"I think for a lot of students right now, it's very hard to be confronted with the constant negative energy and constant fighting" that surrounds abortion, said Miller, who grew up in a southern Virginia city where antiabortion sentiment runs high. Just learning about the procedure at the state school in Richmond can be a challenge. Medical students who want training in the procedure usually must arrange an elective "externship" in Northern Virginia, she said.
Thirty-six years after it was legalized, abortion remains one of the most common procedures in American medicine -- and the most stigmatized. In 2005, 1.2 million abortions were performed, dwarfing the number of appendectomies (341,000), gallbladder removals (398,000) and hysterectomies (575,000). "There's this feeling it's dirty and should not be spoken about," said Miller. "It's hard to be brave and seek everything out yourself."



