Reproductive rights legislation influences cardiothoracic surgery training options.

Autor:	Tompkins AK; Center for Asian Health, Lewis Katz School of Medicine at Temple University, Philadelphia, Pa., Egelko A; Department of Surgery, Temple University Hospital, Philadelphia, Pa., Florescu N; Lewis Katz School of Medicine at Temple University, Philadelphia, Pa., Antonoff M; Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex., Erkmen CP; Center for Asian Health, Lewis Katz School of Medicine at Temple University, Philadelphia, Pa; Department of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, Pa. Electronic address: Cherie.p.erkmen@tuhs.temple.edu.
Jazyk:	angličtina
Zdroj:	The Journal of thoracic and cardiovascular surgery [J Thorac Cardiovasc Surg] 2024 Jul 25. Date of Electronic Publication: 2024 Jul 25.
DOI:	10.1016/j.jtcvs.2024.07.035
Abstrakt:	Objectives: Training in cardiothoracic surgery coincides with a time when many plan their families. Many choose to delay childbearing until the end of training, 33% of women and 20% of men reported using assisted reproductive technology (ART). States have varying laws regarding abortion and ART, which can influence these decisions. Our purpose was to elucidate the intersection of such laws and the training positions available in cardiothoracic surgery. Methods: We identified abortion laws, abortion laws regarding insurance coverage, personhood laws that potentially influence ART, and insurance coverage of ART using publicly available data. We created choropleth maps with cardiothoracic surgery training positions identified using the National Resident Matching Program Match data for 2024. Results: We found that 29.4% of cardiothoracic surgery programs (47 out of 160) are situated in states with abortion restrictions. Of 48 integrated training positions, 10 are in states with abortion restrictions. Similarly, 32 of 95 traditional thoracic positions and 5 of 17 congenital positions are in states abortion restrictions. A total of 25.6% of cardiothoracic training programs reside in states that grant personhood before birth, potentially affecting ART. Insurance coverage for abortion and ART are variable. Conclusions: Valuing reproductive rights like access to abortion, insurance coverage, and ART can potentially influence training opportunities in cardiothoracic surgery. Competing Interests: Conflict of Interest Statement The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest. (Copyright © 2024. Published by Elsevier Inc.)
Databáze:	MEDLINE
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