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Family planning competency following medical school Ob/Gyn clerkships at faith-based and secular sites

Journal: Scientific Reports Date: 2024/02, 14(1):Pages: 3667. doi: Subito , type of study: cross sectional study

Free full text   (https://www.nature.com/articles/s41598-024-54304-5)

Keywords:

abortion [5]
clerkship [23]
clinical competence [189]
contraceptive care [1]
cross sectional study [597]
curriculum [229]
faith [1]
family planning [1]
female [379]
osteopathic medicine [1540]
pregnancy [142]
women [333]
USA [1086]

Abstract:

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.


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