Navigating Reproductive Training in a Post-Dobbs Era: Applicant Perspectives on Residency Strategy [ID 3871]

INTRODUCTION: The Dobbs decision to overturn Roe v Wade in June 2022 raised concerns among medical students regarding access to comprehensive reproductive health training. This study aimed to assess how the Dobbs decision influenced the attitudes and application strategies of individuals planning to apply to ob-gyn residency. METHODS: An observational cross-sectional study was conducted using an optional seven-question validated online survey offered during registration for the 2023 Education for All (EFA) Ob-Gyn Virtual Residency Fair. RESULTS: Among 362 respondents, 61.4% reported that the Dobbs decision would limit where they apply for residency. Of those unaffected in their application strategy, 18.4% planned to pursue away-rotations to supplement training. Despite concerns, 75.7% indicated they would still apply to states with existing or anticipated restrictions due to geographic preferences and fear of not matching. Notably, 9.7% reconsidered applying to ob-gyn altogether because of potential limitations in training. CONCLUSIONS/IMPLICATIONS: Although applicants expressed anxiety about training in restrictive states, the imperative to match often outweighed these concerns. Respondents emphasized that programs in restrictive states are more appealing when they offer transparent and structured family-planning training. Many applicants are willing to travel for these experiences, suggesting that programs in supportive states should consider offering away-rotation opportunities. A review of existing family planning away-rotation models may assist programs seeking to develop similar initiatives.