In June 2022, the U.S. Supreme Court is expected to issue a decision on Dobbs v Jackson Women's Health Organization, a direct challenge to Roe v Wade. A detailed policy analysis by the Guttmacher Institute projects that, if Roe v Wade is overturned, 21 states are certain to ban abortion and five states are likely to ban abortion. The Accreditation Council for Graduate Medical Education requires access to abortion training for all obstetrics and gynecology residency programs. We performed a comprehensive study of all accredited U.S. obstetrics and gynecology residency programs to assess how many of these programs and trainees are currently located in states projected to ban abortion if Roe v Wade is overturned. We found that, of 286 accredited obstetrics and gynecology residency programs with current residents, 128 (44.8%) are in states certain or likely to ban abortion if Roe v Wade is overturned. Therefore, of 6,007 current obstetrics and gynecology residents, 2,638 (43.9%) are certain or likely to lack access to in-state abortion training. Preparation for the reversal of Roe v Wade should include not only a recognition of the negative effects on patient access to abortion care in affected states, but also of the dramatic implications for obstetrics and gynecology residency training.

预计 2022 年 6 月，美国最高法院将对Dobbs v Jackson Women's Health Organization 案作出裁决，直接挑战Roe v Wade 案。Guttmacher Institute 的一项详细政策分析预测，如果Roe v Wade被推翻，21 个州肯定会禁止堕胎，5 个州可能会禁止堕胎。研究生医学教育认证委员会要求对所有妇产科住院医师项目进行堕胎培训。我们对所有获得认可的美国妇产科住院医师计划进行了全面研究，以评估这些计划和学员中有多少目前位于预计如果Roe v Wade禁止堕胎的州被推翻。我们发现，在现有居民的 286 个经认可的妇产科住院医师项目中，如果Roe v Wade被推翻，128 个（44.8%）的州肯定或可能禁止堕胎。因此，在目前 6,007 名妇产科住院医师中，有 2,638 人（43.9%）确定或可能无法接受州内堕胎培训。逆转Roe v Wade 案的准备工作不仅应包括认识到对受影响州患者获得堕胎护理的负面影响，还应包括对妇产科住院医师培训的巨大影响。