Impact of Dobbs Decision on Retention of Indiana Medical Students for Residency

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dc.contributor.authorHulsman, Luci
dc.contributor.authorBradley, Paige K.
dc.contributor.authorCaldwell, Amy
dc.contributor.authorChristman, Megan
dc.contributor.authorRusk, Debra
dc.contributor.authorShanks, Anthony L.
dc.date.accessioned2024-05-22T15:39:08Z
dc.date.available2024-05-22T15:39:08Z
dc.date.issued2023-10-08
dc.description.abstractBackground: As medical students consider residency training programs, access to comprehensive training in abortion care and the legal climate influencing abortion care provision are likely to affect their decision process. Objective: This study aimed to determine medical students' desire to stay in a state with an abortion ban for residency. Study design: A cross-sectional survey was distributed to all medical students at a large allopathic medical school. Anonymous survey questions investigated the likelihood of seeking residency training in states with abortion restrictions and the likelihood of considering obstetrics and gynecology as a specialty. Qualitative responses were also captured. Results: The survey was distributed to 1424 students, and 473 responses yielded a 33.2% completion rate; 66.8% of students were less likely to pursue residency training in Indiana following a proposed abortion ban. Moreover, 70.0% of students were less likely to pursue residency in a state with abortion restrictions. Approximately half of respondents (52.2%) were less likely to pursue obstetrics and gynecology as a specialty after proposed abortion restrictions. Qualitative remarks encompassed 6 themes: comprehensive health care access, frustration with the political climate, impact on health care providers, relocation, advocacy, and personal beliefs and ethical considerations. Conclusion: Most medical students expressed decreased likelihood of remaining in Indiana or in states with abortion restrictions for residency training. The field of obstetrics and gynecology has been negatively affected, with medical students indicating lower likelihood to pursue obstetrics and gynecology. Regardless of specialty, the physician shortage may be exacerbated in states with abortion restrictions. The overturn of Roe v Wade has the potential for significant effects on medical student plans for residency training location, thereby shaping the future of the physician workforce.
dc.description.sponsorshipThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for- profit sectors.
dc.identifier.citationHulsman L, Bradley PK, Caldwell A, Christman M, Rusk D, Shanks A. Impact of the Dobbs v Jackson Women's Health Organization decision on retention of Indiana medical students for residency. Am J Obstet Gynecol MFM. 2023 Nov;5(11):101164. doi: 10.1016/j.ajogmf.2023.101164.
dc.identifier.urihttps://hdl.handle.net/1805/40950
dc.language.isoen_US
dc.publisherElsevier
dc.relation.isversionof10.1016/j.ajogmf.2023.101164
dc.subjectIndiana
dc.subjectInternship and Residency
dc.subjectPregnancy
dc.subjectMedical Students
dc.subjectWomen's Health
dc.subjectAbortion
dc.subjectAdvocacy
dc.subjectMedical Education
dc.subjectPolicy
dc.subjectResidency training
dc.subjectRoe v Wade
dc.titleImpact of Dobbs Decision on Retention of Indiana Medical Students for Residency
dc.typeArticle
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