{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T04:12:51Z","timestamp":1788581571515,"version":"build-2803163510"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Education and Curricular Development"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>The 2022 Supreme Court decision in Dobbs v. Jackson Women\u2019s Health Organization devolved abortion regulation to individual states, producing a fragmented legal environment that complicates clinical education in obstetrics and gynecology (Ob\/Gyn). In this Scholarly Perspective, we develop four sequential arguments. First, post-Dobbs legal fragmentation has materially constrained the infrastructure of abortion training, including the geographic distribution of Complex Family Planning (CFP) fellowships and the reliance on interstate rotations. Second, comprehensive reproductive health training matters not only for elective abortion provision but also for the procedural and counseling skills required to manage miscarriage, ectopic pregnancy, and obstetric emergencies \u2013 clinical needs that exist in every state. Third, even where abortion remains legal, the Accreditation Council for Graduate Medical Education\u2019s (ACGME) opt-out training requirement has not been uniformly implemented, and 46% of U.S. Ob\/Gyn residency programs lack routine abortion training across all states. Fourth, a coordinated response is feasible and should focus on protected interstate training partnerships, sustained support for CFP fellowships, expansion of validated online and simulation-based curricula, and clearer enforcement of national training standards. We close by acknowledging the limits of training reform: educational adaptation can mitigate, but cannot substitute for, the policy changes required to restore equitable access to reproductive health care.<\/jats:p>","DOI":"10.1177\/23821205261485846","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:17:13Z","timestamp":1788344233000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reproductive Health Training in 2026 and Beyond: Adapting Abortion Education in a Post-Dobbs Era"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3120-898X","authenticated-orcid":false,"given":"Ameek Kaur","family":"Bindra","sequence":"first","affiliation":[{"name":"University of Illinois Urbana-Champaign"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah C.","family":"Mozden","sequence":"additional","affiliation":[{"name":"University of Illinois Urbana-Champaign"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kasey","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of Illinois Urbana-Champaign"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenakshi","family":"Singhal","sequence":"additional","affiliation":[{"name":"University of Illinois Urbana-Champaign"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuyet-Mai Ha","family":"Hoang","sequence":"additional","affiliation":[{"name":"University of Illinois Urbana-Champaign"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_3_7_2_2","unstructured":"Dobbs v. Jackson Women\u2019s Health Organization 597 U.S. 215 2022. https:\/\/www.supremecourt.gov\/opinions\/21pdf\/19-1392_6j37.pdf"},{"key":"e_1_3_7_3_2","volume-title":"Abortion in the United States Dashboard","unstructured":"Abortion in the United States Dashboard. KFF. Accessed April 24, 2026.https:\/\/www.kff.org\/womens-health-policy\/dashboard\/abortion-in-the-u-s-dashboard\/"},{"key":"e_1_3_7_4_2","volume-title":"Keck School of Medicine of USC","author":"Complex Family Planning Fellowship Program","unstructured":"Complex Family Planning Fellowship Program. Keck School of Medicine of USC. https:\/\/keck.usc.edu\/obstetrics-and-gynecology\/training-education\/fellowship-programs\/complex-family-planning-fellowship-program\/. Accessed March 23, 2025."},{"key":"e_1_3_7_5_2","unstructured":"Complex Family Planning Fellowship: Fellowship sites. Society of Family Planning. Accessed April 24 2026.https:\/\/societyfp.org\/fellowship\/fellowship-sites\/"},{"key":"e_1_3_7_6_2","volume-title":"The impact of the abortion ban for Complex Family Planning Fellows","author":"Cwiak C","unstructured":"Cwiak C. The impact of the abortion ban for Complex Family Planning Fellows. Emory University School of Medicine. https:\/\/med.emory.edu\/departments\/gynecology-obstetrics\/education\/fellowships\/complex-family-planning\/simple-page.html"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1370\/afm.3042"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2023.110291"},{"key":"e_1_3_7_9_2","volume-title":"Training location preferences of U.S. medical school graduates post Dobbs v. Jackson Women's Health","author":"Orgera K","year":"2023","unstructured":"Orgera K, Mahmood H, Grover A. Training location preferences of U.S. medical school graduates post Dobbs v. Jackson Women's Health. AAMC Research Institute; 2023. https:\/\/www.aamcresearchinstitute.org\/our-work\/data-snapshot\/training-location-preferences-us-medical-school-graduates-post-dobbs-v-jackson-women-s-health. Accessed December 10, 2024."