Complex Family Planning — Specialty Profile

Exploratory, not prescriptive. This profile blends hard data (pay, match data, demographics — each sourced and dated) with generalizations and synthesized online opinion about culture and "who fits." It's here to help you get curious and go find out for yourself — not to tell you who to become. Numbers marked ⟳ verify change every year; check the linked source before you quote one. Last reviewed: 2026-07-25.

Subspecialty fellowship of OB/GYN (the newest ABOG-recognized subspecialty).

Also called: CFP; historically "Family Planning" (the older Fellowship in Family Planning, FFP). Reached through OB/GYN, so you match into OB/GYN residency first, then apply to a 2-year CFP fellowship. Organ system: reproductive (contraception, abortion, early pregnancy, family planning for medically complex patients).

A note on data (read this first). CFP is one of the newest and smallest subspecialties in medicine — formal ABOG/ABMS subspecialty status arrived only around 2018–2020. That means the data here is genuinely thin compared to a big field like EM: there is essentially one CFP-specific compensation survey (SFP, FY2022, N≈98), tiny single-year match cohorts (~28-33 fellows/yr), and no CFP-specific burnout, happiness, or demographic breakdowns — only OB/GYN proxies. Where a number is missing or rests on a small sample, this profile says so plainly rather than inventing one. Treat the specifics as directional.

The 30-second version

Complex Family Planning is the OB/GYN subspecialty built entirely around contraception and abortion care, including for the patients those services are hardest and highest-stakes for. A CFP subspecialist is the person other doctors call when someone with a heart transplant, severe cardiac disease, or on lifelong anticoagulation needs safe, effective contraception; the person who manages complicated abortions and later-gestation or fetal-anomaly cases; the person who handles miscarriage and early pregnancy loss for medically fragile patients. It is a mostly outpatient, procedure-plus-counseling field with a heavy research, teaching, and advocacy streak, and it is, by origin and by population, an academic, mission-driven specialty. It is also the field where, more than any other in medicine, the law of the state you're standing in decides what you're allowed to do. That post-Dobbs geographic reality is the whole planning problem of this career.

Quick dashboard (details and sources below)
Training after med school OB/GYN residency (4) + Complex Family Planning fellowship (2) = 6 yrs after med school
Total from college start ~14 years (4 undergrad + 4 med school + 4 OB/GYN residency + 2 CFP fellowship)
Competitiveness (as an OB/GYN fellowship) Small, self-selecting match — 29 applicants for 38 positions (2026), and 28 of the 29 matched; a commitment filter rather than a numbers race ⟳
Typical full-time pay (academic faculty) ~$268K median / ~$277K mean total comp (SFP FY2022) — limited data, one survey ⟳
Pay range (structure, academic) 25th pct ~$246k · median ~$268k · 75th pct ~$314k (SFP FY2022) ⟳
Lifestyle For an OB/GYN path, unusually controllable — mostly scheduled/outpatient, lighter call, often less (or no) L&D
Burnout No CFP-specific figure; OB/GYN overall is 45.7% against a 41.9% all-physician average (AMA 2025). Post-Dobbs moral distress is the field-specific stressor ⟳
% women No CFP-specific figure; OB/GYN feeder pool skews strongly female (~85% of residents, 2020) — presumed strongly female-majority (limited data) ⟳
DO / IMG accessibility 2026 match: 24 US MD (85.7%), 1 US DO (3.6%), 3 US IMG (10.7%), 0 non-US IMG. The 2025 cycle had none of either — a 28-person cohort, so do not over-read (limited data) ⟳

What they actually do

CFP subspecialists practice at the complex end of contraception and abortion care. The work is a genuine mix of cognitive/counseling and procedural: high-complexity contraceptive management (for patients with cardiac disease, transplants, clotting disorders, or anticoagulation, where "just pick a method" isn't safe), complex and later-gestation abortion care, fetal-anomaly and maternal-medical-complexity cases, and early pregnancy loss and miscarriage management.12 Contraception here is a high-complexity specialty rather than "prescribing the pill," and CFP experts are the consultants other physicians route their hardest reproductive cases to.2

