Dobbs Revisited—Addressing Effects on Resident Training in Obstetrics and Gynecology

( N Engl J Med . 2024;391(12):1073–1075. doi: 10.1056/NEJMp2407390) The article explores the challenges faced by obstetrics and gynecology (Ob/Gyn) residency programs after the US Supreme Court's decision in Dobbs v. Jackson Women's Health Organization (2022), which overturned the constitutional right to abortion. The decision had immediate consequences, particularly for medical residents in states like Wisconsin, where abortion clinics were forced to close. In Wisconsin, the residency program at the University of Wisconsin faced a critical training gap after the decision. The state's abortion clinics had been a key resource for residents' abortion care training. However, with the clinics shut down by the new law, the program was left uncertain about how to meet the Accreditation Council for Graduate Medical Education's (ACGME) requirement for abortion training.