Impact of the United States Supreme court Dobbs versus Jackson Health Women’s Organization Decision on Abortion Curricula in United States Medical Schools

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Alyssa Stephenson-Famy, MD Angela Fleming, DO Laura Baecher-Lind, MD, MPH Rashmi Bhargava, MD Katherine T. Chen, MD, MPH Helen Kang Morgan, MD Christopher M. Morosky, MD Celeste S. Royce, MD Jonathan A. Schaffir, MD Shireen Madani Sims, MD Jill M. Sutton, MD Tammy Sonn, MD The Undergraduate Medicine Education

Abstract

This study investigated the effect of the reversal of Roe versus Wade, with the 2022 United States (U.S.) Supreme Court Dobbs1 decision, on medical school reproductive health curriculum in U.S.  An electronic survey was distributed to 248 U.S. medical school obstetrics and gynecology clerkship directors in March 2023 to assess faculty demographics, reproductive health topics included in medical school curriculum and challenges in abortion education after Dobbs.  One hundred forty-eight faculty completed the survey (60% response rate) from 40 states and the District of Columbia; 45% of respondents were from states with abortion restrictions in the first and second trimesters.  There were no significant changes in curricular content during the months following Dobbs. Thematic analysis of text responses indicates concerns about legal implications of teaching, state audits and restrictions on materials, as well as limits on abortion education in medical schools in states with restrictive abortion laws, even prior to Dobbs.


 


PRECIS:


In the months following the Dobbs decision, there was no change in abortion curricula in pre-clerkship courses or Obstetrics and Gynecology clerkship in U.S. medical schools.


 

Article Details

How to Cite
STEPHENSON-FAMY, Alyssa et al. Impact of the United States Supreme court Dobbs versus Jackson Health Women’s Organization Decision on Abortion Curricula in United States Medical Schools. Medical Research Archives, [S.l.], v. 12, n. 10, oct. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5962>. Date accessed: 03 dec. 2024. doi: https://doi.org/10.18103/mra.v12i10.5962.
Section
Research Articles