Because the field grew up inside universities (from the UCSF Fellowship in Family Planning, founded 1991), it carries a heavy research, teaching, and advocacy identity, and patient autonomy, reproductive justice, and access are treated as core to the job rather than adjacent to it.12 Many CFP physicians reduce or drop obstetric deliveries entirely, moving the center of gravity away from the round-the-clock L&D grind, though some keep a foot in generalist OB or gyn surgery.2

Representative procedures: IUD and implant (LARC) placement and removal, including in anatomically or medically difficult patients · first- and second-trimester (including later-gestation) procedural abortion, meaning dilation and evacuation and manual or electric vacuum aspiration · medication abortion management · miscarriage and early-pregnancy-loss management · ultrasound for dating and procedures · complex contraceptive counseling and management for high-risk medical conditions · sterilization.12

A day in the life: Largely scheduled and outpatient, with clinic sessions of contraception counseling and management, procedure sessions (LARC, aspiration, D&E), and consults on medically complex patients, interleaved with research, teaching residents and fellows, and, for many, policy or advocacy work. Because procedures are mostly scheduled rather than emergent, the day is far more plannable than a generalist OB's "babies come at 3 a.m." rhythm.2 The asterisk unique to this field: the content of the work can carry legal, logistical, and personal-safety friction that no other subspecialty's schedule does, so the calendar may be controllable while the surrounding environment is not.23

The training path & time to completion

Medical school (4 yrs) → OB/GYN residency (4 yrs) → Complex Family Planning fellowship (2 yrs) → board-eligible subspecialist (ABOG written + oral).45 You do not enter CFP from medical school. It is reached through a full OB/GYN residency, so the commitment is long and sequential.

  • Fellowship: a 2-year ACGME-accredited program combining complex clinical family planning, research, and teaching. On completion (and passing ABOG written + oral exams), you're a board-certified subspecialist in Complex Family Planning.45
  • Board: the American Board of Obstetrics and Gynecology (ABOG) subspecialty certificate, the newest of ABOG's subspecialties.56
  • Total from the start of college: ~14 years (4 undergrad + 4 med school + 4 OB/GYN residency + 2 CFP fellowship).

Recognition timeline (why "newest" matters): ABOG submitted the request for a new CFP subspecialty certificate to ABMS in 2018; the first subspecialty qualifying exam followed around 2019 (⟳ verify the exact year; the ABOG page was access-blocked mid-2026); CFP obtained ACGME accreditation in 2020.67 It is the most recently created ABOG subspecialty, younger than Maternal-Fetal Medicine, Gynecologic Oncology, Reproductive Endocrinology and Infertility, and Urogynecology.7

How competitive is it? (as an OB/GYN fellowship)

CFP is small and self-selecting rather than statistically cutthroat, and the honest framing for a premed is that the filter is commitment rather than a brutal applicant-to-slot ratio.

From the NRMP Specialties Matching Service, 2026 (the OB/GYN fellowship match):8 ⟳

  • Programs: 35 · positions offered: 38 · positions filled: 28 (73.7% fill rate), leaving 10 programs short.
  • 29 applicants ranked CFP; 28 matched. Fewer applicants than positions, with nearly everyone who ranked it getting a seat. This is a field people commit to, not one they hedge into.
  • By type: 24 US MD (85.7%), 1 US DO (3.6%), 3 US IMG (10.7%), 0 non-US IMG. This is a tiny cohort and small-year swings are large, so don't over-read one snapshot (limited data; ⟳ verify across multiple years).
  • The fill rate moved twenty points in one cycle, from 94.3% on 35 positions to 73.7% on 38. On a cohort this small that is a handful of people, not a trend.

How big is the field, really? There's a genuine counting discrepancy: SFP lists ~39 fellowship "sites" across 23 states, while the 2026 NRMP match counted 35 programs and older ACGME material references ~27, so treat "~30–39 programs, roughly one fellow per site per year" as the working range.8910 The entire national cohort of new CFP subspecialists each year is small enough to fit in a lecture hall.10

Geographic concentration (SFP sites, 2026): New York ~8, California ~7, Illinois ~4, North Carolina ~2, with single programs scattered across CO, CT, GA, HI, MD, MA, MI, MN, MO, NM, OH, OR, PA, UT, WA.9 That clustering in access states is not an accident; see the post-Dobbs section.

The honest read: the numbers don't gatekeep CFP the way Step scores gatekeep dermatology. What gatekeeps it is a years-long, deliberate commitment to a stigmatized, politically targeted, geographically constrained field. You have to choose OB/GYN, then choose this.

