Ali Block
speaker
886 appearances
8 recordings
1 series
first heard Sep 2023
last heard Oct 2023
Ali Block’s voice in public audio — every appearance, attributed to the second.
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It's mostly routine, straightforward, even rote.
But like anything in medicine, there can be complications.
They're rare, but when they do happen, they happen fast and can be life-threatening.
The ramifications of losing out on this hands on training extend beyond just abortion care.
This is Meredith, an OBGYN and educator in Cincinnati, Ohio.
After the state enacted its six week ban in June of twenty twenty two, it became essentially impossible for her to teach abortion in any kind of hands-on way.
So Meredith is now in the position of trying to figure out what skills can she feasibly teach her trainees, given the political and legal context, and what skills do her students need to leave the state to learn.
Like this year, she had one resident who wanted to focus on abortion care for her third year elective.
So beyond making training harder to access, Dobbs has also impacted the kinds of students that go to residency in places like Ohio.
Restricted states are left mostly with students that are okay with not getting trained, leaving the state with fewer and fewer clinicians able to offer this care at all.
Meanwhile, the students who do want that training end up vying for the extremely limited spots in unrestricted states like California and New York, there just aren't enough training spots for everyone who wants them.
The impacts of this deficit can get pretty serious pretty fast.
Part of what makes this post-op's reality so upsetting is that while the consequences of not having adequate access to training can be dire, the training itself is just not that difficult or time consuming to complete.
A week, two weeks maybe.
Julie said that pre-Dobs, she'd always seen the solution as making abortion training opt-out instead of opt-in at family medicine and OBGYN residency programs.
That way, at least everyone would get basic training, unless they specifically opted out due to religious or moral objections.
But since Dobbs, training has become such a limited resource that even making it opt out in all the programs that remain wouldn't account for the thousands of residents in restricted states missing out on any training at all.
So what's it like to be seeking training in such a divided landscape?
We talked to a lot of trainees in the past year and a half, and one of the things that struck us most was how varied their considerations have to be.
Not just what kinds of technical training the program offers now, but also the likelihood that'll stay the same, given the political context of the state.
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