RT Journal Article SR Electronic T1 Impact of State Abortion Policies on Family Medicine Practice and Training After Dobbs v Jackson Women’s Health Organization JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 492 OP 501 DO 10.1370/afm.3183 VO 22 IS 6 A1 Roper, Karen L. A1 Robbins, Sarah Jane A1 Day, Philip A1 Shih, Grace A1 Kale, Neelima YR 2024 UL http://www.annfammed.org/content/22/6/492.abstract AB PURPOSE The Dobbs v Jackson Women’s Health Organization (Dobbs) Supreme Court decision revoked the constitutional right to abortion. Now, restrictive state abortion laws may contribute to the shortage and strain already felt in primary care practice, especially related to the provision of reproductive health care. The purpose of this study is to evaluate perceived impacts of state abortion legislation on family medicine clinicians’ practice and medical education regarding reproductive health care.METHODS Ten questions were added to the 2022 Council of Academic Family Medicine Educational Research Alliance general membership survey to evaluate impact on relevant themes in reproductive health care and training after the Dobbs decision. Responses were categorized by severity of restriction of state abortion policies.RESULTS Of 1,196 respondents, 49.7% reported employment in states with very restrictive or restrictive abortion policies. The 991 respondents with clinical responsibilities reported significant (P <.05) changes in their counseling practices, clinical decision making, worry of legal risks, and trust in patients’ self-reported reproductive medical history, compared with peers in protective states. Perceived patient trust toward clinicians remained unchanged. Almost one-half of clinical respondents reported an absence of reproductive health care guidance or recommendations. Restrictive abortion policies significantly (P <.05) reduced the desirability and confidence in resident training programs.CONCLUSIONS Reported changes to clinical activities and training, coming early after the Dobbs decision, affect our current and future workforce and therefore, our patients. Future studies are needed to document continued impact of state restrictions and inform policy to support family medicine clinicians in reproductive health practice and education.