Projected Implications of Overturning Roe v Wade on Abortion Training in U.S. Obstetrics and Gynecology Residency Programs

Vinekar, Kavita; Karlapudi, Aishwarya; Nathan, Lauren; Turk, Jema K.; Rible, Radhika; Steinauer, Jody

doi:10.1097/aog.0000000000004832

Cited by 85 publications

(63 citation statements)

References 11 publications

(12 reference statements)

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“…The reversal of Roe v. Wade will spark changes in medical education as well as in reproductive medicine and other medical care. It is projected to result in 43.9% of current U.S. obstetrics and gynecology residents losing in-state abortion training (Vinekar et al, 2022). Such programs will likely offer out-of-state training to maintain their accredited status, but physicians may see their skills limited and will operate in an environment marked by confusion, fear, and now sometimes unsupportive of clinical decision-making.…”

Section: A New Clinical Quagmirementioning

confidence: 99%

Dobbs: Navigating the New Quagmire and Its Impacts on Abortion and Reproductive Health Care

Kulczycki

2022

Health Educ Behav

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On June 24, 2022, the U.S. Supreme Court issued its decision on Dobbs v. Jackson Women’s Health Organization. By voting to uphold Mississippi’s law banning most abortions after 15 weeks, the Court overturned Roe v. Wade, eliminating the federal standard protecting a woman’s right to abortion and reversing nearly 50 years of legal precedent. The ruling returned regulation of abortion to the states, which are responding by implementing bans or protecting access to abortion. As political and legal conflicts escalate and individual horror stories emerge, the dangerous mirage presented by this misguided legal fix to a long-standing vexing issue will come into sharper relief. The Dobbs ruling is creating a new uncertain and treacherous landscape for women and health care professionals to navigate.

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Section: A New Clinical Quagmirementioning

confidence: 99%

Dobbs: Navigating the New Quagmire and Its Impacts on Abortion and Reproductive Health Care

Kulczycki

2022

Health Educ Behav

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“…Support for clinical education around abortion already varied geographically ( Steinauer et al, 2018 ), with regional abortion training gaps, namely, the South—where abortion access is severely restricted. New laws like those passed in Texas and Oklahoma that allow private citizens to take civil action against anyone who “aids and abets” abortions have far-reaching implications for clinical providers ( Editors, 2022 ), further reducing the available and future skilled SRH workforce ( Vinekar et al, 2022 ).…”

Section: Public Health Professional Educationmentioning

confidence: 99%

“Post-Roe” Abortion Policy Context Heightens the Imperative for Multilevel, Comprehensive, Integrated Health Education

et al. 2022

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The exceptionalism of abortion in public health education, due to social stigma, politicization, and lack of training, contributes to misinformation, policies unjustified by rigorous science, lack of access to person-centered health care, and systemic pregnancy-related inequities. Now that abortion access has vanished for large portions of the United States, following the Supreme Court decision in Dobbs v. Jackson Women’s Health Organization ( JWHO), health educators must work to eliminate abortion-related silos, destigmatize abortion education, and bring comprehensive sexual and reproductive health information and evidence to the many audiences that will require it. We discuss consequences of abortion exceptionalism in health education for the public, health care providers, pregnant people, and health professionals in training—and opportunities to better and more accessibly provide sexual and reproductive health education to these audiences.

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“…The reversal of Roe V. Wade by the United States Supreme Court on June 24, 2022 has resulted in proposed or in-effect abortion bans spanning half the country 1 . Despite being one of the most common medical procedures in the U.S. and a required component of Obstetrics and Gynecology (ObGyn) resident education by the Accreditation Council of Graduate Medical Education, nearly half of all ObGyn residency programs now struggle to provide clinical abortion training 2–5 . The media has also raised concerns that wide geographic variations in abortion legality will adversely shape where physicians choose to train and ultimately practice 6–8 .…”

Section: Introductionmentioning

confidence: 99%

Abortion Attitudes and Behavioral Intentions of Obstetrics and Gynecology Residents at Four Midwestern Residency Programs

Cutler

Cowley

Ralph

et al. 2022

Preprint

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In June 2022, the U.S. Supreme Court overturned Roe v Wade. Half of states now face proposed or in-effect abortion bans, which affect the ability of obstetrics and gynecology (ObGyn) residency programs to provide abortion training. Prior to the Supreme Court decision, we surveyed ObGyn residents at all four programs in Wisconsin and Minnesota to assess residents' attitudes toward abortion, desire to learn about abortion, and intentions about providing abortion care in their future practice. We found that participants overwhelmingly support abortion, find the issue to be important, and plan to incorporate abortion into future practice. The reversal of Roe v Wade and its impact on access to abortion training may have implications for ObGyn residency recruitment and training, related career decision-making, and future workforce.

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Projected Implications of Overturning Roe v Wade on Abortion Training in U.S. Obstetrics and Gynecology Residency Programs

Abstract: If Roe v Wade is overturned, at least 43.9% of U.S. obstetrics and gynecology residents are predicted to lack abortion training.

Cited by 85 publications

References 11 publications

Dobbs: Navigating the New Quagmire and Its Impacts on Abortion and Reproductive Health Care

Dobbs: Navigating the New Quagmire and Its Impacts on Abortion and Reproductive Health Care

“Post-Roe” Abortion Policy Context Heightens the Imperative for Multilevel, Comprehensive, Integrated Health Education

Abortion Attitudes and Behavioral Intentions of Obstetrics and Gynecology Residents at Four Midwestern Residency Programs

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