Compensation — the honest (thin) version

Data-sparseness flag: CFP is one of the thinnest-data subspecialties in medicine for pay. The big commercial surveys (Doximity, Medscape, MGMA) fold it into general "OB/GYN" — there is no CFP line item. The only CFP-specific dataset is the Society of Family Planning Faculty Salary Survey, and the latest public edition is FY 2022 (N=98 academic faculty, 31 medical schools).11 Everything CFP-specific below rests on that one survey; everything else is a general OB/GYN proxy. A newer SFP survey may exist behind member login (⟳ verify).

The one real CFP number (academic faculty, SFP FY2022):11 ⟳

  • Mean total comp $277,496 · median $268,440 · 25th pct $245,542 · 75th pct $313,524. No 90th percentile is published.
  • By rank: Assistant Prof ~$249k mean → Associate ~$283k → Professor ~$321k → Chief ~$345k (up to low-$400ks at the 75th pct). Pay rises with academic rank, as you'd expect in a university-based field.
  • By institution: Public ($281k mean) ≈ Private ($272k). By region: small cells outside the Northeast ($281k) and West ($276k), so treat regional splits as very rough (⟳ verify).
  • A telling context stat from the same survey: CFP professors earned ~24% below the national average for clinical-science professors, meaning CFP faculty are paid below typical clinical-department academic peers.11

Where CFP sits against the OB/GYN world (proxies). General OB/GYN total comp runs roughly $372k–$390k in the mid-2020s (Medscape 2025 ~$372k; Doximity 2025 ~$389.6k for 2024 data; BLS mean lower at ~$281k).1213 Among OB/GYN subspecialties, the procedural and surgical ones pay far more: MFM ~$513k, REI ~$461k, Urogynecology ~$402k, OB hospitalist ~$297k (Physician Side Gigs 2024).12 CFP isn't even listed in those tables and, being focused on contraception, abortion, and counseling rather than high-RVU surgery, it sits at the lower end, closer to OB hospitalist and general academic OB than to MFM or gyn-onc.12

Why it pays less, plainly. Most CFP practice is salaried academic or non-profit/mission-driven (Planned Parenthood-affiliated clinics, abortion funds, hospital family-planning divisions) rather than high-volume fee-for-service private OB.14 The work is disproportionately grant- and philanthropy-funded, which also makes it more exposed to political and funding volatility than a typical clinical salary. Choosing CFP is, in compensation terms, largely a decision to trade the higher earnings of surgical OB/GYN subspecialties (and high-volume private OB) for an academic, research, and reproductive-justice career.1114

What's genuinely unbenchmarked: non-profit / Planned Parenthood-type CFP salaries (no reliable public dataset), and any post-Dobbs salary trend, since the one CFP survey predates the full downstream effects (limited data; ⟳ verify).14

Lifestyle & the schedule bargain

Verdict: for an OB/GYN pathway, unusually controllable at 4/5. CFP is one of the more lifestyle-friendly ways to be an OB/GYN, precisely because it moves the center of gravity away from labor and delivery.2

  • Mostly outpatient + scheduled procedures. Clinic-based counseling and management plus scheduled procedure sessions, rather than the round-the-clock unpredictability of obstetric deliveries. Many CFP physicians reduce or drop OB entirely.2
  • Lighter, more predictable call than generalist OB/GYN or than sister subspecialties like MFM, so the classic OB "babies come at 3 a.m., every day" burnout driver is much diminished.2
  • Academic-heavy career shape. A large share work in academic medical centers, Planned Parenthood / abortion-fund-affiliated clinics, or hospital family-planning divisions, blending clinical work with research, teaching, and advocacy. Pure private practice is uncommon.214

The lifestyle asterisk unique to CFP: schedule control is real, but the surrounding environment of law, logistics, and safety is not something you schedule. The calendar can be calm while the context is stressful.23 (See Wellbeing.)

