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Post graduate training experiences that shape reproductive health practice in family medicine: designing training that sticks

FridayJuly 3rd9:15 - 10:15231 / 232 M

Viviana MARTINEZ-BIANCHI and Maria PORTELA

Family physicians contribute substantially to contraception and uterine aspiration/D&C care, yet post-training provision varies. A cross-sectional analysis of 21,904 family medicine graduates who completed training during 2008–2018 and currently provided care to xxxx government program beneficiaries found that 61.1% provided prescription contraception, 18.5% provided IUD/implant care, and 0.7% provided D&C in 2019. Graduates from residencies with fully integrated, opt-out family planning curricula, larger program size, and community-based training emphasis had higher odds of providing these services after graduation. This workshop translates those empirically associated post-graduate training characteristics into adaptable training designs for diverse health systems.Participants will be able to: (1) summarize post-graduate training in community-based settings and with full integration of family planning being associated with later provision of prescription contraception, IUD/implant services, and D&C; (2) map their local training pathway to identify where reproductive-health competencies are integrated, community-anchored, and repeated with sufficient clinical volume; and (3) design two locally feasible training upgrades aligned with the study’s associated characteristics, each paired with a 90-day evaluation metric.Interactive evidence-to-design workshop using a brief data walk-through, small-group experiential pathway mapping (“what learners see, do, repeat”), structured peer exchange, and a rapid design sprint. Handouts will be provided: 1)Training to Practice Experiential Pathway Map with questions and prompts, and 2)Stakeholder Mapping Exercise for Training Upgrade as an Implementation Plan Reality Check.   0–15 min—evidence pulse on outcomes and associated post graduate training characteristics. 15–30 min—experiential pathway mapping plus global translation prompts to locate uneven post-training provision in participants’ contexts. 30–40 min—case-based discussion of common misalignments between current training structures and evidence-linked characteristics. 40–55 min—design sprint to draft two upgrades reflecting integrated exposure, community continuity, or scalable volume, followed by rapid stakeholder mapping. 55–60 min—commitments and metrics.Participants will leave with a one-page training-to-practice alignment plan, two implementable curriculum or rotation changes tailored to their setting, stakeholder maps for each change, and indicators for short-term evaluation.Post graduate training architecture—especially integrated family planning training and community-based emphasis—is associated with sustained reproductive-health provision after graduation. Applying these training features across settings may strengthen primary-care reproductive-health access and continuity.