Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL 60637.
Med Educ Online. 2008 Apr 24;13:4. doi: 10.3885/meo.2008.Res00250.
The purpose of the current study is to explore third- year medical students' interest in learning about family planning, exposure to family planning (contraception and abortion) and perceived barriers and benefits to family planning education in their obstetrics and gynecology rotation.
We conducted four focus groups with 27 third-year medical students near the end of their rotation in obstetrics and gynecology.
Students desired education in family planning but perceived limited exposure during their rotation. Most students were aware of abortion but lacked factual information and abortion procedural skills. They felt systemic and faculty-related barriers contributed to limited exposure. Students discussed issues such as lack of time for coverage of contraception and abortion in the curricula and rotation itself. Perceived benefits of clinical instruction in family planning included increased knowledge of contraceptive management and abortion the ability to care for and relate to patients, opportunity for values clarification, and positive changes in attitudes towards family planning.
Medical students who desire full education in family planning during their obstetrics and gynecology rotation may face barriers to obtaining that education. Given that many medical students will eventually care for reproductive-age women, greater promotion of opportunities for exposure to family planning within obstetrics and gynecology rotations is warranted.
本研究旨在探讨三年级医学生对计划生育的学习兴趣、在妇产科轮转期间接触计划生育（避孕和堕胎）的情况，以及对计划生育教育的障碍和益处的看法。
我们在妇产科轮转结束时，对 27 名三年级医学生进行了 4 次焦点小组讨论。
学生希望接受计划生育教育，但在轮转期间感觉接触有限。大多数学生都知道堕胎，但缺乏事实信息和堕胎程序技能。他们认为系统和教师相关的障碍导致接触有限。学生讨论了一些问题，如课程和轮转本身缺乏避孕和堕胎的涵盖内容、时间不足。临床计划生育教学的预期益处包括增加避孕管理和堕胎方面的知识、照顾和与患者建立关系的能力、澄清价值观的机会，以及对计划生育的态度发生积极变化。
在妇产科轮转期间希望接受全面计划生育教育的医学生可能会面临获得该教育的障碍。鉴于许多医学生最终将照顾育龄妇女，因此更有必要在妇产科轮转中提供更多接触计划生育的机会。