Wellbeing — the part to take seriously

No CFP-specific burnout or "would-choose-again" figure exists. The subspecialty is too new and small to appear in the national surveys. For scale, OB/GYN overall runs high on burnout, 45.7% against a 41.9% all-physician average on the AMA's 2025 survey and fourth of the nine specialties it names, driven largely by the operational grind of deliveries, the very thing CFP's controllable schedule protects against.15 By reputation and the tone of the workforce literature, CFP physicians are strongly mission-driven and high on "would choose again," since this is people doing work they consider a calling, but that's characterization rather than a measured statistic (limited data).2

The field-specific stressor is post-Dobbs moral distress and safety, and it's real and specific:

  • Post-Dobbs research documents widespread moral distress and burnout among OB/GYNs, concentrated in those who provide or want to provide abortion care: eroded autonomy, fear of legal exposure for clinical decisions, and being forced to apply legal rather than clinical reasoning to patient care.316
  • KFF's national survey found ~42% of OB/GYNs concerned about their own legal risk in clinical decisions, rising to ~61% in ban states, with majorities in restrictive states reporting a worsened ability to practice to the standard of care.3 ⟳
  • Safety stress is nearly unique to this field. Abortion provision has long carried a background threat of harassment, protest, stalking, and historically violence directed at providers and clinics, a stressor essentially no other subspecialty carries to the same degree.2

Career longevity is two-sided. The controllable schedule and deep sense of purpose support long careers; the legal/political environment pushes some physicians out of restrictive states, out of clinical abortion work, or toward relocation, a documented workforce shift, with providers moving from ban to protective states and trainees avoiding restrictive states.161718

Who's in the field (demographics)

Direct CFP demographic data is limited. Neither SFP nor NRMP breaks out CFP fellows by sex/race beyond the medical-school-type match counts. The best available signals are OB/GYN proxies (the feeder pool) plus the tiny match snapshot; everything here is flagged accordingly.

  • Women: No CFP-specific figure published. The OB/GYN pipeline skews strongly female, at ~80% of applicants, ~85% of residents (2020), and ~66% of attendings, so CFP is presumed strongly female-majority (≥80%), and the one SFP salary sample was ~85% women.1911 (limited data; ⟳ verify, since no CFP-specific figure was found.)
  • DO and IMG: In the 2026 match, 1 DO and 3 US IMGs matched into CFP alongside 24 US MDs, so about 14% of the cohort came from outside US MD schools. The prior cycle had none of either. On a 28-person cohort a single person moves the share by three and a half points, so treat both readings as small-n observations rather than rules (⟳ verify across years).8
  • URiM: No CFP-specific data located. OB/GYN proxy (2020 applicants): Black women ~11%, Hispanic women ~6%, with Black and Hispanic men each ~2%, so URiM representation in OB/GYN overall remains below population share. A 2021 Obstetrics & Gynecology paper reports sex and race/ethnicity across accredited OB/GYN subspecialty training, which is where a CFP row would appear if one exists (⟳ verify).1920

Culture, personality & the online read

Plain and warm rather than preachy. This describes reputation and the online read rather than a verdict on any individual. Plenty of CFP physicians won't fit the sketch, and abortion politics are handled here factually, as a career consideration rather than advocacy.

Who gravitates here: OB/GYNs who consider access to contraception and abortion care a core value rather than a task: deeply mission- and reproductive-justice-driven, advocacy-comfortable (policy, testimony, media, public-facing work), research-oriented (the field is academic by origin), and willing to do work that is stigmatized and, in the current era, politically targeted. Choosing this subspecialty is itself a statement of commitment.2

The online reputation (reputation, not fact): CFP is widely read online as "the most mission- and advocacy-driven OB subspecialty," a "reproductive-justice calling," and, in the same breath, as "politically fraught and geographically constrained post-Dobbs," a field where what you can do depends heavily on where you are. That framing is an online read; individual experiences vary a lot by state and setting, and plenty of people in the field don't match the stereotype.2

What people say online (synthesized and paraphrased from public discussion, not quoted): The recurring themes are consistent. People describe CFP as the path for those who feel contraception and abortion access is the reason they went into medicine, and it draws unusually value-motivated applicants. Threads note the schedule is more controllable than generalist OB and that many CFP physicians step back from deliveries, a draw for people who love the clinical content but not OB call life. The dominant caveat, discussed factually as a career-planning constraint rather than a political argument, is geography and law: where you can train and practice is now a live consideration, so posters weigh protective vs. restrictive states, cross-state licensing for training, and clinic safety. Some skepticism appears about job-market breadth and the academic-vs-community balance, given how small and university-centered the field is.2

