Cessford Tara A, Norman Wendy
Faculty of Medicine, University of British Columbia, Vancouver BC.
J Obstet Gynaecol Can. 2011 Jan;33(1):38-45. doi: 10.1016/S1701-2163(16)34771-5.
Recent evidence suggests that medical schools offer insufficient training to equip students with the knowledge and skills necessary to counsel patients about abortion and to become abortion providers. We conducted a knowledge-assessment survey of medical students before (second-year students) and after (fourth-year students) teaching related to abortion to evaluate the effectiveness of the undergraduate abortion curriculum.
Undergraduate medical students answered a knowledge-assessment survey about abortion epidemiology, practice guidelines, abortion methods and procedures, and student readiness to provide abortions.
One hundred and twenty six of 266 second-year students (47%) and 67 of 170 fourth-year students (39%) completed the survey. Fourth-year medical students scored higher on average than second-year students (P < 0.001), producing mean scores of 45% and 25%, respectively. Abortion epidemiology was the weakest area of performance for all students. Most medical students would either provide an abortion (37% of fourth-year students, 38% of second-year students) or refer to a provider (36% of fourth-year students and 34% of second-year students). There was no significant relationship between overall scores and student readiness to provide abortions.
Medical students in both second and fourth year demonstrated a limited understanding of abortion. Most future physicians participating in this study indicated they would be willing to provide abortions. Curriculum reform to improve abortion training in undergraduate medical programs is essential to provide students with necessary learning opportunities and to ensure safe and effective reproductive health care for women.
近期证据表明，医学院校提供的培训不足，无法让学生具备为患者提供堕胎咨询以及成为堕胎服务提供者所需的知识和技能。我们在与堕胎相关的教学之前（二年级学生）和之后（四年级学生）对医学生进行了知识评估调查，以评估本科堕胎课程的效果。
本科医学生回答了一项关于堕胎流行病学、实践指南、堕胎方法和程序以及学生提供堕胎服务意愿的知识评估调查。
266名二年级学生中有126名（47%）和170名四年级学生中有67名（39%）完成了调查。四年级医学生的平均得分高于二年级学生（P < 0.001），平均得分分别为45%和25%。堕胎流行病学是所有学生表现最差的领域。大多数医学生要么会提供堕胎服务（四年级学生中的37%，二年级学生中的38%），要么会转介给提供者（四年级学生中的36%，二年级学生中的34%）。总体得分与学生提供堕胎服务的意愿之间没有显著关系。
二年级和四年级的医学生对堕胎的理解都有限。参与本研究的大多数未来医生表示他们愿意提供堕胎服务。改革本科医学课程中的堕胎培训至关重要，以便为学生提供必要的学习机会，并确保为女性提供安全有效的生殖健康护理。
