A nationwide ban on mifepristone would further erode doctors’ ability to provide—or learn how to provide—lifesaving care. “This is a national crisis in obstetrics and gynecology,” a reproductive-heath expert said. Read more:
Last week, two federal judges issued conflicting rulings on the abortion drug mifepristone, setting the stage for a clash that is likely to end up in the Supreme Court. First, a judge in Texas ruled that mifepristone would be banned nationwide in seven days. Then, a judge in Washington ordered the F.D.A. not to make any changes to the availability of the drug, which the agency approved for use more than two decades ago and which has an extensive safety record.
When we teach people to provide abortion care, there are also skills that we use for pregnancy-loss care. Medical management for miscarriage is the same as medical management for abortion, or what we call medication abortion. In states where we’re unable to provide that care for patients, we’re also unable to teach residents how to do it.
If we can’t solve that problem, we’re all very worried that, for however many years these laws are in place, there will be a group of residents who are going to finish and not be able to be as competent in those skills as they could have been. They might end up practicing anywhere, not just necessarily in that state.
Then there’s travel. A lot of these programs are trying to partner with institutions in nonrestricted states so that their residents can actually travel. Residents travel to different programs for specific rotations. It’s just that this is a puzzle because it’s so many residents. How do we make sure that all of the institutions in these states can actually send their residents to another state?supports efforts to integrate the required abortion training.
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