Valley Taryn M, Cowley Elise S, Farooque Alma, Shultz Zoey B, Williams Margaret, Askins Jacquelyn, Godecker Amy, Jacques Laura
Department of Obstetrics and Gynecology, School of Medicine and Public Health, University of Wisconsin-Madison, 1010 Mound St., Madison, WI 53715 USA.
Department of Anthropology, University of Wisconsin-Madison, 1180 Observatory St., Madison, WI, 53706, USA.
medRxiv. 2023 Feb 17:2023.02.16.23286043. doi: 10.1101/2023.02.16.23286043.
Values clarification workshops on abortion have been shown to increase support for abortion among healthcare workers. However, few studies have examined the impact of values clarification workshops on abortion among medical trainees. This study aimed to understand medical student and obstetrics and gynecology (ObGyn) residents' experiences with a virtual values clarification workshop on abortion.
Clerkship year medical students and ObGyn residents at four midwestern teaching hospitals were invited to be interviewed about their experiences in a virtual values clarification workshop on abortion from January 2021 through December 2021. A single interviewer conducted interviews via Zoom using a standardized interview guide. Participants were asked to provide feedback and discuss their experiences in the workshop. Four qualitatively trained evaluators coded the interview transcripts in NVivo, using an inductive approach to establish consensus codes then themes.
This study interviewed 37 trainees, including 24 medical students and 13 ObGyn residents, as well as five facilitators, between November 2021 and February 2022. Three themes emerged in both trainee groups. First, participants found the workshops through thought exploration, peer validation, and reflection on their views' potential societal impacts. Second, through the workshop, and better understood the spectrum of beliefs their peers held. Finally, participants found the workshops , through practicing communication skills and building trust and mutual respect among peers.
Medical trainees found values clarification workshops on abortion to be valuable, helping them establish their own beliefs about abortion, contextualize these beliefs among their peers', and practice professionalism. These findings indicate that values clarification workshops can play a key role in helping medical trainees discuss abortion and prepare for their professional future.
关于堕胎的价值观澄清工作坊已被证明能增加医护人员对堕胎的支持度。然而，很少有研究考察价值观澄清工作坊对医学实习生在堕胎问题上的影响。本研究旨在了解医学生和妇产科住院医师参与关于堕胎的虚拟价值观澄清工作坊的经历。
邀请了中西部四所教学医院的实习学年医学生和妇产科住院医师，就他们在2021年1月至2021年12月期间参与关于堕胎的虚拟价值观澄清工作坊的经历接受访谈。一名访谈者通过Zoom使用标准化访谈指南进行访谈。参与者被要求提供反馈并讨论他们在工作坊中的经历。四名经过定性培训的评估人员在NVivo中对访谈记录进行编码，采用归纳法建立共识代码，然后确定主题。
本研究在2021年11月至2022年2月期间采访了37名实习生，包括24名医学生和13名妇产科住院医师，以及5名主持人。两个实习生群体都出现了三个主题。首先，参与者通过思想探索、同伴认可以及对自己观点潜在社会影响的反思，发现这些工作坊很有意义。其次，通过工作坊，参与者更好地理解了同伴所持有的各种信念。最后，参与者通过练习沟通技巧以及在同伴之间建立信任和相互尊重，发现这些工作坊很有用。
医学实习生发现关于堕胎的价值观澄清工作坊很有价值，有助于他们确立自己对堕胎的信念，将这些信念与同伴的信念联系起来，并践行职业精神。这些发现表明，价值观澄清工作坊在帮助医学实习生讨论堕胎问题并为其职业未来做好准备方面可以发挥关键作用。
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