了解美国实习前流产培训途径和职业选择:一项定性研究。

IF 3.4 3区 医学 Q1 FAMILY STUDIES BMJ Sexual & Reproductive Health Pub Date : 2024-01-09 DOI:10.1136/bmjsrh-2023-201872
Rebecca Henderson, Valeria Barreto, Molly Nyren, Olivia Moumne, Tory Finley, Sharon Byun, Alexandra Monaco, Jody Steinauer
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引用次数: 0

摘要

背景:在美国,决定提供人工流产服务的因素很多。我们的目的是描述美国堕胎护理提供者在选择职业时的任职前经历和决定:我们对 34 名现任人工流产护理提供者进行了 60 分钟的半结构化电话访谈,了解他们的职业轨迹、决策和规划。访谈内容由研究小组的三名成员采用主题分析法进行转录和编码:大多数参与者(73.5%,n=25)在进入住院医生行列之前考虑过(62.8%,n=22)并坚定地致力于提供人工流产护理。她们描述了在妇女健康和生殖权利方面的重要职业经历,以及在人工流产护理方面的个人经历,所有这些都激励她们在医学院和住院医师培训期间寻求人工流产培训。参与者还描述了直到培训后期才有导师或榜样的情况,尤其是对家庭医生而言:我们的研究表明,提供人工流产护理的决定往往是在住院医师培训之前、医学院之前或期间做出的,因此可能需要额外的支持,以促进在本科医学教育期间甚至之前接触人工流产护理。此外,在这些时期还需要加强指导和树立榜样,尤其是对家庭医生而言。这一点在 "罗伊诉韦德 "案被推翻后可能尤为重要,因为限制性州的医学院可能无法为患者提供堕胎服务,从而使学生失去了作为堕胎服务提供者的榜样。
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Understanding pre-residency abortion training pathways and career choices in the United States: a qualitative study.

Background: Many factors contribute to the decision to provide abortion in the United States. We aim to describe pre-residency experiences and decisions that contribute to choosing a career as an abortion provider in the United States.

Methods: We conducted 60-min semi-structured telephone interviews with 34 current abortion care providers about their career trajectories, decision-making and planning. Interviews were transcribed and coded by three members of the research team using thematic analysis.

Results: A majority of the participants considered (73.5%, n=25) and firmly committed (62.8%, n=22) to providing abortion care prior to entering residency. They described important professional experiences with women's health and reproductive rights, as well as personal experiences with abortion care, all of which inspired them to seek out abortion training during medical school and residency. Participants also described a dearth of mentors or role models until late in training, especially for family physicians.

Conclusions: Our study suggests that the decision to provide abortion care is often made prior to residency training, before or during medical school, so additional support may be needed to promote exposure to abortion care during undergraduate medical education or even before. Further, there is a need for improved mentorship and role modelling during these periods, especially for family physicians. This may be especially critical after the overturn of Roe v Wade, as medical schools in restrictive states may not be able to provide abortions to patients, depriving students of role models who are abortion providers.

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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
期刊最新文献
"That's not how abortions happen": a qualitative study exploring how young adults navigate abortion misinformation in the post-Roe era. Attitudes towards the regulation and provision of abortion among healthcare professionals in Britain: cross-sectional survey data from the SACHA Study. Reported side effects from hormonal contraceptives among those seeking abortion care versus contraceptive services. The post-Roe potential of mifepristone and misoprostol in the United States. Effectiveness of the etonogestrel subdermal implant in users with overweight and obesity: a systematic literature review.
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