References

1. Opinions of the Supreme Court of the United States. Dobbs versus Jackson Women’s Health Organization. Accessed October 6, 2024. https://www.supremecourt.gov/opinions/21pdf/19-1392_6j37.pdf
2. Guttmacher Institute. United States Abortion Policies. Accessed March 2023. https://states.guttmacher.org/policies/
3. Beasley AD, Olatunde A, Cahill EP, Shaw KA. New Gaps and Urgent Needs in Graduate Medical Education and Training in Abortion. Acad Med. 2023;98(4):436-439. doi:10.1097/ACM.0000000000005154
4. Vinekar K, Karlapudi A, Nathan L, Turk JK, Rible R, Steinauer J. Projected Implications of Overturning Roe v Wade on Abortion Training in U.S. Obstetrics and Gynecology Residency Programs. Obstet Gynecol. 2022;140(2):146-149. doi:10.1097/AOG.0000000000004832
5. Traub AM, Mermin-Bunnell K, Pareek P, et al. The implications of overturning Roe v. Wade on medical education and future physicians. Lancet Reg Health Am. 2022;14:100334. Published 2022 Jul 20. doi:10.1016/j.lana.2022.100334
6. Giglio ME, Magalski GR, Doan YP, Bowman S. Abortion Training in Medical Education - Implications of the Supreme Court's Upcoming Decision. N Engl J Med. 2022;386(8):707-709. doi:10.1056/NEJMp2117368
7. ACOG Committee Opinion No. 613: Increasing access to abortion. Obstet Gynecol. 2014;124(5):1060-1065. doi:10.1097/01.AOG.0000456326.88857.31
8. Espey E, Ogburn T, Chavez A, Qualls C, Leyba M. Abortion education in medical schools: a national survey. Am J Obstet Gynecol. 2005;192(2):640-643. doi:10.1016/j.ajog.2004.09.013
9. Heger JA, Young BJ, Richards LR, Carrasquillo O, Kenya S. Abortion education: What are future physicians learning in medical school?. Contraception. 2024;130:110293. doi:10.1016/j.contraception.2023.110293
10. Weiner S. How the repeat of Roe v. Wade will affect training in abortion and reproductive health. AAMC News. https://www.aamc.org/news-insights/how-repeal-roe-v-wade-will-affect-training-abortion-and-reproductive-health. Published June 24, 2022. Accessed October 6, 2024.
11. Stephenson-Famy A, Sonn T, Baecher-Lind L, et al. The Dobbs Decision and Undergraduate Medical Education: The Unintended Consequences and Strategies to Optimize Reproductive Health and a Competent Workforce for the Future. Acad Med. 2023;98(4):431-435. doi:10.1097/ACM.0000000000005083
12. Ryan Residency Training Program. Accessed October 6, 2024. https://www.innovating-education.org/2018/10/ryan-program/
13. Cahill EP, Meza PK. The ongoing crisis of abortion care education and training in the United States. Curr Opin Obstet Gynecol. 2022;34(6):373-378. doi:10.1097/GCO.0000000000000825
14. Association of Professors of Gynecology and Obstetrics. APGO Medical Student Educational Objectives, 11th ed. https://cdn.ymaws.com/apgo.site-ym.com/resource/resmgr/apgo-11th-ed-mso-book.pdf. Accessed October 6, 2023.
15. Burns RM, Shaw KA. Standardizing abortion education: what medical schools can learn from residency programs. Curr Opin Obstet Gynecol. 2020;32(6):387-392. doi:10.1097/GCO.0000000000000663
16. Kiger, ME and Varpio L. Thematic analysis of qualitative data: AMEE Guide No.131. Med Teach. 2020; 42:846-854.
doi: 10.1080/0142159X.2020.1755030.
17. Summit AK, Chong E. Abortion Training in Family Medicine Residency Programs: A National Survey of Program Directors 5 Months After the Dobbs Decision. Fam Med. 2024 Apr;56(4):242-249. doi: 10.22454/FamMed.2024.683874. Epub 2024 Jan 19. PMID: 38241748; PMCID: PMC11189119.
18. Zhu DT, Zhao L, Alzoubi T, Shenin N, Baskaran T, Tikhonov J, Wang C. Public health and clinical implications of Dobbs v. Jackson for patients and healthcare providers: A scoping review. PLoS One. 2024 Mar 29;19(3):e0288947. doi: 10.1371/journal.pone.0288947. PMID: 38551970; PMCID: PMC10980209.
19. Brindis CD, Laitner MH, Clayton EW, Scrimshaw SC, Grosz BJ, Simpson LA, Rosenbaum S, Brierley CL, Simon MA, Roubideaux Y, Calonge BN, Johnson PA, DeStefano L, Bear A, Arora KS, Dzau VJ. Health-care workforce implications of the Dobbs v Jackson Women's Health Organization decision. Lancet. 2024 Jun 22;403(10445):2747-2750. doi: 10.1016/S0140-6736(24)00581-6. Epub 2024 May 22. PMID: 38795713.
20. Ferro HP, Williams K, Holbrook DS, O'Conor KJ. Disproportionate impact of abortion restriction: Implications for emergency department clinicians. Am J Emerg Med. 2023 Jul;69:160-166. doi: 10.1016/j.ajem.2023.04.022. Epub 2023 Apr 20. PMID: 37121065.
21. Grimes CL, Halder G, Beckham AJ, Kim-Fine S, Rogers R, Iglesia C. Anticipated Impact of Dobbs v Jackson Women's Health Organization on Training of Residents in Obstetrics and Gynecology: A Qualitative Analysis. J Grad Med Educ. 2023;15(3):339-347. doi:10.4300/JGME-D-22-00885.1
22. Turk JK, Claymore E, Dawoodbhoy N, Steinauer JE. "I Went Into This Field to Empower Other People, and I Feel Like I Failed": Residents Experience Moral Distress Post-Dobbs. J Grad Med Educ. 2024;16(3):271-279. doi:10.4300/JGME-D-23-00582.1