Why start a Ryan Program?

In addition to compliance with ACGME requirements and improving resident training in all aspects of uterine evacuation and contraception, the establishment of a Ryan Program offers numerous additional benefits:

• Attracting residency applicants
• Streamlining patient care through efficient use of hospital resources
• Introducing new, evidence-based techniques and practices
• Increasing opportunities for research

Residents and faculty report improved competence in clinical skills:

• Gynecologic and obstetric ultrasound skills
• Early gestational bimanual exam
• Prevention and management of abortion-related complications
• Uterine evacuation techniques
  • Manual and electric uterine aspiration (MUA & EUA)
  • Dilation and evacuation
  • Cervical dilation techniques
• Management of fetal demise and miscarriage
  • Diagnosis of early pregnancy failure
  • Outpatient use of the manual aspiration syringe
  • Medical management
• Contraceptive management
  • Enhanced training in the use of LARC, including postpartum and post-abortion
  • Care of patients with comorbidities
• Pain management for outpatient gynecologic procedures
  • Oral analgesia
  • Local anesthesia
  • Intravenous sedation
• Counseling techniques