Espey Eve, Ogburn Tony, Dorman Fara
Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131, USA.
Acad Med. 2004 Jan;79(1):96-100. doi: 10.1097/00001888-200401000-00020.
An optional half-day clinical experience in abortion care was offered to third-year medical students rotating through the core obstetrics and gynecology (Ob/Gyn) clerkship at the University of New Mexico to improve education about women's reproductive health. This study using survey methods was conducted to rate the acceptability of the clinical experience and to document any changes in students' attitudes toward women's access to abortion.
All 145 students who rotated through the Ob/Gyn clerkship between March 2000 and March 2002 were provided an 11-item, confidential questionnaire to complete. Students who did not participate in the abortion care experience were asked questions about their reasons for declining participation; students who did participate were asked questions about the value of the experience.
Of the 145 students who rotated through the clerkship during the study period, 126 (87%) completed the questionnaire. Of these students, 86 (68%) participated in the clinical experience and 40 (32%) did not. The majority of students who participated in the clinical experience rated it very highly. Of the 86 students who participated in the clinical experience, 33 (38%) reported a change in their attitudes about abortion; 31 (94%) of these became more supportive of women's access to abortion services.
Clinical experiences in abortion care are acceptable to and valued by a diverse group of medical students and should be offered at medical schools throughout the United States.
向在新墨西哥大学妇产科核心实习轮转的三年级医学生提供一次可选的为期半天的堕胎护理临床体验,以改善有关妇女生殖健康的教育。本研究采用调查方法,旨在评估该临床体验的可接受性,并记录学生对妇女堕胎权利态度的任何变化。
向2000年3月至2002年3月期间在妇产科实习轮转的所有145名学生提供一份11项的保密问卷,要求他们填写。未参与堕胎护理体验的学生被问及拒绝参与的原因;参与体验的学生则被问及该体验的价值。
在研究期间轮转实习的145名学生中,126名(87%)完成了问卷。在这些学生中,86名(68%)参与了临床体验,40名(32%)未参与。参与临床体验的大多数学生对其评价很高。在86名参与临床体验的学生中,33名(38%)报告其对堕胎的态度发生了变化;其中31名(94%)对妇女获得堕胎服务变得更加支持。
堕胎护理临床体验为不同群体的医学生所接受和重视,应在美国各地的医学院提供。