Voices from the field. Paraphrased from public writing, with links to the originals:

  • Physician-advocates writing on KevinMD argue that reproductive and abortion care is core health care and that clinicians can't stay neutral, emphasizing equity impacts on Black, Indigenous, and low-income patients, illustrating the advocacy-forward culture of the broader family-planning community.21
  • The Society of Family Planning frames the fellowship around not just procedural skill but communication and patient autonomy, plus dedicated research funding (e.g., the Uta Landy Complex Family Planning Fund), signaling the field's research-and-values orientation.1
  • AAMC reporting relays practicing OB/GYNs describing legal language intruding on clinical decisions, delayed emergency care, and physicians relocating from ban states because they felt they couldn't practice, capturing the moral-distress and career-geography reality adjacent to CFP.16
  • The KFF national survey provides the neutral, quantitative backbone on legal-risk fear, eroded autonomy, and constrained practice post-Dobbs.3

Why people choose it / why people leave

Why choose it: you consider reproductive care, contraception and abortion both, the reason you went into medicine, and want it at the center of your career · you want OB/GYN's procedural and clinical depth with a more controllable, largely outpatient/procedural schedule than generalist OB · you're drawn to research, teaching, and advocacy or policy and comfortable in academic or non-profit settings · you want to serve medically complex and underserved patients others can't or won't · high-complexity contraception and complex abortion care are intellectually deep, real expertise.

Why leave or avoid it: the political, legal, and safety environment is a constant background stressor · you want a wide, geographically flexible job market and high private-practice earnings, when this field is small, academic-leaning, and geographically constrained · you're uncomfortable being publicly associated with abortion care · you love deliveries and continuity obstetrics (CFP moves you away from that) · pay sits below the surgical OB/GYN subspecialties and often below high-volume private OB.

Best fit if: mission and values are your primary career driver · you're advocacy-comfortable · you're willing to plan your geography deliberately, training and practicing where the work is legally protected · you value schedule control and are content in academic/clinic settings.

Not for you if: you want to maximize income and location flexibility · you'd find the legal/political scrutiny and safety concerns draining · you want to keep doing full-scope obstetrics · you prefer a large, well-established subspecialty with abundant, geographically distributed jobs.

The FLI angle — Complex Family Planning for first-gen, low-income & immigrant students

Where CFP fits FLI realities well:

  • A genuine mission fit. Contraception and abortion access disproportionately affect low-income, Black, Indigenous, and rural patients, exactly the communities many FLI students come from and want to serve. The work is concrete, high-impact, and the field's research and advocacy culture rewards people who want to change systems rather than just treat patients one at a time.21
  • A controllable schedule relative to generalist OB, which is real if you're carrying family responsibilities and can't do endless overnight L&D.2
  • High-impact expertise in a field small enough that committed people are genuinely needed.

The honest, prominent catch is career geography (handled neutrally). This is the one thing an FLI student must weigh clearly: post-Dobbs, where you can train and where you can practice full-scope CFP is legally constrained. Presented factually rather than as advocacy:

  • Training: abortion care is core to the CFP curriculum, so fellowships in ban states increasingly rely on out-of-state and away rotations (and extra state licenses) so fellows can obtain required experience where care is legal; ACGME requirements accommodate this and ACOG's position supports preserving training via travel/partnership models.722 As of a 2023 analysis, of ~30 CFP programs, ~5 were in states that had introduced bans.6
  • Practice: abortion is banned or heavily restricted in ~14+ states, so a CFP physician there cannot practice a defining part of their scope; some relocate, some restructure around contraception and miscarriage only. OB/GYN residency applications to ban states fell ~6.7% year-over-year in 2024 (vs. +0.4% in access states), and 17.6% of graduating OB/GYN residents reported changing intended practice or training location post-Dobbs.1714 The workforce is measurably shifting toward protective states, which concentrates CFP jobs (and plausibly supports salaries) there.1814

Why this matters more for FLI students specifically: relocating across the country, or being unable to practice near family or your home community, carries real financial and support-network costs that a student with a thinner safety net feels harder. It is a reason to plan geography deliberately from the start rather than a reason to avoid the field, choosing residency, fellowship, and eventual practice states with the legal map in view.

