“We're called upon to be nonjudgmental”: A qualitative exploration of United States medical students’ discussions of abortion as a reflection of their professionalism

Merz, Allison A.; Janiak, Elizabeth; Mokashi, Mugdha; Allen, Rebecca H.; Jackson, Courtney; Berkowitz, Lori R.; Steinauer, Jody; Bartz, Deborah

doi:10.1016/j.contraception.2021.09.004

Cited by 9 publications

(4 citation statements)

References 16 publications

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“…While studies show students believe their abortion education to be insufficient, students find their minimal experiences valuable, believe it will assist them in their future careers, and would recommend it to future students [ 20 ]. Additionally, researchers found that abortion vignettes as part of the medical school curriculum helped students grow professionally by identifying their own core values, recognize when those values conflict with their patients, provide a safe space to learn how to meet professional obligations/career responsibilities of humanism, respect patient privacy and autonomy, and resolve conflict [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…While medical student knowledge about abortion may be a predictor of whether they will provide abortions when in practice, students' assessment as to whether they had a sufficient abortion education seemed to vary based on their attitudes toward abortion, with those who were pro-choice and had the intention to provide abortion associated with an increased desire for more training [3,[20][21][22].…”

Section: Abortion Knowledge Among Medical Studentsmentioning

confidence: 99%

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Predictors of Abortion Attitudes in Medical Students After the Reversal of Roe v. Wade

Jacobs¹,

Kane²,

Fritz³

2023

Cureus

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BackgroundOn June 24, 2022, the United States (U.S.) Supreme Court ruled in Dobbs v. Jackson Women's Health that the Constitution does not grant women the right to abortion. This new ruling may have a profound impact on not only the attitudes of medical trainees but the nature in which they are trained when it comes to abortion practices, indications, or procedures. Some clinics where medical schools provide first-hand abortion experience have closed. As a surge of extreme restrictions on abortion has been seen in certain states in the U.S., medical schools and residency programs need to address these issues to ensure future physicians are adequately prepared. The purpose of this study was to assess factors that influence medical students' attitudes toward abortion, specifically knowledge about abortion, religiosity, and philosophical group affiliation regarding abortion (i.e., "pro-choice vs. "pro-life"). MethodologyThis cross-sectional study collected data from a convenience sample of 413 medical students between October and December 2022 via an online, anonymous questionnaire. Major study variables as depicted in the published literature led to the development of the Abortion Attitudes Questionnaire (AAQ) for medical students. The AAQ contained validated scales to assess the contribution of levels of abortion knowledge and religiosity as well as sample characteristics on attitudes about abortion in medical students. Speakman rank correlation and linear multivariate regression were used for hypothesis testing to explore the contributions of the dependent variables to attitudes about abortion in medical students. ResultsThe mean age of the participants was 25.8 years (SD = 2.96; range = 21-45 years). Linear regression modeling indicated that religiosity, abortion knowledge, being a woman, and group affiliation regarding abortion ("pro-choice" or "pro-life") explained a significant amount of the variance (60%) in abortion attitudes scores in medical students. A significant regression equation was found, F(6,373) = 83.570, p < 0.0001, R 2 = 0.603, R 2 adjusted = 0.611). Less religiosity, greater abortion knowledge, being a woman, and identifying as "prochoice" significantly contributed to more positive attitudes toward abortion in this sample of medical students. Interestingly, while moderately correlated with abortion attitudes (r = 0.436, p < 0.01), the single item regarding the importance of religion in one's life did not contribute to the model. ConclusionsThe present study is the first, to our knowledge, to identify medical student characteristics (i.e., sex, "prochoice" vs. "pro-life" group affiliation, level of knowledge about abortion, and religiosity) as indicators of abortion attitudes. With the reversal of Roe v. Wade, attention must be given to the possible change in medical students' attitudes toward abortion (as well as any newly developed constraints on clinical training) and to ensure the provision of comprehensive education as U.S. states will determine the limits of these practices and procedures...

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Section: Discussionmentioning

confidence: 99%

Section: Abortion Knowledge Among Medical Studentsmentioning

confidence: 99%

Predictors of Abortion Attitudes in Medical Students After the Reversal of Roe v. Wade

Jacobs¹,

Kane²,

Fritz³

2023

Cureus

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“…We are not aware of any other published curriculum on this topic for preclinical medical students. With the use of interviews with fourth year medical students who had applied to OB-GYN residency programs, researchers discovered that the term “elective” in relation to abortion education reflects personal, judgmental bias [ 10 ], and that many students were committed to providing or referring for abortion because they felt that it was the ethically correct thing to do [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“It’s important to foster open discussion about the topic”: development, implementation, and evaluation of an ethics of abortion independent learning module for second year medical students

