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Students were asked a series of questions: What concerns you about the patient?
What are the ethical values and principles in conflict? Yet more than 25 years later, medical schools still tiptoe around the subject in the classroom. Thirty-one percent of Canadian women under the age of 45 have terminated a pregnancy.
In alone, the most recent year for which data is available, 92, abortions were reported. But the choice to terminate an unwanted pregnancy belongs to a woman alone. Once she makes that choice, she is entitled to a safe, timely and confidential abortion.
In Canada, it is a matter of law. Still, the distribution of providers across this country is abysmal, especially outside our largest urban centres, where free-standing clinics — which perform some 57 percent of abortions — are predominantly located.
Roughly one in six hospitals offers abortion services, nearly all of them concentrated within km of the U. Women in the Yukon, Northwest Territories and Nunavut can have the procedure in just three hospitals.
While Quebec has 46 abortion facilities, the Prairies combined have eight. Prince Edward Island has no provider at all.
As a result, Canadian women in rural or remote areas often must travel great distances, out of pocket, to access an essential element of their reproductive care. In many cases, medical schools have done little to help normalize what is, in this country, a very normal procedure.
An organization called Medical Students for Choice, which was founded in the U. Individual young men and women are also finding ways to arm themselves with knowledge, coordinating lunchtime lectures with abortion providers and arranging volunteer work in family-planning centres.
In September, Brian Gallant became the premier of New Brunswick after campaigning in part on the repeal of a bill that restricted access to abortion in the province.
Less than two months later, he lifted a regulation mandating that two doctors had to certify the procedure as medically necessary, which had been in place for 30 years.
In December, the College of Physicians and Surgeons of Ontario proposed a new policy that requires anti-abortion doctors to refer patients to another physician or they could face disciplinary action. Another potential milestone is slated for later this year. Health Canada will finally decide on the approval of mifepristonea pill that ends pregnancy in its early stages.
Earlier last week, the Society for Obstetricians and Gynaecologists of Canada urged the federal regulator to approve the drug, although Health Canada, which had been set to rule in mid-January, has now deferred its decision until at least the fall, pending more information from the drug company.
One might imagine that medical schools would be on the front lines of these conversations, but students say the opposite is true. When I talk about abortion, I try to keep it pretty crisp and to the point: Particularly in smaller cities, they often worry about the personal implications of asking for instruction.
When the doctor in a fertility clinic where Nguyen worked bristled at the mention of abortion, the student never raised the topic again. Even in a major urban centre like Toronto, where U of T third- and fourth-year students receive a handbook indicating that abortions are happening in local hospitals and clinics and inviting them to learn about the procedure, few students show interest in the training.
Studies on abortion curricula are rare, but inContraception found that after ob-gyn residents attended programs with integrated abortion training, they were not only more supportive of abortion and more likely to include it in their practice, but twice as likely to feel comfortable counselling patients about their options.
Of course, for some, that is precisely the problem. It requires dedication, coordinated efforts, a network of support and unflagging patience when confronted with bureaucracy. But it can be done. In her first week of medical school, Kulkarni received an email from the U of T chapter of Medical Students for Choice, introducing her to the club and its work.
The pair organized meetings with school faculty, the course director and the pre-clerkship director. They were precise with their requests: They referred to more substantial lectures at other medical schools; Western University in London, Ont.
She adds that, yes, surgical abortion is very similar to the procedure involved during a miscarriage, and the drugs for medical abortion can be used elsewhere, but there are social and psychological issues unique to abortion that doctors must address.Curriculum reform in Finland FINNISH NATIONAL BOARD OF EDUCATION More information: sections on school discipline Promoting equality, particularly between men and women for introducing the new curricula at the beginning.
64 Strategies to Support Ethical Reasoning Issues in Teacher Education these barriers to teaching ethics (Miller, ).
NWABR is a non-profit organization that promotes an understanding of . Feb 03, · For decades parents, educators and legislators have attempted to reform the public schools-by hiring more teachers and administrators, spending .
In her first week of medical school, Kulkarni received an email from the U of T chapter of Medical Students for Choice, introducing her to the club and its work. By combining my own interests, shared by all students, and those of the school systems, I believe that introducing discipline reform in schools is an ethical thing to do according to the definition of care ethics.
sections on school discipline Promoting equality, particularly between men and • Competent teachers, high ethical orientation and commitment Core of the reform 25 The school will be developed both as a growth community and as a learning environment.