Bottom line: CFP is one of medicine's most direct routes from "I care about reproductive justice" to a career built entirely around it, with a more controllable schedule than generalist OB. But it comes bundled with below-subspecialty pay, a small and academic-leaning job market, a real safety/legal-stress environment, and the defining catch that the calling is portable but the practice is not. Shadow a family-planning clinic, and think hard about the map, before you commit.

Subspecialties & fellowships

CFP is itself a subspecialty fellowship of OB/GYN, so it's an endpoint rather than a launchpad, so there's no further ABOG sub-subspecialty beneath it. For orientation, its sibling ABOG subspecialties (the other fellowships reached through OB/GYN) are:7

  • Maternal-Fetal Medicine (MFM). High-risk pregnancy; the highest-paid OB subspecialty proxy.
  • Gynecologic Oncology. Cancers of the female reproductive tract; surgical and chemo-heavy.
  • Reproductive Endocrinology & Infertility (REI). IVF and fertility; high-earning, largely private.
  • Urogynecology / Female Pelvic Medicine & Reconstructive Surgery. Pelvic floor disorders, incontinence, reconstructive surgery.
  • Complex Family Planning (this profile). The newest of the five.

Within CFP itself, physicians informally lean in different directions, whether more academic and research-focused, more clinical and non-profit in service (Planned Parenthood-type medical direction), or more policy- and advocacy-focused, but these are flavors of one field rather than separate certifications.214

Fun facts

  • It's the youngest ABOG subspecialty. The lineage (the Fellowship in Family Planning) started at UCSF in 1991, but formal ABOG and ABMS subspecialty status and boards arrived only around 2018–2020, younger than MFM, gyn-onc, REI, and urogynecology.710
  • It's tiny: roughly ~30–39 programs at about one fellow per site per year, so the entire annual national cohort of new subspecialists could fit in a lecture hall.8910
  • Contraception here is a high-complexity specialty. CFP experts are who other doctors call when a patient with a transplant, severe cardiac disease, or on anticoagulation needs safe contraception, far more than "prescribing the pill."2
  • Demand for contraception spiked post-Dobbs, and OB/GYNs report rising demand for LARC and sterilization since 2022, squarely in CFP's wheelhouse.3
  • It's unusually research- and grant-rich for its size, with dedicated funding streams (e.g., SFP's Uta Landy fund) and a strong academic identity.1
  • It's arguably the subspecialty where "where you live" changes your job the most, since the same fellowship trains to a different practical scope depending on state law.2

Sources

Footnotes

  1. Society of Family Planning — Complex Family Planning Fellowship (scope, autonomy/communication emphasis, research funding incl. Uta Landy Fund). https://societyfp.org/fellowship/ (accessed 2026). ↩ ↩2 ↩3 ↩4 ↩5

  2. Complex Family Planning — Lifestyle, Wellbeing, Culture & FLI synthesis (scope, controllable schedule, academic/non-profit career shape, safety stress, online-sentiment synthesis from r/obgyn, r/medicalschool, SDN — paraphrased, no quotes), drawing on SFP and the ACGME LOI/Proposal. SFP https://societyfp.org/fellowship/ ; ACGME LOI/Proposal PDF https://www.acgme.org/globalassets/PFAssets/ProposalReviewandComment/Complex_Family_Planning_LOIandProposal.pdf (2026). ↩ ↩2 ↩3 ↩4 ↩5 ↩6 ↩7 ↩8 ↩9 ↩10 ↩11 ↩12 ↩13 ↩14 ↩15 ↩16 ↩17 ↩18 ↩19 ↩20 ↩21

  3. KFF — A National Survey of OB/GYNs' Experiences After Dobbs (~42% concerned about own legal risk; ~61% in ban states; rising LARC/sterilization demand). https://www.kff.org/womens-health-policy/a-national-survey-of-obgyns-experiences-after-dobbs/ (2024). ↩ ↩2 ↩3 ↩4 ↩5 ↩6

  4. Society of Family Planning — Fellowship page (2-year ACGME-accredited fellowship after OB/GYN residency). https://societyfp.org/fellowship/ (2026). ↩ ↩2

