scholarly journals What should medical students be taught about abortion? An evaluation of student attitudes towards their abortion teaching and their future involvement in abortion care

2020 ◽  
Author(s):  
Pollyanna Cohen ◽  
Jonathan Mayhew ◽  
Faye Gishen ◽  
Henry W. W. Potts ◽  
Patricia A. Lohr ◽  
...  

Abstract Background One in three women in the United Kingdom (UK) will have an abortion before age 45, making abortion provision an essential aspect of reproductive healthcare. Despite this, abortion remains ethically contested and stigmatised, with variable teaching in UK medical schools and concerns about falling numbers of doctors willing to participate in abortion care. University College London Medical School (UCLMS) has designed practical, inclusive, teaching that aims to give students an understanding of the importance of abortion care and prepare them to be competent practitioners in this area. This study aimed to determine students’ opinions of this teaching and their wider attitudes towards abortion. Methods We invited all 357 final-year UCL medical students to complete an online survey consisting of closed-ended questions, exploring their opinions on their abortion teaching, their personal beliefs about abortion and their future willingness to be involved in abortion care. We analysed responses using non-parametric tests. Results 146 questionnaires (41% response rate) showed 83% of students identified as pro-choice (agree with the right to choose an abortion). 57% felt they received the right amount of abortion teaching, 39% would have liked more and 4% stated they received too much. There was no correlation between students’ attitudes to abortion and the rating of teaching; both pro-choice and pro-life (opposed to the right to choose an abortion) students generally rated the teaching as important and valued the range of methods used. Students requested more simulated practice speaking to patients requesting an abortion. Students with pro-life beliefs expressed lower willingness to discuss, refer, certify and provide future abortions. Students interested in careers in specialties where they may encounter abortion were more likely to be pro-choice than pro-life. Conclusions The majority of participating UCL medical students were pro-choice and willing to be involved in future abortion care. Efforts to make teaching on abortion practical, engaging, sensitive and inclusive were appreciated. As well as preparing students to be competent and caring practitioners, the teaching appears to contribute towards them viewing abortion as an essential aspect of women’s healthcare, and may contribute to destigmatising abortion.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pollyanna Cohen ◽  
Jonathan Mayhew ◽  
Faye Gishen ◽  
Henry W. W. Potts ◽  
Patricia A. Lohr ◽  
...  

Abstract Background One in three women in the United Kingdom (UK) will have an abortion before age 45, making abortion provision an essential aspect of reproductive healthcare. Despite this, abortion remains ethically contested and stigmatised, with variable teaching in UK medical schools and concerns about falling numbers of doctors willing to participate in abortion care. University College London Medical School (UCLMS) has designed practical, inclusive, teaching that aims to give students an understanding of the importance of abortion care and prepare them to be competent practitioners in this area. This study aimed to determine students’ opinions of this teaching and their wider attitudes towards abortion. Methods We invited all 357 final-year UCL medical students to complete an online survey consisting of closed-ended questions, exploring their opinions on their abortion teaching, their personal beliefs about abortion and their future willingness to be involved in abortion care. We analysed responses using non-parametric tests. Results One hundred and forty-six questionnaires (41% response rate) showed 83% of students identified as pro-choice (agree with the right to choose an abortion). Fifty-seven percent felt they received the right amount of abortion teaching, 39% would have liked more and 4% stated they received too much. There was no correlation between students’ attitudes to abortion and the rating of teaching; both pro-choice and pro-life (opposed to the right to choose an abortion) students generally rated the teaching as important and valued the range of methods used. Students requested more simulated practice speaking to patients requesting an abortion. Students with pro-life beliefs expressed lower willingness to discuss, refer, certify and provide future abortions. Students interested in careers in specialties where they may encounter abortion were more likely to be pro-choice than pro-life. Conclusions The majority of participating UCL medical students were pro-choice and willing to be involved in future abortion care. Efforts to make teaching on abortion practical, engaging, sensitive and inclusive were appreciated. As well as preparing students to be competent and caring practitioners, the teaching appears to contribute towards them viewing abortion as an essential aspect of women’s healthcare, and may contribute to destigmatising abortion.


Author(s):  
Monica Rose Arebalos ◽  
Faun Lee Botor ◽  
Edward Simanton ◽  
Jennifer Young

AbstractAlthough medical students enter medicine with altruistic motives and seek to serve indigent populations, studies show that medical students’ attitudes towards the undeserved tend to worsen significantly as they go through their medical education. This finding emphasizes the need for medical educators to implement activities such as service-learning that may help mitigate this negative trend.All students at the University of Nevada Las Vegas (UNLV) School of Medicine are required to participate in longitudinal service-learning throughout medical school, and a majority of students interact with the underserved at their service-learning sites. Using the previously validated Medical Student Attitudes Towards the Underserved (MSATU), independent sample T-tests showed that students who interact with underserved populations at their sites scored with significantly better attitudes towards the underserved at the end of their preclinical phase. Subjects included 58 medical students with 100% taking the MSATU. This result indicates that longitudinal service-learning, particularly when it includes interaction with the underserved, can be one method to combat the worsening of medical students’ attitudes as they complete their medical education.


