Obama's changes

[pedidoc]

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Just wondering what you guys in ob/gyn think about the revoking of the federal mandate regarding performing actions against your conscience? My husband is a lawyer and he said it really didn't matter either way. If you don't want to do abortions no one can make you. The question is that your jobs may be at risk according to some people I've talked to. If you're an employee and the company doesn't receive federal dollars (under Obama's one payor system) if you don't do abortions your contracts may be terminated.

I'm just curious if you know how it works in rural areas. The two hospitals we have here are both religiously affiliated and don't allow abortions to be performed. Patients have to go an hour for the procedure down the road. Can Obama make those hospitals consent to allow those procedures to be performed in their hospitals? Who's to say that you can't just call in sick everytime a patient's on the schedule for an abortion?

Just wondered if you guys in this field are talking about it at all?

 

[Cologist]

You can't come to an ob/gyn residency forum, drop the a-bomb and wait for answers. Because threads like this tend to degenerate quickly, I'll attempt to nip it in the bud.

It won't change a thing. Those among us who are doing abortions will continue to do so, just like we did during the Bush era. Those who refuse to perform them will continue to do so without having to worry. No one can force you to perform a procedure that you haven't been trained to do and most (if not all) residency programs have an opt out/opt in clause for abortion procedures.

 

[THP]

I am a conservative anti-abortion OB resident and I am not worried about this law. There is no way for them to make you do something you are against. When you are practicing, just don't join a group where your salary depends on you performing a procedure you are against.

Also, if you opt out of a procedure during residency and are never trained to do an abortion you shouldn't be doing them in practice. If you perform a procedure you are not qualified to perform and there is a serious complication you might as well hang your hat up. Thus if your entire group is made of physicians who are unqualified to do abortions they won't terminate your contract. Should a group of internal medicine doctors lose their contracts because they won't do abortions?

Regarding your 2 rural hospital scenario: most abortions are 1st trimester and done as an outpatient.

 

[fuzzyerin]

Also, if you opt out of a procedure during residency and are never trained to do an abortion you shouldn't be doing them in practice.

Please. With the exception of >14 week D&Es, which I agree should only be done by individuals with extensive training, this just isn't true. In the first trimester, it's the same procedure for a missed abortion, incomplete abortion, inevitable abortion - suction D&C. And if you're not comfortable doing this by the end of intern year...

 

[THP]

Please. With the exception of >14 week D&Es, which I agree should only be done by individuals with extensive training, this just isn't true. In the first trimester, it's the same procedure for a missed abortion, incomplete abortion, inevitable abortion - suction D&C. And if you're not comfortable doing this by the end of intern year...

Well, that's true enough.

Legitimate question: if you plan to do EAB when you finish, are you required to have completed a certain number of them specifically, or are doing missed ab, inevitable ab, etc sufficient?

 

[Kochers]

I don't see how Obama has changed anything. The only change to status quo was when Bush added the conscience clause just last year, and now Obama has reversed the decision. So we are just back to the days before Bush changed the law less than one year ago.