  5. ABOG — Board-certified subspecialist in Complex Family Planning (written + oral exams). Credly badge https://www.credly.com/org/american-board-of-obstetrics-and-gynecology-abog/badge/board-certified-subspecialist-in-complex-family-planning ; ABOG CFP qualifying exam page (access-blocked mid-2026) https://www.abog.org/get-certified/subspecialty-certification/step-1-qualifying-exam/eligibility-requirements (2026). ↩ ↩2 ↩3

  6. JGME (Aug 2023) — Post-Dobbs: The Consequences of Abortion Bans on Complex Family Planning Training (ACGME accreditation 2020; ~30 CFP programs, ~5 in ban states as of 2023; downstream training landscape). https://pmc.ncbi.nlm.nih.gov/articles/PMC10449356/ (2023). ↩ ↩2 ↩3

  7. Recognition timeline & sibling subspecialties: ABMS Call for Comment on CFP subspecialty certification (2018) https://www.abms.org/newsroom/call-for-comment-new-subspecialty-certification-in-complex-family-planning/ ; ACGME CFP Program Requirements (236, reformatted 2025) https://www.acgme.org/globalassets/pfassets/programrequirements/2025-reformatted-requirements/236_complexfamilyplanning_2025_reformatted.pdf (2018/2025). First qualifying exam ~2019 — verify (ABOG page access-blocked). ↩ ↩2 ↩3 ↩4 ↩5

  8. NRMP — Results and Data: Specialties Matching Service, 2026 Appointment Year, Tables 1A and 2 (CFP: 35 programs, 38 positions, 28 filled, 73.7% fill, 10 programs unfilled; 29 applicants; 24 US MD / 1 US DO / 3 US IMG / 0 non-US IMG). Prior cycle: 32 programs, 35 positions, 33 filled, 94.3%, 34 applicants, and 0 DO and 0 IMG among the matched. https://www.nrmp.org/wp-content/uploads/2026/02/SMS_Results_and_Data_Report2026.pdf (Feb 2026). Corrected 2026-08-17, two rows. (1) The dashboard's DO/IMG row still described the 2025 cycle — "filled 100% by US MDs (0 DO, 0 IMG)" — while the body and the demographics section used 2026, where 1 DO and 3 US IMGs matched. Every other dashboard row on the page is 2026, so a reader who stopped at the dashboard took away the opposite conclusion to a reader who reached the demographics bullet. The row is now 2026 with the prior cycle named beside it. (2) The dashboard also said "near-100% first-choice." What is near-100% is that 28 of the 29 applicants who ranked CFP matched, and that all 28 got their preferred specialty. Table 5 gives the first-choice program figure as 19 of 29, or 65.5%, with 5 (17.2%) matching their second choice, 1 (3.4%) their third, 3 (10.3%) a lower choice, and 1 (3.4%) unmatched. The row now states the match rate the body already stated correctly. ↩ ↩2 ↩3 ↩4

  9. Society of Family Planning — Fellowship Sites (~39 sites across 23 states; NY 8, CA 7, IL 4, NC 2; single programs in ~15 more states). https://societyfp.org/fellowship/fellowship-sites/ (2026). ↩ ↩2 ↩3

  10. ACGME — Complex Family Planning LOI and Proposal PDF (field scale ~27 programs, ~one fellow/site/yr; lineage from UCSF FFP, 1991). https://www.acgme.org/globalassets/PFAssets/ProposalReviewandComment/Complex_Family_Planning_LOIandProposal.pdf. ↩ ↩2 ↩3 ↩4

  11. Society of Family Planning — Complex Family Planning Faculty Salary Survey, FY 2022 (N=98 academic faculty, 31 medical schools; mean $277,496 / median $268,440; 25th $245,542 / 75th $313,524; by rank Assistant ~$249k → Chief ~$345k; ~24% below clinical-science professor average; ~85% women in sample). https://societyfp.org/wp-content/uploads/2023/06/Complex-Family-Planning-Faculty-Salary-Survey-FY-2022.pdf (published 2023; data year 2022) — landing: https://societyfp.org/fellowship/salary-survey/. Only CFP-specific comp source; a newer edition may exist behind member login — verify. ↩ ↩2 ↩3 ↩4 ↩5

