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Politics v. Applicants: Effects of the Roe v. Wade Overturn on Prospective MFM Fellowship Applicants
Megan M Lobel1, Adam K Lewkowitz1, Dayna A Burrell1
1Warren Alpert Medical School of Brown University, Women & Infants Hospital of Rhode Island, Providence, RI.
Objective:
To assess how the overturn of Roe v. Wade affected decisions of Maternal-Fetal Medicine (MFM) fellowship applicants.
Methods:
This is a cross-sectional survey distributed to MFM fellowship applicants in the 2024 Match appointment cycle. The dual primary outcome was whether the overturn of Roe v. Wade affected the number and geographic distribution of MFM programs to which the applicants planned to apply and applicants' desire to receive dilation and evacuation (D&E) training during fellowship.
Results:
A total of 167 individuals applied to MFM fellowships in the 2024 Match appointment cycle. Thirty-seven applicants (22%) responded to our survey. Most identified as women (84%) and White (73%). While most participants planned to apply to the same number of programs (65%), 68% of participants planned to apply to fewer programs in abortion-restrictive states. Most participants (89%) were interested in receiving D&E training during fellowship.
Conclusion:
These findings highlight the need for further assessment of how abortion restrictions impact MFM fellowship application, training, and practice.
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