context of family planning, this view is particularly detrimental. It reinforces the perception that family planning and reproductive health have little status or value in health care delivery, and therefore in medical education. Ensuring a properly informed, motivated, and caring workforce to drive research and policy must be the aim of every country. Education of that workforce is paramount for promoting health in general and reproductive health in particular. While legalization of abortion is an essential element in promoting women's and public health, the advocates for reform and those responsible for implementation often do not consider the essential link: the systemic education of all involved in providing the care, for which we hope this book will offer inspiration and guidance"--

Neither legalization of abortion nor scientific and political advances in contraception and abortion ensure that training and research in family planning are routinely integrated into medical education. Without integration, subsequent generations of healthcare professionals are not prepared to incorporate evidence-based family planning into their practices, teaching, or research. Omission of this crucial component prevents the cultural and professional normalization of an often stigmatized and embattled aspect of women's health. Taking the successful US-based Ryan and Family Planning Fellowship programs as templates for training, teaching, and academic leadership, this book describes the integration of family planning and pregnancy termination into curricula with an international outlook. With an evidence- and systems-based approach, the book is a unique and practical guide to inspire and train the next generation of healthcare professionals.

Women in Medicine is a concise, practical resource for anyone considering a medical career, but especially women. Drawing on all the best available literature and the experience of thousands of women doctors, the book covers: getting into medical school; overcoming gender stereotypes; finding a mentor; combining parenting with a career; and maximising career development. The author also offers tips on building key professional skills, and a self-diagnostic section for readers who are preparing to begin a medical career.

Women in Medical Education combines personal narratives written by sixteen women medical educators who, as clinicians, basic scientists, administrators, and medical humanities faculty, write of their experiences with students, patients, colleagues, and administrators. Their narratives reflect the issues confronting women in the medical academy today, including working in situations where power relations are embedded and enacted daily in the ethos of the institution; where rigid disciplinary boundaries do not include or invite inquiry into gender, race, ethnicity, or class; where integrating one's personal and work life often seems overwhelming. Yet their stories reflect the success and recognition that women in academic medicine have achieved. The book includes essays written by Beth Alexander, Janet Bickel, Dale G. Blackstock, Kate H. Brown, Lucy M. Candib, Pamela Charney, Frances Conley, Leah J. Dickstein, Jacalyn Duffin, Deborah Jones, Perri Klass, Mary Mahowald, Marian Gray Secundy, Marjorie S. Sirridge, Rebekah Wang-Cheng, and the editor.

A unique and inspirational guide to the creation of an integrated medical education framework for family planning and reproductive health.

A fierce and galvanizing reminder that resistance is everywhere in the fight for abortion and reproductive justice in the United States. Fighting Mad is a book about what "reproductive justice" means and what it looks like to fight for it. Editors Krystale E. Littlejohn and Rickie Solinger bring together many of the strongest, most resistant voices in the country to describe the impacts of the Supreme Court's Dobbs decision on abortion access and care. The essayists and change agents gathered in Fighting Mad represent a remarkable breadth of expertise: activists and artists, academics and abortion storytellers, health care professionals and legislators, clinic directors and lawyers, and so many more. They discuss abortion restrictions and strategies to provide care, the impacts of criminalization, efforts to protect the targeted, shortcomings of the past, and visions for the next generation. Fighting Mad captures for the social and historical record the vigorous resistance happening in the early post-Roe moment to show that there are millions on the ground fighting to secure a better future.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Since 2005 a dozen states and more than 15 specialties have reported a physician shortage or anticipate one in the next few years. This anticipated shortage and a worsening of physician distribution are compounded by a projected increased demand for women’s healthcare services. Women’s healthcare is particularly vulnerable, because the obstetrician-gynecologist workforce is aging and is among the least satisfied medical specialists. Furthermore, fellowship training in women’s healthcare in internal medicine and in maternal child health in family and community medicine involves only a small portion of general internists and family physicians. In response to this challenge, the Association of American Medical Colleges called for an expansion of medical schools and graduate medical education enrollments. As we cope with significant and rapid changes in organizations and reimbursement, academic departments of obstetrics and gynecology, family and community medicine, and internal medicine have opportunities to create a unified women’s health curriculum for undergraduate students, share preventive health and well-woman expertise in training programs, provide improved continuity of care, instill concepts of lifelong learning to our graduates, and better develop our research programs. This volume’s chapters focus on strategic planning on behalf of academic faculty who will train the anticipated additional load of students, residents, and fellows in women’s healthcare. -changing demographics of faculty -expanding roles of clinician educators -physician investigators and their future -the hidden value of part-time faculty -faculty salaries -required skillsets of academic leaders -the meaning of tenure and faculty satisfaction and retention. Recommendations presented here from authors with distinguished leadership skills indicate a consensus, but not unanimity. In furthering these goals, we summarize in the final chapter our collective expertise and offer ways to implement recommendations to better prepare for tomorrow’s needs in academic women’s healthcare.