  12. Barton Associates — OB/GYN Salary Guide 2026 (aggregates Medscape 2025 ~$372k, BLS May 2024 ~$281k mean, Merritt Hawkins 2025 ~$371k, Marit Health Apr 2026 ~$380k; Physician Side Gigs 2024 subspecialty scale: MFM ~$513k, REI ~$461k, urogyn ~$402k, OB hospitalist ~$297k; partner/owner $439k vs W-2 $368k; ~18% gender gap). https://www.bartonassociates.com/ob-gyn-physician-salary-guide/ (2026). On Marit Health: it publishes a panel of self-reported physician salaries, and displays MGMA and AMGA benchmarks beside them that are masked unless you create an account. The figure quoted here comes from the self-reported panel, not from either benchmark. Read it as crowd data: unweighted, of unstated sample size, and directional. ↩ ↩2 ↩3

  13. Doximity — 2025 Physician Compensation Report (OB/GYN median total comp $389,566, 2024 data; no subspecialty breakout). https://www.doximity.com/reports/physician-compensation-report/2025 (2025). ↩

  14. Complex Family Planning compensation synthesis (employment models: academic-dominant, non-profit/Planned Parenthood-type, grant/philanthropy funding; post-Dobbs geographic concentration of jobs; non-profit CFP pay unbenchmarked; 17.6% of graduating OB/GYN residents changed intended practice/training location; OB/GYN residency applications to ban states −6.7% YoY 2024 vs +0.4% access states). Draws on SFP FY2022, Commonwealth Fund 2024, ACOG 2025, Health Affairs Scholar 2024, MGMA (paywalled, no CFP code — verify). Commonwealth Fund https://www.commonwealthfund.org/blog/2024/maternity-care-providers-and-trainees-are-leaving-states-abortion-restrictions-further (2024). ↩ ↩2 ↩3 ↩4 ↩5 ↩6 ↩7

  15. Medscape Physician Burnout & Depression Report 2024 — OB/GYN ~53% burnout (among the highest specialties); no CFP-specific figure exists. Via Becker's ASC. https://www.medscape.com/sites/public/lifestyle/2024 (2024). ↩

  16. AAMC — The fallout of Dobbs on the field of OB-GYN (moral distress; legal language intruding on clinical decisions; physicians relocating from ban states). https://www.aamc.org/news/fallout-dobbs-field-ob-gyn (2024). ↩ ↩2 ↩3

  17. Commonwealth Fund (2024) — maternity-care providers and trainees leaving states with abortion restrictions (OB/GYN residency applications to ban states −6.7% YoY 2024 vs +0.4% access states). https://www.commonwealthfund.org/blog/2024/maternity-care-providers-and-trainees-are-leaving-states-abortion-restrictions-further (2024). ↩ ↩2

  18. Health Affairs Scholar (2024) — lower OB/GYN supply in abortion-ban states two years post-Dobbs. https://academic.oup.com/healthaffairsscholar/article/2/12/qxae162/7909263 (2024). See also Stateline (Apr 2026) on reproductive-care restrictions repelling the provider workforce: https://stateline.org/2026/04/01/reproductive-health-care-restrictions-likely-to-repel-provider-workforce-research-shows/ (2026). ↩ ↩2

  19. Polan et al. — Racial and Gender Disparities in OB/GYN Applicants and Professionals (OB/GYN proxy: ~80% female applicants, ~85% female residents, ~66% female attendings, 2020; URiM applicant shares). Journal of Clinical Gynecology and Obstetrics. https://www.jcgo.org/index.php/jcgo/article/view/997/593. ↩ ↩2

  20. Obstetrics & Gynecology (2021) — sex and racial/ethnic diversity across accredited OB/GYN subspecialty training (would include CFP). The full text sits behind the publisher's paywall, so only the abstract informs this page. ⟳ https://www.sciencedirect.com/science/article/abs/pii/S1931720421003755 (2021). ↩

  21. Petrin C. & Hingle S.T. — Reproductive care after Roe: why silence is not an option (advocacy-forward framing; equity impacts on Black, Indigenous, low-income patients). KevinMD. https://kevinmd.com/2025/09/reproductive-care-after-roe-why-silence-is-not-an-option.html (2025). ↩ ↩2

  22. ACOG — Abortion Training and Education in a Post-Dobbs Landscape (supports preserving abortion training via travel/partnership/out-of-state rotation models). https://www.acog.org/clinical-information/policy-and-position-statements/position-statements/2025/abortion-training-and-education-in-a-post-dobbs-landscape (2025). ↩

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