Impact of Dobbs v. Jackson Women's Health Organization on Professional Decision-Making Among Urology Applicants.

Autor: Peters CE; University of Washington, Seattle, WA. Electronic address: cepeters@uw.edu., Seideman CA; Oregon Health & Science University, Portland, OR. Electronic address: seideman@ohsu.edu., Kauderer S; Robert Wood Johnson University Hospital, New Brunswick, NJ. Electronic address: sk1295@rwjms.rutgers.edu., Gore JL; University of Washington, Seattle, WA. Electronic address: jlgore@uw.edu., Holt SK; University of Washington, Seattle, WA. Electronic address: sholt@uw.edu., Mehta A; Emory University School of Medicine, Atlanta, GA. Electronic address: ameht32@emory.edu., Singer EA; The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: esingermd@gmail.com., Tabakin AL; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Uniondale, NY. Electronic address: allietabakin@gmail.com., Thavaseelan S; Warren Alpert School of Medicine at Brown University, Providence, RI. Electronic address: simonethavaseelan@gmail.com., Vemulakonda V; University of Colorado School of Medicine, Aurora, CO. Electronic address: vijaya.vemulakonda@childrenscolorado.org., Posid T; The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address: tasha.posid@osumc.edu., Velez D; Robert Wood Johnson University Hospital, New Brunswick, NJ. Electronic address: velezd1@rwjms.rutgers.edu.
Jazyk: angličtina
Zdroj: Urology [Urology] 2024 May; Vol. 187, pp. 49-54. Date of Electronic Publication: 2024 Feb 29.
DOI: 10.1016/j.urology.2023.12.032
Abstrakt: Materials and Methods: An Institutional Review Board-exempt REDCap survey was distributed through the Society of Academic Urologists to all 508 applicants registered for the 2023 Urology Match following the rank list submission deadline on January 10, 2023. The survey closed on February 1, 2023. Responses were anonymized, aggregated, and characterized using descriptive statistics. Thematic mapping of open text comments was performed by 2 reviewers.
Results: The response rate was 42% (215/508). Eighty-eight percent of respondents disapproved of the Dobbs ruling. Twenty percent of respondents (15% male/24% female) eliminated programs in states where abortion is illegal. Fifty-nine percent (51% male/70% female) would be concerned for their or their partner's health if they matched in a state where abortion was illegal, and 66% (55% male/82% female) would want their program to assist them or their partner if they required abortion care during residency. Due to the competitive nature of Urology, 68% of applicants reported feeling at least somewhat obligated to apply in states where abortion legislation conflicts with their beliefs. Of the 65 comments provided by respondents, 4 common themes emerged: (1) avoidance of states with restrictive abortion laws; (2) inability to limit applications because of the competitiveness of urology; (3) impacts on personal health care; and (4) desire for advocacy from professional urology organizations.
Conclusion: The Dobbs ruling will impact the urology workforce by affecting urology applicants' decision-making regarding residency selection and ranking. Although the competitiveness of the Urology Match pressures applicants to apply broadly, many are taking reproductive health care access into consideration.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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