is Associate Professor of Obstetrics and Gynecology (OB/GYN) and Urology, and Associate Chair of Research in OB/GYN, New York Medical College.
is Assistant Professor of OB/GYN, University of Texas Medical Branch.
J Grad Med Educ. 2023 Jun;15(3):339-347. doi: 10.4300/JGME-D-22-00885.1. Epub 2023 Jun 14.
On June 24, 2022, the Supreme Court of the United States in the case of ended constitutional protection for abortion, thus severely restricting access to reproductive health care for millions of individuals. Concerns have arisen about the potential impact on medical students, residents, and fellows training in restricted areas and the effect on gynecologic training and the future provision of competent comprehensive women's health care in the United States.
To qualitatively explore the anticipated impacts of the ruling on training in obstetrics and gynecology (OB/GYN).
A participatory action research approach employing methods of qualitative analysis was used. Trainees and leaders in national OB/GYN professional and academic organizations with missions related to clinical care and training of medical students, residents, and fellows in OB/GYN participated. Two focus groups were held via Zoom in July 2022. Using an iterative process, transcripts underwent coding by 2 independent researchers to identify categories and common themes. Themes were organized into categories and subcategories. An additional reviewer resolved discrepancies.
Twenty-six OB/GYN leaders/stakeholders representing 14 OB/GYN societies along with 4 trainees participated. Eight thematic categories were identified: competency, provision of reproductive health care, residency selection, inequity in training, alternative training, law-based vs evidence-based medicine, morality and ethics, and uncertainty about next steps.
This qualitative study of leaders and learners in OB/GYN identified 8 themes of potential impacts of the ruling on current and future training in OB/GYN.
2022 年 6 月 24 日，美国最高法院在“多布斯诉杰克逊妇女健康组织案”中结束了对堕胎的宪法保护，从而严重限制了数百万个人获得生殖保健的机会。人们对在受限地区接受培训的医学生、住院医师和研究员以及对妇科培训和美国未来提供有能力的全面妇女保健的潜在影响表示担忧。
定性探讨“多布斯诉杰克逊妇女健康组织案”裁决对妇产科培训的预期影响。
采用参与式行动研究方法，运用定性分析方法。参与者包括与妇产科临床护理和医学生、住院医师和研究员培训相关的国家妇产科专业和学术组织的培训人员和领导。2022 年 7 月通过 Zoom 举行了 2 次焦点小组会议。使用迭代过程，由 2 名独立研究人员对转录本进行编码，以确定类别和共同主题。主题被组织成类别和子类别。额外的审稿人解决了差异。
26 名代表 14 个妇产科协会的妇产科领导/利益相关者以及 4 名学员参加了会议。确定了 8 个主题类别：能力、提供生殖保健、住院医师选择、培训中的不平等、替代培训、基于法律的医学与基于证据的医学、道德和伦理以及下一步的不确定性。
这项对妇产科领导者和学习者的定性研究确定了“多布斯诉杰克逊妇女健康组织案”裁决对妇产科当前和未来培训的潜在影响的 8 个主题。
