Abortion access looms over medical residency applications

Dr. Connor McNamee, a third-year family medicine resident at the University of Toledo Medical Center, poses at the medical center, Tuesday, Oct. 18, 2022, in Toledo, Ohio. Students in obstetrics-gynecology and family medicine are facing tough choices about where to advance their training in a landscape where legal access to abortion varies from state to state. McNamee began exploring abortion training outside Ohio last summer. A state law bans most abortions after cardiac activity is detected, but a judge has blocked it while a challenge proceeds. (AP Photo/Rick Osentoski)

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. And a team at Emory University is asking medical students about their residency application decisions after the Supreme Court ruling that overturned Roe v. Wade.

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 Roe was overturned.

In some cases, applicants who want to perform abortions as part of their career are pursuing residencies in states with more liberal reproductive laws and perhaps continuing their careers there, too — potentially setting up less permissive states for a shortage of OB-GYNs, observers said.