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Residents Navigating Moral Distress After the <i>Dobbs v. Jackson Women's Health Organization</i> Decision.

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Abortion Care Services and Restrictions in Teaching Hospitals.

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Routine abortion training correlates with obstetrics and gynecology program directors' assessment of graduating residents' skills.

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Out-of-State Abortion Training Rotations for Residents in States With Limited Access.

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Summary

State abortion restrictions hinder medical training. Partnerships allowed residents to gain essential abortion care skills, with most intending to provide these services post-training.

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Area of Science:

  • Medical Education
  • Reproductive Health
  • Public Health Policy

Background:

  • State laws restricting abortion access significantly impact medical training for obstetrics and gynecology residents.
  • Accreditation Council for Graduate Medical Education requires comprehensive abortion training for these programs.

Purpose of the Study:

  • To evaluate the effectiveness of a facilitated partnership program designed to provide abortion training to residents in states with restrictive laws.
  • To assess resident experiences, learning objective alignment, and future practice intentions regarding abortion care.

Main Methods:

  • The Ryan Program established partnerships between 13 residency programs in restrictive states and 13 in protective states.
  • Post-rotation surveys were administered to residents who traveled for training, collecting data on training experiences and practice intentions.

Main Results:

  • 60 residents participated in the training, with 35 completing surveys (58.3% response rate).
  • Residents reported that the rotation successfully met learning objectives, including exposure to all abortion methods.
  • A majority of surveyed residents intend to provide abortion care in their future practice.

Conclusions:

  • Partnership programs can effectively mitigate the impact of restrictive state laws on abortion training.
  • Ensuring comprehensive abortion training is crucial for maintaining a skilled reproductive healthcare workforce.
  • Residents trained through these partnerships demonstrate a strong intention to provide abortion services.