NYIT College of Osteopathic Medicine, Old Westbury, NY, 11568, USA.
Department of Clinical Medicine, NYIT College of Osteopathic Medicine, Jonesboro, AR, 72401, USA.
Sci Rep. 2024 Feb 14;14(1):3667. doi: 10.1038/s41598-024-54304-5.
Contraception and abortion topics are variably, but often poorly, addressed in medical school curricula. Restrictions on contraceptive and abortion care at faith-based hospitals may hinder comprehensive family planning training for medical students during Ob/Gyn clerkships. Here we investigated whether medical students at faith-based and non-faith-based clerkships experienced different observations during their Ob/Gyn clerkship and/or differences in self-perceived competency in patient counseling, objective knowledge, and perceived adequacy of training in contraception and abortion topics post-clerkship. A survey was distributed to third- and fourth-year medical students at New York Institute of Technology, College of Osteopathic Medicine. Across all clerkship sites (n = 102 students), observations of, and competency in, contraceptive care was higher than in abortion care. Students at non-faith-based clerkship sites (n = 54) reported the highest levels of observation of contraceptive and abortion care (19.6-90.7%), while those at Catholic sites (n = 26) typically reported the lowest (7.7-34.6%). Students at non-faith-based sites reported significantly higher competency in contraceptive care and some aspects of abortion care, than those at Catholic, and some other faith-based sites (n = 48). Clerkship training at faith-based sites, specifically Catholic sites, resulted in poorer Ob/Gyn training, particularly in contraceptive care. Training outcomes in abortion care were poor at all Ob/Gyn clerkship sites.
避孕和堕胎话题在医学院课程中存在差异，但通常处理得很差。基于信仰的医院对避孕和堕胎护理的限制可能会阻碍医学生在妇产科实习期间接受全面的计划生育培训。在这里，我们调查了在信仰和非信仰妇产科实习的医学生在妇产科实习期间是否有不同的观察结果，以及在患者咨询、客观知识和对避孕和堕胎主题培训的满意度方面是否存在差异。一项调查分发给了纽约科技学院骨科医学院的三、四年级医学生。在所有实习地点（n=102 名学生）中，对避孕护理的观察和能力都高于对堕胎护理的观察和能力。在非信仰实习地点（n=54）的学生报告了最高水平的避孕和堕胎护理观察（19.6-90.7%），而在天主教地点（n=26）的学生通常报告的最低水平（7.7-34.6%）。非信仰基础站点的学生报告在避孕护理和一些堕胎护理方面的能力明显高于天主教和其他一些信仰基础站点的学生（n=48）。基于信仰的医院的实习培训，特别是天主教医院，导致妇产科培训较差，尤其是在避孕护理方面。在所有妇产科实习站点，堕胎护理的培训结果都很差。
