关键词: abortion international medical education medical students postabortion care survey

来  源:   DOI:10.3389/fgwh.2024.1253658   PDF(Pubmed)

Abstract:
UNASSIGNED: Access to safe abortion has been recognized as a fundamental human right and important public health priority. Medical schools provide a rare opportunity to expose medical students to comprehensive sexual and reproductive health (SRH) topics and normalize abortion care early in a physician\'s career.
UNASSIGNED: This cross-sectional descriptive study used an online survey to explore abortion content in medical curricula and medical student intentions, attitudes, and beliefs regarding abortion provision among 1,699 medical students from 85 countries.
UNASSIGNED: Results demonstrate positive attitudes towards abortion provision, with 83% reporting that \"access to safe abortion is every woman\'s right\". Students also reported a relatively high willingness to provide abortion professionally despite few opportunities to learn about this care. Only one-third of students surveyed reported having taken a gynecology course (n = 487; 33%); among these, one-third said they had no content on abortion care in their programs thus far (n = 155; 32%), including instruction on postabortion care. Among the two-thirds of students who had some content on abortion care (n = 335), either on induced abortion, postabortion care (PAC), or both, 55% said content was limited to one lecture and only 19% reported having an opportunity to participate in any practical training on abortion provision. Despite most students having no or very limited didactic and practical training on abortion, 42% intended to provide this care after graduation. Three-quarters of student respondents were in favor of mandatory abortion education in medical curricula.
UNASSIGNED: The findings of this study offer new evidence about abortion care education in medical curricula around the globe, indicating that there is no lack of demand or interest in increasing medical knowledge on comprehensive abortion care, merely a lack of institutional will to expand course offerings and content.
摘要:
获得安全堕胎已被视为一项基本人权和重要的公共卫生优先事项。医学院提供了一个难得的机会,让医学生接触全面的性健康和生殖健康(SRH)主题,并在医生的职业生涯早期使堕胎护理正常化。
这项横断面描述性研究使用在线调查来探索医学课程中的堕胎内容和医学生的意图,态度,以及来自85个国家的1699名医学生关于堕胎提供的信念。
结果表明,人们对堕胎提供持积极态度,83%的人报告说“获得安全堕胎是每个妇女的权利”。学生还报告说,尽管很少有机会了解这种护理,但专业提供堕胎的意愿相对较高。接受调查的学生中只有三分之一表示曾参加过妇科课程(n=487;33%);其中,三分之一的人表示,到目前为止,他们的计划中没有堕胎护理的内容(n=155;32%),包括关于堕胎后护理的指导。在三分之二对堕胎护理有一定内容的学生中(n=335),无论是人工流产,堕胎后护理(PAC),或者两者兼而有之,55%的人表示内容仅限于一次演讲,只有19%的人表示有机会参加有关堕胎规定的任何实践培训。尽管大多数学生没有接受过或非常有限的堕胎教学和实践培训,42%的人打算在毕业后提供这种护理。四分之三的学生受访者赞成在医学课程中进行强制堕胎教育。
这项研究的结果为全球医学课程中的堕胎护理教育提供了新的证据,表明对增加全面堕胎护理的医学知识并不缺乏需求或兴趣,仅仅是缺乏机构扩大课程设置和内容的意愿。
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