Horan Corrina, Zadeh Persia Ghassem, Rennison Catriona, Hoggart Lesley, Kavanagh Jayne
Community Sexual and Reproductive Health, Homerton University Hospital NHS Foundation Trust, London, UK
EGA Institute for Women's Health, University College London, London, UK.
BMJ Sex Reprod Health. 2022 Jul;48(3):205-209. doi: 10.1136/bmjsrh-2021-201385. Epub 2022 Jan 31.
Despite abortion being a common part of reproductive healthcare, UK undergraduate medical school abortion education varies widely. We therefore aimed to explore medical students' views on their undergraduate abortion education, including whether it prepared them to be a competent practitioner.
We conducted in-depth semi-structured interviews with 19 students from five UK medical schools, all of whom had received abortion teaching. The qualitative research followed a quantitative survey of UK undergraduate abortion education; the five medical schools were purposively sampled to encompass a wide variety of teaching approaches. Interviews were transcribed and data were analysed using an inductive thematic approach.
Dedicated abortion teaching was highlighted as necessary and valuable, as abortion care is so commonly accessed. Participants felt that abortion education should prepare students to be competent practitioners, with inclusion of clinical placements and an emphasis on non-stigmatising care. Most interviewees felt that the perceived sensitive nature of abortion should act as an incentive to comprehensive teaching. It was suggested that teaching should be inclusive for all, including those with a conscientious objection to abortion.
The medical students interviewed viewed comprehensive abortion education as an important aspect of their undergraduate curriculum. Conversely to the accompanying quantitative survey of educators, participants believed that the perceived sensitivity of abortion increases the importance of effective teaching that prepares them to provide competent respectful care when they qualify. It is incumbent on medical schools to provide the comprehensive education that students need and the Royal College of Obstetricians and Gynaecologists recommends.
尽管堕胎是生殖健康护理的常见组成部分，但英国本科医学院校的堕胎教育差异很大。因此，我们旨在探讨医学生对本科堕胎教育的看法，包括这种教育是否使他们有能力成为一名合格的从业者。
我们对来自英国五所医学院校的19名学生进行了深入的半结构化访谈，所有学生都接受过堕胎相关教学。这项定性研究是在对英国本科堕胎教育进行定量调查之后开展的；这五所医学院校是经过有目的地抽样选取的，以涵盖多种教学方法。访谈内容被转录，数据采用归纳主题分析法进行分析。
由于堕胎护理很常见，专门的堕胎教学被认为是必要且有价值的。参与者认为堕胎教育应使学生有能力成为合格的从业者，包括安排临床实习并强调非歧视性护理。大多数受访者认为堕胎被视为敏感问题这一特点应成为进行全面教学的动力。有人建议教学应面向所有人，包括那些出于良心拒斥堕胎的人。
接受访谈的医学生将全面的堕胎教育视为本科课程的一个重要方面。与对教育工作者进行的相关定量调查结果相反，参与者认为堕胎被视为敏感问题增加了有效教学的重要性，这种教学能使他们在毕业后有能力提供合格且尊重他人的护理。医学院校有责任提供学生所需的全面教育，这也是皇家妇产科学院所推荐的。
