State abortion legal guidelines influencing many medical college students’ residency selections

State abortion legal guidelines influencing many medical college students’ residency selections


Traub, AM. The Dobbs resolution and its geographical impression on future doctor coaching. Introduced at: ACOG Annual Scientific & Scientific Assembly; Could 19-21, 2023; Baltimore.

The authors report no related monetary disclosures.

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Key takeaways :

  • Researchers surveyed practically 500 third- and fourth-year medical college students throughout 32 states.
  • Survey outcomes point out abortion care is altering the place U.S. medical college students are selecting to use to residency.

BALTIMORE — A brand new research discovered that the Dobbs resolution and subsequent restrictive abortion legal guidelines are impacting residency utility selections for medical college students throughout all specialties.

Many medical college students are selecting to keep away from or choose applications in U.S. states with restrictive abortion legal guidelines based mostly on their private views, Ariana M. Traub, MPH, and Kellen Mermin-Bunnell, BS, third-year medical college students at Emory College College of Drugs, informed Healio.

Supply: Adobe Inventory.

Dobbs has already had drastic short-term repercussions, and it has the potential to dramatically change the long-term well being care panorama within the U.S. … With a rise in doctor shortages, significantly in rural areas, this has potential implications for increasing these shortages in states with extra restrictive abortion legal guidelines, worsening well being outcomes,” Traub and Mermin-Bunnell mentioned in an interview.

The researchers aimed to guage how abortion care is altering the place U.S. medical college students select to use to residency.

“With Dobbs, and the eventual implementation of HB 481 in Georgia (6-week ban), impacting us early in our medical training, we wished to know the way this was impacting these additional alongside within the course of. Would Dobbs and the later particular person state insurance policies impression the place a medical pupil would apply to residency? Would this modification the distribution of residents throughout the nation? We additionally started to consider what powerfully politically pushed well being care insurance policies would imply for us past medical faculty — how would this modification the form of physicians we find yourself changing into?” Traub and Mermin-Bunnell informed Healio.

The researchers assessed survey responses from 494 third- and fourth-year medical college students throughout 32 U.S. states making use of to residency applications from August 2022 by October 2022. In response to the outcomes:

  • Most respondents making use of into OB/GYN and people making use of into all different specialties indicated that they’re unlikely or most unlikely to use to a single residency program in a state with abortion restrictions (57.9%).
  • Medical college students in a state with out abortion restrictions indicated that they’re much less more likely to relocate to a state with abortion restrictions, and people in a state with restrictions indicated they’re extra more likely to apply broadly to states with and with out restrictions.
  • Cis-gender ladies had been extra influenced by the Dobbs resolution and its impression on the place and when to start out a household.
  • Cis-gender males and/or those who self-identified as Catholic had been least influenced by Dobbs when making residency selections.

“For private in addition to skilled causes, reproductive well being care entry is now a key think about residency match selections because of Dobbs,” Traub and Mermin-Bunnell informed Healio. “We discovered it fascinating that medical college students making use of to each specialty, not simply OB/GYN, are influenced by Dobbs and subsequent abortion restrictions when selecting the place to use to residency. We had anticipated these making use of into OB/GYN could be extra influenced as a result of they’re those largely offering abortion care.”

The researchers mentioned they hope to follow-up this work sooner or later with longitudinal knowledge on affected person outcomes and doctor distribution throughout the U.S.

“Whereas our research is a small pattern of medical college students, if generalizable, it has substantial implications for a shift in the place physicians practice, and ultimately observe,” Traub and Mermin-Bunnell informed Healio.

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