Stanford School of Medicine, Department of Obstetrics and Gynecology, Division of Complex Family Planning, Stanford, California, USA.
Curr Opin Obstet Gynecol. 2022 Dec 1;34(6):373-378. doi: 10.1097/GCO.0000000000000825.
The Dobbs vs Jackson case (Dobbs) decided by the Supreme Court of the United States (SCOTUS) in 2022 rescinded the constitutional right to abortion care, resulting in immediate state bans and severe restrictions on abortion care in almost half of the states at the time of submission. This article reviews the current state of abortion education and training as well as available curricula and programmes to support continued training.
Prior to Dobbs, a national residency-level training programme, the Ryan Residency Training Program, has helped expand abortion care training in residency programs nationally, yet there remained many barriers to incorporating this training into practice, including practice and hospital restrictions. New state restrictions now additionally constrain almost half of all the Ob-Gyn residency programmes. Medical students benefit from education on options counselling and values exploration.
Abortion care education and training is in crisis. Almost half of the Ob-Gyn residents are training in states that have banned or severely restricted abortion care. This threatens to create a workforce without critical early pregnancy management knowledge and skills. Residents are more likely to provide abortion care when they have scheduled routine training. Medical students can apply options counselling and values exploration knowledge broadly. Online education resources provide some patchwork solutions to continue abortion care education and training in this heavily restrictive landscape.
综述目的：2022 年美国最高法院（SCOTUS）在多布斯诉杰克逊案（Dobbs）中推翻了堕胎护理的宪法权利，导致在提交时近一半的州立即禁止和严重限制堕胎护理。本文回顾了当前的堕胎教育和培训情况，以及现有的课程和计划，以支持持续培训。
最新发现：在多布斯之前，一个全国性的住院医师培训项目——瑞安住院医师培训计划（Ryan Residency Training Program），帮助扩大了全国范围内住院医师培训中的堕胎护理培训，但将这种培训纳入实践仍然存在许多障碍，包括实践和医院的限制。新的州限制现在还限制了近一半的妇产科住院医师培训项目。医学生从选择咨询和价值观探索的教育中受益。
总结：堕胎护理教育和培训正处于危机之中。近一半的妇产科住院医师在禁止或严格限制堕胎护理的州接受培训。这有可能导致缺乏关键的早期妊娠管理知识和技能的劳动力。当住院医师定期接受培训时，他们更有可能提供堕胎护理。医学生可以广泛应用选择咨询和价值观探索的知识。在线教育资源为在这种严格限制的环境中继续堕胎护理教育和培训提供了一些拼凑的解决方案。
