Conscientious refusal in reproductive medicine: an educational intervention. Lupi, S, C., Estes, M, C., Broome, A, M., Schreiber, & M, N. American journal of obstetrics and gynecology, 201(5):502.e1--7, November, 2009. doi abstract bibtex 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.
@article{ lupi_conscientious_2009,
title = {Conscientious refusal in reproductive medicine: an educational intervention},
volume = {201},
issn = {1097-6868},
shorttitle = {Conscientious refusal in reproductive medicine},
doi = {10.1016/j.ajog.2009.05.056},
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.},
language = {eng},
number = {5},
journal = {American journal of obstetrics and gynecology},
author = {Lupi, Carla S and Estes, Christopher M and Broome, Monica A and Schreiber, Nicolette M},
month = {November},
year = {2009},
pmid = {19664751},
keywords = {{COMMUNICATION}, Education, Medical, Female, Humans, Male, Questionnaires, Refusal to Treat, Reproductive Medicine},
pages = {502.e1--7}
}
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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.","author":["Lupi","S, Carla","Estes","M, Christopher","Broome","A, Monica","Schreiber","M, Nicolette"],"author_short":["Lupi","S, C.","Estes","M, C.","Broome","A, M.","Schreiber","M, N."],"bibtex":"@article{ lupi_conscientious_2009,\n title = {Conscientious refusal in reproductive medicine: an educational intervention},\n volume = {201},\n issn = {1097-6868},\n shorttitle = {Conscientious refusal in reproductive medicine},\n doi = {10.1016/j.ajog.2009.05.056},\n 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.\n{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.\n{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). 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