Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
Obstet Gynecol. 2022 Aug 1;140(2):146-149. doi: 10.1097/AOG.0000000000004832. Epub 2022 Apr 27.
In June 2022, the U.S. Supreme Court is expected to issue a decision on Dobbs v Jackson Women's Health Organization, a direct challenge to Roe v Wade. A detailed policy analysis by the Guttmacher Institute projects that, if Roe v Wade is overturned, 21 states are certain to ban abortion and five states are likely to ban abortion. The Accreditation Council for Graduate Medical Education requires access to abortion training for all obstetrics and gynecology residency programs. We performed a comprehensive study of all accredited U.S. obstetrics and gynecology residency programs to assess how many of these programs and trainees are currently located in states projected to ban abortion if Roe v Wade is overturned. We found that, of 286 accredited obstetrics and gynecology residency programs with current residents, 128 (44.8%) are in states certain or likely to ban abortion if Roe v Wade is overturned. Therefore, of 6,007 current obstetrics and gynecology residents, 2,638 (43.9%) are certain or likely to lack access to in-state abortion training. Preparation for the reversal of Roe v Wade should include not only a recognition of the negative effects on patient access to abortion care in affected states, but also of the dramatic implications for obstetrics and gynecology residency training.
2022 年 6 月，美国最高法院预计将就多布斯诉杰克逊妇女健康组织案（Dobbs v Jackson Women's Health Organization）做出裁决，该案直接对罗诉韦德案（Roe v Wade）提出挑战。古特马赫研究所（Guttmacher Institute）进行的一项详细政策分析预测，如果罗诉韦德案被推翻，21 个州肯定会禁止堕胎，5 个州可能会禁止堕胎。研究生医学教育认证委员会（Accreditation Council for Graduate Medical Education）要求所有妇产科住院医师培训项目都能够获得堕胎培训。我们对所有获得认证的美国妇产科住院医师培训项目进行了全面研究，以评估如果罗诉韦德案被推翻，这些项目和受训者中有多少目前位于预计将禁止堕胎的州。我们发现，在 286 个有现任住院医师的获得认证的妇产科住院医师培训项目中，有 128 个（44.8%）位于如果罗诉韦德案被推翻肯定或可能禁止堕胎的州。因此，在 6007 名现任妇产科住院医师中，有 2638 名（43.9%）肯定或可能无法获得州内堕胎培训。为罗诉韦德案的推翻做准备不仅应包括认识到对受影响州堕胎护理可及性的负面影响，还应包括对妇产科住院医师培训的重大影响。
