Survey of Medical Trainees Indicates Low Access and Barriers to Obstetric and Gynecologic Care [ID 999]

INTRODUCTION: Given the higher rates of infertility and complicated pregnancies among female physicians, we aimed to assess access and barriers to obstetrics and gynecology (ob-gyn) care for medical trainees. METHODS: An anonymous survey was administered in November 2022 at a single medical institution to medical students and residents who reported having a uterus. The survey gathered demographic data, care-seeking habits, reproductive health screening, contraception use, menstrual irregularities, provider preferences, and perceived barriers to care. RESULTS: Of 184 respondents, 71% were medical students and 29% were residents. Eleven percent had never seen an obstetrician–gynecologist, 45% had not seen one in the past year, and 37% had not seen one since starting training. Additionally, 26% were not up to date on cervical cancer screening, 35% reported irregular menses, and 50% had not received sexually transmitted infection (STI) testing in the past year. Older age was associated with a lower rate of STI testing. Additionally, both older participants and residents were more likely than younger participants and medical students to have ever seen an ob-gyn provider. Trainees preferred sharing medical histories with a noninstitutional provider for sexual and reproductive health concerns, drug/alcohol use, and current/previous intimate partner violence. Trainees also expressed concerns for academic retribution should their supervisor find out about drug/alcohol use, HIV status, STI test results, anxiety/depression, or pregnancy/abortion history. CONCLUSIONS/IMPLICATIONS: Trainees accessed ob-gyn care at lower-than-expected rates, with concerns for confidentiality as a potential barrier. Improving access could enhance reproductive health for this group.