Author(s):  
Fran Amery

A common misunderstanding of the Abortion Act 1967 is that it granted women the ‘right’ to access abortion. In reality, there is no such thing; the current provision of abortion in the United Kingdom rests on a system in which doctors, not women, are the arbiters of abortion access. In recent years, calls for the full decriminalisation of abortion have been given a vigour not seen before. For the first time, MPs and medical associations have moved to back decriminalisation, in line with the demands of pro-choice campaigners across the UK. But at the same time, opponents are mobilising to undermine public faith in both the Abortion Act and abortion providers. In doing so, they have tended to set aside the classic ‘right to life’ arguments, instead focusing on issues such as sex-selective abortion and disability rights. This book makes sense of today’s changed landscape of abortion debate by tracing the evolution of political and parliamentary discourse on abortion from the passage of the Abortion Act in the 1960s to the present. It makes the case that to understand contemporary abortion politics, it is necessary to move beyond a conceptualisation of the debate as characterised by ‘pro-choice’ versus ‘pro-life’.


2020 ◽  
Vol 4 (2) ◽  
pp. 126
Author(s):  
Nur Asnah Sitohang ◽  
Cut Adeya Adella

Menstrual Hygiene Management (MHM) is the management of hygiene and health when women experience menstruation. The main problem in adolescents related to menstruation is the lack of knowledge about MSM and poor water sanitation. Many girls don't have the right understanding that menstruation is a normal biological process. Community service aims to improve students' knowledge and attitudes about menstrual health management. The method used is socializing; identify the state of menstrual health service facilities in schools: bathrooms, water, information; carry out bathroom renovations; provide educational media about menstrual health management in the form of posters, videos, leaflets, modules and flip sheets. Pre-test and post-test aims to identify students' knowledge and attitudes about menstrual health management. Analysis of the data used is the dependent t test. The knowledge of students before being given health education majority was in the sufficient category and thereafter increased to good. Likewise, students' attitudes increase to be positive. The statistical test results obtained mean difference of 7.72 and P Value = 0.001, it can be concluded that there is a significant effect of health education on knowledge. For attitudes the mean difference is 1.62 and the P value  = 0.001, it can be concluded that there is a significant influence on health education on student attitudes. Therefore it is suggested to the school to include this topic in the subject matter. So students can apply it early and their reproductive health can be maintained.


2022 ◽  
Vol 9 ◽  
pp. 238212052110727
Author(s):  
Samiullah Dost ◽  
Lana Al-Nusair ◽  
Mai Shehab ◽  
Arwa Hagana ◽  
Aleena Hossain ◽  
...  

Objectives The objectives of this study were the following: (i) assess interest levels in cardiothoracic surgery (CTS) among UK-based medical students, (ii) identify potential motivators and barriers to pursuing CTS training, (iii) explore the influence of gender on interest in CTS in greater depth. Methods Medical students from all year groups across UK medical schools were invited to participate in a cross-sectional, national online survey. Responses were collected from 02/12/2019 to 08/12/2019. Results 1675 medical students from 31 UK medical schools responded, with an estimated 5.3% response rate. Of the respondents, 33.7% respondents reported having exposure to CTS, primarily through their medical school or through extracurricular activities (48.4% and 38.8%, respectively). When assessing interest in CTS, 31.4% were interested in undertaking a career in CTS, with a larger proportion of students expressing interest with no exposure to CTS than those with exposure. However, interest in pursuing CTS decreased with exposure as medical students transitioned from pre-clinical to clinical stages. Additionally, male participants were more interested in seeking a CTS post than their female counterparts (38% vs. 27.6%). The length of training ( p = 0.0009) and competitive nature ( p < 0.0001) of gaining a CTS post were the primary deterring factor for female participants, compared to their male counterparts. Conclusions This study shows the importance of quality of exposure and its impact on students’ interests in pursuing a career in CTS. The negative relationship between exposure and interest in CTS can be associated with the realisation of the challenges that come with pursuing CTS.


1994 ◽  
Vol 75 (3_suppl) ◽  
pp. 1601-1602 ◽  
Author(s):  
Clifford E. Brown ◽  
Vicki L. Shuman

Both Clinton supporters and pro-choice advocates (31 male and 79 female students of psychology) underestimated the prevalence of their own opinions; yet their estimates were higher than those made by individuals with differing opinions. Although both women and men strongly and similarly favored pro-choice over pro-life, women presumed that men would be less likely to favor the pro-choice position.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Emanuele Felice Osimo ◽  
Lydia Mariner ◽  
Paul Wilkinson

Purpose In previous research, personality and exposure to psychiatry were independently shown to shape medical students attitudes towards psychiatry (ATP). This paper aims to investigate the role of psychiatry placements and personality types on medical student attitudes towards psychiatry (ATP). Design/methodology/approach All medical students from four consecutive years at Cambridge University, UK were invited to take part in an online questionnaire including the ATP-30 Questionnaire and The Big Five Factor personality Inventory (BFI). Findings Students who had completed their psychiatry placement had more positive ATP than students who had not (t = −3.24, adjusted p = 0.004). However, this was not reflected in an increased self-reported likelihood of choosing psychiatry as a career (t = 0.28, adjusted p = 0.78). Higher agreeable personality scores were associated with both a higher willingness to take up psychiatry as a career (linear model estimate 0.06; p = 0.03), and more positive ATP (linear model estimate 0.14; p < 0.0001). Originality/value This work seems to confirm that exposure to psychiatry improves attitudes towards psychiatry. Agreeable personality traits were also associated with a higher willingness to take up psychiatry postgraduate training. These findings might help shape future campaigns to improve the profile of psychiatry training. Future research on this topic is needed to address whether improved ATP among medical students can longitudinally improve recruitment into post-graduate psychiatry training.


