“There’s a lot of unknowns, and it’s scary for people applying to residency,” Mermin-Bunnell said. The team is still analyzing data, but initial results show many applicants are grappling with where to pursue further training, according to Emory medical students Nell Mermin-Bunnell and Ariana Traub, who also co-founded an advocacy group that supports abortion rights.
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“We would never be debating how to educate people without physical patient interaction on any other major health care issue.”Ī research team led by Atlanta’s Emory University is surveying third- and fourth-year medical students throughout the country and across specialties about their residency application decisions after the ruling that overturned Roe. “How many surgical hours do you want a liver specialist to have before they try to do a biopsy?” Merritt said. There are no similar requirements for family medicine programs.ĭoctors need the “muscle memory” that only hands-on education can give, especially for abortions, said Pamela Merritt, the executive director of Medical Students for Choice, which promotes access to abortion education.
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17 update said programs where abortions are illegal must provide that experience elsewhere. OB-GYN residency programs must provide training in abortions, according to the Accreditation Council for Graduate Medical Education, though residents with religious or moral objections may opt out.
“Now we’re seeing residents and medical students who don’t want to participate in abortions saying, ‘We are going to seek out residency positions in places where abortion might be restricted’ because - theoretically and I think this will play out - there should be less pressure placed upon them.” Christina Francis, a board member and CEO-elect of the American Association of Pro-Life Obstetricians and Gynecologists, said her organization has previously received requests from students seeking information on residencies in which they wouldn’t have to so much as make an abortion referral. On the other hand, students who oppose abortion may find more accommodation at residency programs in states that are largely outlawing the procedure.ĭr.
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“To choose a state where I will be limited or I wouldn’t have full access is essentially shortchanging myself and my future patients on the quality of care that I can provide,” said Deborah Fadoju, a fourth-year Ohio State medical student who said she looked at programs along the East Coast, where many states have laws safeguarding abortion.Īs an OB-GYN, Fadoju said, she should be able to “do the full breadth of work.” In some cases, applicants who want to perform abortions as part of their career are pursuing residencies in states with more liberal reproductive laws and perhaps continuing their careers there, too - potentially setting up less permissive states for a shortage of OB-GYNs, observers said. Many doctors and students now worry about nonexistent or subpar training in states where clinics closed or abortion laws were otherwise tightened after the Supreme Court overturned Roe v.
Students in obstetrics-gynecology and family medicine - two of the most popular medical residencies - face tough choices about where to advance their training in a landscape where legal access to abortion varies from state to state.Ībortions are typically performed by OB-GYNs or family doctors, and training generally involves observing and assisting in the procedure, often in outpatient clinics.
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