Student perceptions of reproductive health education in US medical schools: a qualitative analysis of students taking family planning electives

Veazey, Kathryn; Nieuwoudt, Claudia; Gavito, Christina; Tocce, Kristina

doi:10.3402/meo.v20.28973

Cited by 19 publications

(13 citation statements)

References 13 publications

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“…MS1, incoming first year; MS2, second year; MS4-LOA, fourth year and fourth year leave-of-absence. Percentage clinical training, most students expressed interest in having this educational exposure but didn't necessarily have the option [8,12,17,18]. Although the accrediting body for OB/GYN resident programs has clear statements regarding the requirement that residents have access to abortion training, guidance is less clear at the medical school level [6].…”

Section: Medical Student Views On Abortion (Continued)mentioning

confidence: 99%

North Carolina Medical Student Views on Abortion

Bennett

McDonald

Finch

et al. 2018

North Carolina Medical Journal

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Abortion is a controversial yet common procedure within the United States and North Carolina. Although much effort has been directed at understanding the views of physicians and the general public, the views of medical students on abortion are understudied. This study examines the views of medical students at different stages in training on abortion at a public institution, the University of North Carolina at Chapel Hill School of Medicine. We surveyed incoming, second year, fourth year, and leave-of-absence medical students at the University of North Carolina at Chapel Hill about their views on abortion. We utilized an IRB-approved, anonymous online Qualtrics-based, cross-sectional survey during the spring of 2014. We received 315 responses (58% response rate) from 98 incoming (54.5%), 126 second year (70.0%), and 91 fourth year and leave-of-absence (49.2%) students. The majority of students, regardless of stage of training, felt abortion was morally acceptable (incoming 64.3%, second year 74.0%, and fourth year and leave-of-absence 70.0%). Of the students who found abortion to be acceptable, second year (80.9%) and fourth year and leave-of-absence (85.5%) students found second-trimester abortion more acceptable than incoming students (57.15%, = .002); second year students (42.2%) had greater acceptability of third-trimester abortions compared to incoming (26.2%) and fourth year and leave-of-absence students (22.2%; = .03). Religiosity and Republican political affiliation were associated with more conservative views on abortion ( = .002); however, gender or intention to enter into an obstetrics/gynecology residency were not. Our study reflects views from a single institution, the University of North Carolina at Chapel Hill School of Medicine. This limits the generalizability of our findings to the greater population of medical students across the country. Despite the controversy surrounding abortion, our work suggests that medical students at the University of North Carolina at Chapel Hill School of Medicine have accepting views of abortion.

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Section: Medical Student Views On Abortion (Continued)mentioning

confidence: 99%

North Carolina Medical Student Views on Abortion

Bennett

McDonald

Finch

et al. 2018

North Carolina Medical Journal

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“…In an effort to offer medical student education in family planning, some schools have implemented the use of electives. Research has shown that 26% of US medical schools offer a family planning elective, which is used to fill in gaps in their curriculum [12]. In a 2015 study by Veazey et al…”

Section: Instructional Methodsmentioning

confidence: 99%

The Status of Medical Student Education in Pregnancy Options Counseling: a Review

Farmer

Clare

2021

Med.Sci.Educ.

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Background The Association of Professors of Gynecology and Obstetrics (APGO) has acknowledged the importance of pregnancy options counseling by listing it as a “shows how” skill for all undergraduate medical students. Unfortunately, there is no standard curriculum utilized to teach medical students pregnancy options counseling or to assess skill sustainability over time. Objectives To review and summarize the literature on pregnancy options counseling in undergraduate medical education. Methods We performed a structured literature review searching Google Scholar, PubMed, and EMBASE for articles between 2000 and February 2020. Inclusion criteria were English language studies of M. D. and D.O. programs in North America with a discussion of pregnancy options counseling as it relates to medical student education. Results There is a small but growing body of literature on pregnancy options counseling in medical student education. The common themes across the 17 papers reviewed include the status of pregnancy options counseling in undergraduate medical education, barriers to teaching options counseling, the timing of education, utilization of the options counseling Objective Structured Clinical Examination (OSCE), learner challenges, and novel strategies for implementing education in options counseling and subsequent learning outcomes. Conclusions There is no standardized pregnancy options counseling curriculum in undergraduate medical education (UME). The landscape in which this important skill is being taught is one of random, insufficient, and uncoordinated curricular interventions. This is the only review on this subject, making it a unique summary on pregnancy options counseling in UME.

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“…An analysis of 21 medical schools across the United States found that students looking to gain competency in contraceptive counseling often must undertake family planning electives [ 4 ]. Another series of four focus groups of medical students identified lack of time devoted to contraception in didactic education as a primary perceived barrier to education on this topic [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Family Medicine Clerkship Teaching About Contraception: Meeting a Need

Persaud-Sharma

Burns

Sellers

et al. 2020

Cureus

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Introduction: Women's healthcare including preventive care, obstetric care, and family planning and counseling are important medical education topics that student physicians frequently encounter during their Family Medicine Clerkship in medical training; however, despite its brief emphasis, many students feel underprepared to counsel patients in a clinical setting. With this in mind, a case-based curriculum focused on women's health was developed for students enrolled in the Family Medicine Clerkship. Methods: During the 2018-2019 academic year, 127 students on the Family Medicine Clerkship at the Florida International University Herbert Wertheim College of Medicine (HWCOM) participated in three two-hour sessions on the topics of adolescent preventive health care, obstetric care, and contraceptive counseling. These sessions incorporated cases, role-play activities, and pre-session readings. An optional, anonymous, paper-based pre-session survey of Likert-type questions was administered prior to the first session and a post-session survey of Likert-type questions was given following the final session. IRB exemption was obtained. Results: The pre-session survey showed that 41.67% of students agreed or strongly agreed that they were confident in their ability to perform female contraceptive counseling. After the sessions, 92.68% of students agreed or strongly agreed that the case addressing contraceptive counseling was of clinical value to their learning needs. Conclusion: Given that less than half of the students felt confident in their counseling abilities prior to these sessions, this curriculum is potentially addressing an unmet educational need. Students found this session to be relevant, indicating that a case-based discussion curriculum that incorporates both pre-session reading materials and role-play interactions may be a promising educational approach.

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Student perceptions of reproductive health education in US medical schools: a qualitative analysis of students taking family planning electives

Cited by 19 publications

References 13 publications

North Carolina Medical Student Views on Abortion

North Carolina Medical Student Views on Abortion

The Status of Medical Student Education in Pregnancy Options Counseling: a Review

Family Medicine Clerkship Teaching About Contraception: Meeting a Need

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