},{"key":"e_1_3_7_10_2","volume-title":"History, 2024 match outcomes, and trend analyses for residency and fellowship: Obstetrics & Gynecology matches","author":"National Resident Matching Program","year":"2024","unstructured":"National Resident Matching Program. History, 2024 match outcomes, and trend analyses for residency and fellowship: Obstetrics & Gynecology matches. NRMP; 2024. https:\/\/www.nrmp.org\/wp-content\/uploads\/2024\/05\/NRMP-OB-GYN-Matches.pdf"},{"key":"e_1_3_7_11_2","unstructured":"Departments of Labor. Health and Human Services and Education and Related Agencies Appropriations Act 2026 H.R. 5304 119th Cong. 2025. https:\/\/www.congress.gov\/bill\/119th-congress\/house-bill\/5304"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31823fe923"},{"key":"e_1_3_7_13_2","volume-title":"Abortion training and education in a post-Dobbs landscape","author":"American College of Obstetricians and Gynecologists","year":"2025","unstructured":"American College of Obstetricians and Gynecologists. Abortion training and education in a post-Dobbs landscape. ACOG; 2025. https:\/\/www.acog.org\/clinical-information\/policy-and-position-statements\/position-statements\/2025\/abortion-training-and-education-in-a-post-dobbs-landscape"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:113967"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","unstructured":"Declercq E Barnard-Mayers R Zephyrin L Johnson K. The U.S. maternal health divide: the limited maternal health services and worse outcomes of states proposing new abortion restrictions. Commonwealth Fund. 2022. doi:10.26099\/Z7DZ-8211.","DOI":"10.26099\/Z7DZ-8211"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2024.0885"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2024.307792"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304247"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302553"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12032"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.52109"},{"key":"e_1_3_7_22_2","unstructured":"Accreditation Council for Graduate Medical Education. Clarification on requirements regarding family planning and contraception. 2025. https:\/\/www.acgme.org\/globalassets\/pfassets\/programrequirements\/2025-reformatted-requirements\/236_complexfamilyplanning_2025_reformatted.pdf"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.3389\/frph.2025.1727085"},{"key":"e_1_3_7_24_2","unstructured":"Wright A. Abortion restrictions prevent OB-GYN training so IU sends residents to Illinois. Indiana Public Media. November 17. 2023. https:\/\/indianapublicmedia.org\/news\/abortion-restrictions-prevent-ob-gyn-training-so-iu-sends-residents-to-illinois.php"},{"key":"e_1_3_7_25_2","unstructured":"Complex Family Planning Fellowship Program. Duke Obstetrics & Gynecology. https:\/\/obgyn.duke.edu\/education-training\/fellowship-programs\/complex-family-planning. Accessed 2026."},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.15733"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","unstructured":"Tikkanen R Gunja MZ FitzGerald M Zephyrin L. Maternal mortality and maternity care in the United States compared to 10 other developed countries. Commonwealth Fund. 2020. doi:10.26099\/411V-9255.","DOI":"10.26099\/411V-9255"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.15766\/mep_2374-8265.9388"},{"key":"e_1_3_7_29_2","doi-asserted-by":"publisher","DOI":"10.15766\/mep_2374-8265.11336"}],"container-title":["Journal of Medical Education and Curricular Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23821205261485846","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23821205261485846","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23821205261485846","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T03:47:11Z","timestamp":1788580031000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23821205261485846"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":28,"alternative-id":["10.1177\/23821205261485846"],"URL":"https:\/\/doi.org\/10.1177\/23821205261485846","relation":{},"ISSN":["2382-1205","2382-1205"],"issn-type":[{"value":"2382-1205","type":"print"},{"value":"2382-1205","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"article-number":"23821205261485846"}}