McCarty,

Hutto,

Shaw

2023

Reprod Health

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Purpose Despite the frequency of abortions, one-third of medical schools in the US and Canada did not include coverage of that topic, according to a survey conducted in 2002–2005. The purpose of this project was to develop, implement, and evaluate a module for second year medical students related to the ethics of abortion. Methods The module was designed as Independent Learning Time (ILT). The stated purpose was for students to consider some of the recent debate in the ethics literature related to conscientious objection and abortion and how personal views may influence future practice. The ILT included readings and Power Points to view. Students were asked to write a one-page reflection on one of three writing prompts. Results The most commonly selected writing prompt in three classes was on personal values in relation to abortion (56.5%), followed by information about nearest provider of reproductive services to rural preceptor site (34.7%), followed by conscientious objection (23.3%). We received many positive comments about the ILT, including: “First, I would like to acknowledge my gratitude for this assignment and its subject. I believe it is very important that future physicians learn the entirety of women’s reproductive health care, including abortion and contraception, but unfortunately this is not always the case in medical training”. Conclusions There has been an extremely positive response to the ILT. With the exception of the prompt specific to our regional campus mission that includes rural preceptorships during the preclinical years, this module could be implementable at other medical schools.

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“…Competence is an essential characteristic of individuals who have causal relationships or causal relationships with criteria that are used as references or standards, are effective, or appear superior in the workplace in certain situations (Falloon, 2020;Garad et al, 2021;Jayadiputra & Karim, 2020). In the attitude of critical professionalism skills include assessing the ability of participants to practice aspects of professionalism, namely, taking every action carefully and carefully in order not to harm the patient, taking action based on priorities, being aware of limitations, paying attention to patient comfort, and showing respect and asking for approval (Bashir & McTaggart, 2022;Merz et al, 2022;Poola et al, 2021). Important clinical skills are one of the important foundations for building physician competence (Hussain et al, 2021;Shaw et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Analisis Pemetaan Kesesuaian Ujian Keterampilan Klinis di Program Studi Kedokteran di Bali

Giri

Lasmawan

Putra

2022

j. pendidik. indonesia.

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Analisis Pemetaan Kesesuaian Ujian Keterampilan Klinis di Program Studi Kedokteran di Bali Made Kurnia Widiastuti Giri1, I Wayan Lasmawan2, Adnyana Putra 31,3 Kedoketran, Universitas Pendidikan Ganesha, Singaraja2Pendidikan Kewarganegaraan, Universitas Pendidikan Ganesha, Singarajae-mail: AbstrakPembelajaran bidang kedokteran merupakan pendidikan yang mengacu pada tujuan pembelajaran keilmuwan dan keterampilan. Indikator penilaian dalam ujian keterampilan klinis terukur dalam daftar penilaian keterampilan. Indikator dalam penilaian keterampilan klinis ditetapkan berdasarkan standar kompetensi yang telah ditetapkan. Ujian keterampilan klinis dirancang dan dilaksanakan oleh program studi kesehatan termasuk di dalamnya program studi ilmu kedokteran. Program studi ilmu kesehatan seyogyanya melaksanakan pembelajaran dengan keseragaman pola dalam kurikulum yang diterapkan. Tujuan penelitian ini adalah untuk menganalisis permasalahan dala pelaksanaan ujian keterampialn klinis prodi kedokteran di Bali. Hasil penelitian ini memperoleh deskripsi lengkap tentang kebutuhan dalam keberhasilan pelaksanaan ujian Objective Structure Clinical Skills Examination (OSCE) di prodi kedokteran se-Bali dengan metode deskriptif kualitatif sebagai langkah awal pengembangan model ujian OSCE yang bertujuan meningkatkan kemampuan kompetensi ketrampilan klinis mahasiswa. Penelitian ini menyajikan data deskriptif kualitatif secara terstruktur dalam sajian data yang diperoleh melalui narasi tahapan persiapan, pelaksanaan dan evaluasi pelaksanaan OSCE. Sebagai kesimpulan dari penelitian ini adalah belum adanya pola yang sama antara prodi kedokteran dikarenakan belum adanya kegiatan review kurikulum sehingga keseragaman dalam pelaksanaan OSCE belum dapat dilaksanakan secara maksimal. Penelitian ini memberikan rekomendasi lebih lanjut kepada prodi kedokteran untuk melkauakn review kurikulum bersama karena dengan mereview secara bersama maka kompetensi setiap lulusan dari prodi kedokteran universitas yang berbeda akan berada dalam kategori setara.Kata kunci: Ujian Keterampilan Klinis, OSCE, Kedokteran

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“We're called upon to be nonjudgmental”: A qualitative exploration of United States medical students’ discussions of abortion as a reflection of their professionalism

Cited by 9 publications

References 16 publications

Predictors of Abortion Attitudes in Medical Students After the Reversal of Roe v. Wade

Predictors of Abortion Attitudes in Medical Students After the Reversal of Roe v. Wade

“It’s important to foster open discussion about the topic”: development, implementation, and evaluation of an ethics of abortion independent learning module for second year medical students

Analisis Pemetaan Kesesuaian Ujian Keterampilan Klinis di Program Studi Kedokteran di Bali

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