Satisfaction With Abortion Training in an Abortion-Restrictive State
Angela Du1,2,3, Rachel M Smith1,2,3, Katherine Rivlin1,2,3
1is an OB/GYN in Phoenix, Arizona.
Journal of Graduate Medical Education
|October 2, 2023
Summary
Legal restrictions significantly impact obstetrics and gynecology (OB/GYN) resident training satisfaction. While perceptions of the legal climate affected training satisfaction, it did not influence residents' intent to provide abortion care.
Area of Science:
- Medical Education
- Reproductive Health Law
- Surgical Training
Background:
- The Dobbs decision has created disparities in abortion access and training opportunities.
- Understanding the impact of legal restrictions on OB/GYN resident training is crucial for educators.
- Assessing resident perceptions of abortion restrictions is key to improving training experiences.
Purpose of the Study:
- To evaluate how abortion restrictions influence OB/GYN residents' training satisfaction.
- To determine the effect of perceived legal restrictions on residents' intent to provide abortion care.
Main Methods:
- Surveys were administered to OB/GYN residents in Ohio between 2019-2020.
- Logistic regression analyzed the association between perceived legal climate and training outcomes.
- Qualitative analysis of open-ended responses provided context on the legal climate's effect.
Main Results:
- 73% of surveyed residents felt the legal climate impacted their training.
- Residents perceiving a negative legal climate were significantly more likely to be unsatisfied with training (aOR 16.6).
- No association was found between perceived legal climate and intent to provide abortions.
Conclusions:
- A majority of OB/GYN residents in Ohio perceived the legal climate as affecting their abortion training.
- This perception of legal restrictions was strongly associated with decreased training satisfaction.
- Residents expressed a desire for more abortion training and highlighted patient care barriers, alongside benefits in patient advocacy skills.
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