Abortion training is a required component of US ob-gyn graduate medical education training and recommended in family medicine training. While individual residents may choose to opt out of training in certain conditions – namely personal or religious conflicts- this chapter describes the importance of facilitating participation of residents up to their comfort level in order to learn the essential and transferable skills in the provision of women’s health care.   This chapter describes the history of partial participation and provides evidence from multiple studies which have found that learners who object to abortion but partially participate in training in family planning and abortion gain important clinical and professional skills and appreciate the training. It describes various protocols and guidance for teaching leadership to support partial participation, specifics on setting clear expectations, and suggestions for when to facilitate discussions for residents who aren’t certain about the participation level, or plan to opt out.