When Roe v. Wade was overturned last month, access to abortion became illegal or uncertain in nearly half the country.

And with that, accessing abortion care training has become incredibly difficult for medical students and residents. For many of those who plan to perform abortions as part of their medical career, they’ll have to go to great lengths to learn the necessary skills.

Medical Students for Choice is one of several programs across the country that helps connect those students with clinics. The work has always been difficult, since it can involve sending students hours away from where they live and coordinating transportation and lodging. But now, the job’s even harder.