Deptartment of Emergency Medicine, University of California, Orange, CA, United States.
Deptartment of General Medicine, University of Miami Miller School of Medicine, Miami, FL, United States.
Contraception. 2024 Feb;130:110293. doi: 10.1016/j.contraception.2023.110293. Epub 2023 Sep 18.
The last nationwide evaluation of abortion education in undergraduate medical schools was conducted by Espey et al. more than 15 years ago. To better understand what medical schools are teaching medical students about abortion care, we conducted a brief assessment of abortion education and training at U.S. medical schools.
In April 2019, the study team emailed a three-item survey to the obstetrics and gynecology clerkship directors at Association of American Medical Colleges-accredited U.S. allopathic medical schools (n = 143). The multiple-choice survey assessed the availability and type of reproductive health education students had during their preclinical and clinical experiences.
Ninety-one (64%) medical schools responded. Fifty-four (59%) schools reported abortion education as part of their preclinical curriculum, with 26 (29%) dedicating at least one lecture to abortion education. Sixty-seven (74%) institutions provided a clinical abortion experience for students, with 24 (26%) indicating students had to arrange participation on their own. Nine programs (10%) reported offering no formal abortion education.
While the availability of abortion education has increased since the last nationwide survey in 2005, discrepancies in the education offered persist, and many medical students remain without access to this training.
Although abortion plays an essential role in women's health services, discrepancies in training opportunities limit abortion education in U.S. medical schools. Gaps in the education of medical students may have downstream effects on the availability of doctors who are trained in providing medically-safe abortions.
埃斯佩等人在 15 年前对本科医学院的堕胎教育进行了最后一次全国性评估。为了更好地了解医学院对医学生进行了哪些堕胎护理教育，我们对美国医学院的堕胎教育和培训进行了简要评估。
2019 年 4 月，研究小组向美国医学教育联络委员会（Association of American Medical Colleges）认可的美国全科学医学院校的妇产科实习主任发送了一份包含三个项目的调查（n=143）。多项选择题调查评估了学生在临床前和临床经验中接受生殖健康教育的情况和类型。
91 所（64%）医学院做出了回应。54 所（59%）学校报告称，堕胎教育是其临床前课程的一部分，其中 26 所（29%）专门开设了至少一次堕胎教育讲座。67 所（74%）机构为学生提供临床堕胎经验，其中 24 所（26%）表示学生必须自行安排参与。9 个项目（10%）报告没有提供正式的堕胎教育。
自 2005 年上一次全国调查以来，堕胎教育的可获得性有所增加，但提供的教育仍存在差异，许多医学生仍然无法接受这种培训。
尽管堕胎在妇女健康服务中起着至关重要的作用，但培训机会的差异限制了美国医学院的堕胎教育。医学生教育方面的差距可能会对接受过提供安全堕胎培训的医生的可获得性产生下游影响。
