Conscientious refusal in reproductive medicine

an educational intervention

Carla S. Lupi, Christopher Estes, Monica Broome, Nicolette M. Schreiber

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: This study evaluates an educational intervention focusing on the ethical reasoning and communication skills necessary in counseling patients about morally objectionable medical interventions. Study Design: All students on the core clerkship in obstetrics and gynecology at the University of Miami Miller School of Medicine participated in a structured workshop. Students completed anonymous surveys before and after the workshop. Associations between the participants' change in comfort level in providing nondirective counseling and measured demographic variables were analyzed. Results: Of 140 students, 37% (n = 52) positively changed their comfort level with nondirective options counseling; 10% (n = 14) negatively changed. Change in understanding of the physician's role was reported by 60% (n = 84). The exercise was rated as educationally valuable by 95% (n = 128), with 84% (n = 115) attesting that the workshop would help them "approach things differently.". Conclusion: Evaluation of multiple parameters demonstrated that this workshop heightened student awareness of the ethical and communications skills challenges posed by this clinical situation.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume201
Issue number5
DOIs
StatePublished - Nov 1 2009

Fingerprint

Reproductive Medicine
Students
Education
Counseling
Communication
Physician's Role
Gynecology
Obstetrics
Medicine
Demography
Exercise

Keywords

  • communication
  • evaluation studies
  • medical education
  • medical ethics
  • reproductive health services

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Conscientious refusal in reproductive medicine : an educational intervention. / Lupi, Carla S.; Estes, Christopher; Broome, Monica; Schreiber, Nicolette M.

In: American Journal of Obstetrics and Gynecology, Vol. 201, No. 5, 01.11.2009.

Research output: Contribution to journalArticle

Lupi, Carla S. ; Estes, Christopher ; Broome, Monica ; Schreiber, Nicolette M. / Conscientious refusal in reproductive medicine : an educational intervention. In: American Journal of Obstetrics and Gynecology. 2009 ; Vol. 201, No. 5.
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