Only 2 long term trends are apparent:
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the number of primary care residencies continues to increase and continue to fill (which is great news)
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OB/Gyn continues to become increasing competitive. The number of Ob/Gyn applicants started increasing in the mid 2010s, but the numbers post-Dobbs really jumped. Ob/Gyn is now more competitive than radiology, anesthesiology and on par with general surgery.
Despite the increased interest in Ob/Gyn, the number of residency positions has not increased significantly. This is partly due to the low reimbursement rate for women’s healthcare which has led to the continued shuttering of L&D wards in smaller and rural hospitals. More 1/3rd of all counties in the US are maternity care deserts where there are no OB/GYNs (or OB-fellowship trained FM physicians) , birthing centers or L&D facilities. 2.3 million women of reproductive age have no access to obstetrical care.