Commentary
Multi-specialty family planning training: collaborating to meet the needs
of women
Jody Steinauer
a,
⁎
, Christine Dehlendorf
b
, Kevin Grumbach
b
, Uta Landy
a
, Philip Darney
a
a
Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, San Francisco General Hospital,
University of California, San Francisco, San Francisco, CA 94110, USA
b
Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA 94110, USA
Received 15 November 2011; accepted 1 December 2011
1. Introduction
The specialty of family medicine is recognized as having
an important role in the delivery of family planning services
in the United States. Not only do many women receive their
contraceptive services from family physicians [1], but there
is a growing recognition of the role family physicians can
play in ensuring that women have access to safe and timely
abortion service [2,3]. Passage of the Affordable Care Act
has drawn attention to this role, as increased insurance
coverage may result in many women accessing contraceptive
care within primary care services, as opposed to using
dedicated family planning clinics.
As the role of family medicine in family planning
increases, the need for family physicians with technical
and research expertise in this area also increases. The
Fellowship in Family Planning has contributed to developing
these experts since its inception, with one of the first
fellowship programs—the University of Rochester—training
family physicians in contraceptive and abortion care.
Subsequently, the Albert Einstein College of Medicine
initiated a fellowship site dedicated to training family
medicine family planning experts. In addition, several family
physicians have received family planning in fellowship
training at sites based in Departments of Obstetrics and
Gynecology, including at the University of Southern
California and Columbia University.
While these efforts have increased the number of
academic primary care physicians with expertise in family
planning, the impact has been limited due to the small
number of training opportunities. In addition, until recently,
there have been no programs with ongoing experience with
training both family medicine and obstetrics/gynecology
family planning experts and facilitating collaboration
between these specialists in this area. As these two
specialties have distinct and complementary roles in family
planning, both perspectives are essential components of a
health care system which can meet the needs of all women.
Enhancing collaboration between these disciplines through
multi-specialty training programs has the potential to
facilitate coordinated research and training across the range
of women's family planning needs. In this commentary, we
describe the experience at the University of California, San
Francisco (UCSF) of an integrated training model with both
obstetrician/gynecologists and family physicians. This
model can enhance the future of family planning research
and training, in which both specialties play an integral and
complementary role, through increasing the number of
family medicine family planning experts as well as
expanding the opportunities for and expertise in collabora-
tive family planning research and clinical care.
2. UCSF Model
UCSF was the first site for the Fellowship in Family
Planning, enrolling its first fellow in 1991. Faculty and
fellows in the department have been involved in a broad
range of family planning research, including having
participated in studies leading to the approval of every new
form of contraception since 1981 and providing first- and
second-trimester abortion care at the Women's Options
Contraception 86 (2012) 188 – 190
⁎
Corresponding author.
E-mail address: steinauerj@obgyn.ucsf.edu (J. Steinauer).
0010-7824/$ – see front matter © 2012 Published by Elsevier Inc.
doi:10.1016/j.contraception.2011.12.001