2017 ◽  
Vol 14 (1) ◽  
pp. 56-66
Author(s):  
Siti Khatijah Ismail Binyi Ismail ◽  
Ridzwan Ahmad Bin Ahmad

Therapeutic abortion is the termination of pregnancy procedures based on medical justification. There are two schools of opinion concerning to the issue of abortion. The first group confirmed that this procedure is done with a reason to save the mother's life or known as a pro-life group. The second group emphasized on the right of a woman to choose whether to continue with the pregnancy or not, known as pro-choice. Consequently, a 'priority conflict' arises between them. Thus, this article aims to analyze this conflict in accordance with the concept of preservation of life as found in verse 12 of Surat al-Hashr and verse 31 of Surat al-Isra '. Through an analysis of the work of scholars in the field of jurisprudence and medicine, interviews with the experts in the field of obstetrics and interpretation of these two verses in view of the maslahah (benefit) and mafsadah (harm),it is found that pro-life is a priority that needs to be preserved where the maslahah to protect lives is given due consideration. Keywords: the Quran, preservation of life, Therapeutic abortion, pro-life, pro-choice   Penguguran teraputik merupakan satu prosedur penamatan kehamilan berdasarkan justifikasi perubatan. Terdapat dua aliran pandangan apabila isu pengguguran dibincangkan. Golongan pertama membenarkan prosedur ini dilakukan dengan alasan untuk menyelamatkan nyawa ibu yang dikenali sebagai golongan yang pro-life. Golongan kedua pula mengutamakan hak seorang ibu untuk membuat pilihan sama ada ingin meneruskan kehamilan ataupun tidak yang dikenali sebagai pro-choice. Sehubungan dengan itu timbul konflik keutamaan di antara keduanya. Maka, artikel ini bertujuan menganalisis konflik ini mengikut konsep menjaga nyawa sebagaimana yang terdapat di dalam ayat 12 surah al-Mumtahanah dan ayat 31 surah al-Isra’. Melalui analisis terhadap karya sarjana dalam bidang fiqh dan perubatan, temu bual bersama pakar dalam bidang obstetrik serta tafsiran kedua-dua ayat ini dan aspek maslahah dan mafsadah menunjukkan bahawa pendekatan pro-life merupakan suatu keutamaan yang perlu dipelihara  kerana lebih mengambil kira maslahah menjaga nyawa. Kata kunci: Al-Quran, menjaga nyawa, Pengguguran Terapeutik, pro-life, pro-choice.


2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Philip Maseghe Mwachaka ◽  
Pamela Mandela ◽  
Hassan Saidi

The use of unclaimed bodies for anatomical dissection has been the main method of instruction at our institution. There is however a shortage of cadavers for dissection given the increase in the number of medical schools as well as in the number of students enrolling in these schools. This shortage could be mitigated by having voluntary human body donation programs. This study aimed at assessing the attitudes of medical students and surgical residents towards body donation for anatomy learning. We conducted an online survey involving 72 first-year medical students and 41 surgical residents at University of Nairobi who had completed one year of anatomy dissection. For the medical students, this was their first dissection experience while it was the second exposure for the surgery trainees. Most of the surgical trainees (70.7%) and medical students (68.1%) were opposed to self-body donation. This was mainly due to cultural (37%) and religious (20%) barriers. Surprisingly, of those not willing to donate themselves, 67.9% (82.8% surgical trainees, 59.2% medical students) would recommend the practice to other people. Exposure to repeated dissection does not change the perceptions towards body donation. It is noteworthy that culture and religion rank high as clear barriers amongst this “highly informed” group of potential donors.


2020 ◽  
Vol 50 (1) ◽  
pp. 1
Author(s):  
Siska Elvandari

One of human rights guaranteed and protected in the 1945 Constitution is the right to live and maintain life, stated in Article 28 A of the 1945 Constitution. The right to live and maintain life is the highest right that is inherent in human beings as the subject of law since humans were born to death in the world. The right to live and maintain life is not only inherent in human beings who have been born, but also in humans or children who are still in the womb, stated in Article II of the Civil Code that "Children are considered to have been born when interest is desired. However, in fact the guarantee and protection of the right to live and maintain life has been neglected in line with the legalization of abortion against victims of rape crimes stated in Law Number 36 Year 2009 concerning health. The legalization of abortion against victims of rape crimes certainly has drawn polemics in various circles, namely between pro life and pro choice groups.


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