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Unpaved Road Ahead: Intent Towards Abortion Provision Amongst Matched Fourth Year Medical Students
Purpose: To evaluate the attitudes of matched fourth year
medical students (MS4s) to obstetric and gynecology (OB/GYN) residencies
towards provision of abortion services.
Background: Students matching to OB/GYN have varying exposure to
abortion care. Understanding trainees’ attitudes towards providing abortion may
help inform educational needs in the face of new legal challenges.
Methods: MS4s enrolling in an interactive, text-based,
post-match residency preparatory curriculum in 2021 and 2022 were asked whether
they plan to provide abortion services, and whether they felt they had matched
to a program that would support their anticipated practice. Descriptive
statistics were used to summarize the data. Because the questions were optional
and anonymously aggregated, no associative information could be obtained.
Results: 1520 individuals completed the #OBGynInternChallenge
over a two-year period. 930 (61.2%) answered at least one of two questions
regarding abortion. The majority (586/930, 63.0%) desired to provide
full-spectrum abortion services; only 70/930 (7.5%) indicated they would not
provide abortion. Students overall felt that their matched programs would offer
opportunities that aligned with their values and anticipated practice
(643/886, 72.6%). 16.6% (147/886) were uncertain about their program.
10.8% (96/886) did not feel their program would support their values.
Discussions: Over 60% of MS4s entering OB/GYN residencies in our
large sample expressed intent to provide abortion services. 75% felt their
matched institution would support their anticipated practice. Additional
research should explore factors associated with perceived uncertainty or lack
of support by institutions regarding residents’ choice regarding abortion
CREOG & APGO Annual Meeting, 2023, Student, Resident, Faculty, Clerkship Director, Osteopathic Faculty, Residency Director, Patient Care, GME, UME, Advocacy, Contraception or Family Planning,