| المؤلفون: |
Meriwether KV; Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico., Kim-Fine S; Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada., Ablove T; Department of Obstetrics and Gynecology, University at Buffalo, Buffalo, New York., Ollendorff A; Department of Obstetrics and Gynecology, Carilion Clinic-Virginia Tech Carilion SOM, Roanoke, Virginia., Dale LE; Department of Obstetrics and Gynecology, Maine Medical Center, Portland, Maine., Krashin JW; Department of Obstetrics and Gynecology, University of New Mexico, Albuquerque, New Mexico., Winkelman WD; Department of Obstetrics and Gynecology, Mount Auburn Hospital/Harvard Medical School, Boston, Massachusetts., Orejuela F; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas., Mazloomdoost D; Department of Obstetrics and Gynecology, INOVA Fairfax Hospital, Falls Church, Virginia., Grimes CL; Department of Obstetrics and Gynecology, New York Medical College, Valhalla, New York., Beckham AJ; Department of Obstetrics and Gynecology, WakeMed Health and Hospitals, Raleigh, North Carolina., Propst K; Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida., Florian-Rodriguez ME; Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas., Turk JK; Department of Obstetrics and Gynecology, University of California San Francisco, San Francisco, California., Chang OH; Department of Urology, University of California Irvine, Irvine, California., Horvath S; Department of Obstetrics and Gynecology, Penn State University Hershey Medical Center, Hershey, Pennsylvania., Ros ST; Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida., Crisp CC; Department of Obstetrics and Gynecology, TriHealth Division of Urogynecology, Cincinnati, Ohio., Petersen TR; Department of Anesthesiology and Critical Care Medicine, University of New Mexico, Albuquerque, New Mexico., Iglesia CB; Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, District of Columbia. |
| مستخلص: |
Objectives: We aimed to describe obstetrics and gynecology (OBGYN) trainees' anticipation of how the Dobbs v. Jackson Women's Health Organization (Dobbs) U.S. Supreme Court decision may affect their training. Methods: A REDCap survey of OBGYN residents and fellows in the United States from September 19, 2022, to December 1, 2022, queried trainees' anticipated achievement of relevant Accreditation Council for Graduate Medical Education (ACGME) training milestones, their concerns about the ability to provide care and concern about legal repercussions during training, and the importance of OBGYN competence in managing certain clinical situations for residency graduates. The primary outcome was an ACGME program trainee feeling uncertain or unable to obtain the highest level queried for a relevant ACGME milestone, including experiencing 20 abortion procedures in residency. Results: We received 469 eligible responses; the primary outcome was endorsed by 157 respondents (33.5%). After correction for confounders, significant predictors of the primary outcome were state environment (aOR = 3.94 for pending abortion restrictions; aOR = 2.71 for current abortion restrictions), trainee type (aOR = 0.21 for fellow vs. resident), and a present or past Ryan Training Program in residency (aOR = 0.55). Although the vast majority of trainees believed managing relevant clinical situations are key to OBGYN competence, 10%-30% of trainees believed they would have to stop providing the standard of care in clinical situations during training. Conclusions: This survey of OBGYN trainees indicates higher uncertainty about achieving ACGME milestones and procedural competency in clinical situations potentially affected by the Dobbs decision in states with legal restrictions on abortion. |
