USA – Abortion bans complicate medical training, risk worsening OB/GYN shortages

Thousands of doctors-in-training have lost access to abortion training. Some are fleeing to other states.

By Sara Hutchinson, Washington Post
October 13, 2023

SIOUX FALLS, S.D. — The journey to Boston was more than 1,500 miles. The plane ticket cost about $500. The hotel: another $400. Amrita Bhagia felt a little guilty about going, knowing that not everyone could afford this trip. But it was important; she was headed there to learn.

So Bhagia, a second-year medical student from Sioux Falls, S.D., caught that flight to Boston to attend a weekend workshop hosted by the American College of Obstetricians and Gynecologists. There, she joined medical students from around the country for a summit on abortion care. She learned about medication abortion, practiced the technique of vacuum aspiration using papayas as a stand-in for a uterus, and sat in on a workshop about physicians’ rights.

Continued: https://www.washingtonpost.com/education/2023/10/13/obgyn-training-abortion-restrictions/

States With Abortion Bans Are Losing a Generation of Ob-Gyns

Half of US counties have no ob-gyn, and post-Roe laws prevent new doctors from getting required training. It's only going to get worse

BY MARYN MCKENNA
JUN 20, 2023

SHIRA FISHBACH, A newly graduated physician, was sitting in an orientation session for her first year of medical residency when her phone started blowing up. It was June 24, 2022, and the US Supreme Court had just handed down its decision in Dobbs v. Jackson Women's Health Organization, nullifying the national right to abortion and turning control back to state governments.

Fishbach was in Michigan, where an abortion ban enacted in 1931 instantly came into effect. That law made administering an abortion a felony punishable by four years in prison, with no exceptions for rape or incest. It was a chilling moment: Her residency is in obstetrics and gynecology, and she viewed mastering abortion procedures as essential to her training.

Continued: https://www.wired.com/story/states-with-abortion-bans-are-losing-a-generation-of-ob-gyns/

USA – ‘We weren’t meant to be criminals’: the gynecologists training out of state post-Roe

As abortion bans sweep the nation, OB-GYN residents rotate to abortion-supportive states to meet their program requirements

by Melanie Sevcenko
Sun 18 Jun 2023

Rachel is a third-year OB-GYN resident at a medical institute in Texas and last year, when the Dobbs vote overturned Roe v Wade, her education was derailed. For her safety, she declined to offer her last name or where she studies. In June 2022, the state’s “trigger law” went into effect and abortions became illegal – first after six weeks, now full stop.

“I was horrified and angry,” said Rachel, when Roe was reversed.

Continued: https://www.theguardian.com/us-news/2023/jun/18/obgyn-doctor-abortion-law-ban

To Get Abortion Training, Some Medical Students Must Leave Their States — and Come to California

Sydney Johnson
Jun 9, 2023

Kelly Mamelson has spent most of her life in Florida, including the last two years as a medical resident specializing in obstetrics and gynecology. But because of the state’s attempts to restrict abortion care, she’ll have to travel out of state to complete her training as an OB-GYN doctor. Like many in her position, she’s not planning to practice in Florida once she finishes — but hasn’t ruled out returning to her home state altogether.

“We feel we are abandoning our patients, but we feel we have no option other than to go out of state to get this training,” Mamelson said Friday at a panel discussion hosted by UCSF’s Bixby Center for Global Reproductive Health.

Continued: https://www.kqed.org/news/11952673/to-get-abortion-training-some-medical-students-must-leave-their-states-and-come-to-california

The Disastrous Potential of the Texas Abortion-Pill Ruling

A nationwide ban on mifepristone would further erode doctors’ ability to provide—or learn how to provide—lifesaving care.

By Isaac Chotiner
April 11, 2023

Last week, two federal judges issued conflicting rulings on the abortion drug mifepristone, setting the stage for a clash that is likely to end up in the Supreme Court. First, a judge in Texas ruled that mifepristone would be banned nationwide in seven days. Then, a judge in Washington ordered the F.D.A. not to make any changes to the availability of the drug, which the agency approved for use more than two decades ago and which has an extensive safety record. While the legal process unfolds, abortion providers and health professionals are caught in limbo, exacerbating the challenges they have faced since last year’s Dobbs decision.

I recently spoke by phone with Jody Steinauer, the director of the Bixby Center for Global Reproductive Health at the University of California, San Francisco, to better understand how abortion care changed after Dobbs and what a ban on mifepristone would mean for women’s health care. Our conversation, edited for length and clarity, is below.

Continued: https://www.newyorker.com/news/q-and-a/the-disastrous-potential-of-the-texas-abortion-pill-ruling

11.04.2023

Interviews/Podcasts

Accreditation Council for Graduate Medical Education

Bixby Center for Global Reproductive Health

Jody Steinauer

mifepristone

miscarriage management

misoprostol-only abortions

USA – Medical students worry about where to train as several states enact abortion restrictions

By James Pollard, Associated Press
Oct 19, 2022

COLUMBIA, S.C. (AP) — 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.

Abortions are typically performed by OB-GYNs or family doctors, and training generally involves observing and assisting in the procedure, often in outpatient clinics. 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. Wade.

Continued: https://www.pbs.org/newshour/health/medical-students-worry-about-where-to-train-as-several-states-enact-abortion-restrictions

After Dobbs, U.S. medical students head abroad for abortion training no longer provided by their schools

By Olivia Goldhill
Oct. 18, 2022

A fourth-year medical student, Tema, faced an abrupt interruption to her education earlier this year. A state law banning abortion after six weeks went into effect hours after the U.S. Supreme Court overturned Roe v. Wade, and two days later, the clinic where her school provided first-hand abortion experience shut down.

“I’d do my patients a great disservice if I’m not trained in abortion,” said Tema, who is planning to become a family planning doctor, and asked that she be identified only by her first name for fear of repercussions by her medical school. “I’m going into a career where I care about reproductive health, I need to understand all aspects of it.” Without help from the school, Tema had to find an alternative herself, and will travel abroad next month to observe abortions being performed in a clinic in London.

Continued: https://www.statnews.com/2022/10/18/medical-students-heading-abroad-for-abortion-training/

USA – Medical Residents Struggle to Find Abortion Training as Statewide Restrictions Tighten

Medical Residents Struggle to Find Abortion Training as Statewide Restrictions Tighten
Only about two-thirds of obstetrics and gynecology residency programs provide routine, scheduled abortion training.

Jul 5, 2019
Olivia Miltner

Dr. Maryam Guiahi was concerned when she applied for Loyola University Medical Center’s obstetrics and gynecology residency program. It was the mid-2000s, and family planning was becoming a more prominent component of OB/GYN care. Guiahi knew she wanted to learn how to provide abortions, but because Loyola was a Catholic-affiliated program, she wanted to make sure she could get this training during her residency.

Guiahi says during her residency interview, faculty downplayed the work she’d have to do to learn about abortions.

Continued: https://rewire.news/article/2019/07/05/medical-residents-struggle-to-find-abortion-training-as-statewide-restrictions-tighten/