Abortion is common medical procedure and the shortage of providers has been widely reported. This chapter describes the history of abortion training in the United States, including the establishment of the Ryan Residency Training Program, and reiterates that to meet patients’ needs, all clinicians who care for women’s reproductive health must be trained in abortion skills – including counseling, preoperative assessment, ultrasound, medication abortion management, uterine evacuation techniques, pain management, and postoperative care.  This chapter describes the impacts of abortion training on learners’ clinical skills, attitudes toward patients and abortion provision, and on their professional practice. We describe the challenges in integrating abortion into resident curriculum, and how to find support and resources. We provide evidence of the many benefits of integrated training – including improving resident education and more comprehensive patient care, and argue that training in uterine evacuation skills is critical for all obstetrician-gynecologists.