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Lack Of Medical School Training On Abortion Contributes To Decline In Providers, Salon Opinion Piece Says
Salon contributor Kate Harding on Monday examined how a lack of training in medical schools is affecting the availability of abortion providers in the U.S. Harding reports that 87% of all U.S. counties and 98% of rural counties have no abortion services. In addition, nearly two-thirds of physicians who perform abortions in the second trimester are older than age 50 and "bound to retire sooner rather than later," she writes. Harding also cites figures from PBS" "NOW" showing that the number of abortion providers has dropped by one-third in recent decades -- from 2,680 in 1985 to 1,787 in 2005. According to Harding, although a fear of violence and a tendency of younger doctors born after Roe v. Wade to "take abortion for granted" are "probably" factors in the drop in providers, another important issue is inadequate education in medical schools. According to a recent survey of Medical Students for Choice student members published in the journal Contraception, 33% of the students ""reported no coverage of elective abortion-related topics,"" Harding writes. MS4C reported that fewer than 50 U.S. medical schools, out of 130 accredited institutions, offer abortion training as part of their residency programs. Harding adds that family planning training that does exist is "often patchy and rife with misinformation." The reasons for avoiding the issue of abortion in medical education vary, according to Harding. Mitchell Creinin, president of the Society for Family Planning, said that even though abortion is the second most common outpatient procedure in the U.S., many students will not pursue specialties that involve providing abortion and those who do might choose not to offer the procedure. Creinin also noted that doctors in many other specialties complain about the lack of medical school training in their particular fields. According to Harding, taking this view, "you could also argue that it"s a waste of time in an already overburdened curriculum."Another factor is that "the same relentless pressure" from abortion-rights opponents "that plagues practicing abortion providers is also directed at medical schools," Harding writes. According to Susan Wicklund, an ob-gyn in Montana, some antiabortion-rights groups pressure administrators and faculty at medical schools not to discuss abortion and threaten boycotts or picketing. Lois Backus, executive director of MS4C, said the lack of abortion training reflects a larger problem in medicine of focusing on men"s health needs over women"s. Backus said medical students report that they ""get two to three hours on Viagra and half an hour on every contraceptive method combined. That"s the reality of American medical education."" According to Harding, this fact is "even more troubling in light of research that shows exposure to comprehensive family planning education, including abortion, is a strong predictor of whether a medical student will go on to become a provider." Creinin said comprehensive education in reproductive health is worthwhile, even for doctors who never intend to perform abortions. He noted that many physicians received training on cancer care, though they are much more likely to treat a patient with an unintended pregnancy. According to Wicklund, the lack of physicians trained in reproductive health also means that women who travel to access an abortion provider cannot get adequate follow-up care when they return home. Harding adds that such "ignorance often leads to overreaction on the part of doctors" who do not understand how to treat minor complications resulting from abortions, which results in "expensive, unnecessary hospital stays for women who might not have insurance" (Harding, Salon, 6/15).
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Novel Handheld Device Detects Anthrax With Outstanding Accuracy And Reliability
Veritide Ltd., a developer of innovative biological identification and detection solutions, today reported that new independent data to be presented at the Biodetection Technologies 2009 conference confirm the exceptional accuracy of its Ceeker™ (pronounced "seeker") portable bacterial detection device in discriminating between anthrax spores and similar-looking hoax substances. The data show that in over two weeks of testing at the Midwest Research Institute in Florida, the company"s Ceeker scanner accurately identified 100% of the anthrax samples used and was correct in 95% of tests involving hoax substances. These test results are consistent with similar results produced last year by a New Zealand forensic testing agency, Environmental Science and Research (ESR).
News of the day
First Testicular Cancer Risk Genes Found
A team led by scientists at The Institute of Cancer Research (ICR) compared the genes of 730 men who had developed testicular cancer with the genes of healthy men. They found many of the men who had suffered cancer shared common DNA variants on chromosomes 5, 6 and 12 that the healthy men did not have.
Oncology

Sexual Violence Aimed At Girls, Women In Swaziland Linked To High HIV/AIDS Risk, Other Health Issues, Report Says

A new report commissioned by UNICEF and CDC and recently published in the journal Lancet found that one in three girls in Swaziland has experienced sexual violence by age 18, which can lead to serious health issues such as HIV, IRIN/PlusNews reports. In addition, the researchers found that 22% of Swazi women between ages 15 and 24 are HIV-positive, noting that sexual violence could be a common HIV transmission mode among women in high-burden countries such as Swaziland. Sexual violence was defined as forced sex, coerced sex and forced touching. Five percent of girls had experienced forced sex before age 18, and coerced intercourse was reported by 9% of girls, according to the report. In addition, almost 90% of girls who had experienced sexual violence said that it first occurred between ages 13 and 17. The authors recommended that efforts to address issues surrounding sexual violence should "focus on prevention of perpetration by men of sexual violence, and since sexual- and intimate-partner violence might have common roots, local and national initiatives could be reviewed, adapted and scaled up for this purpose." According to the researchers, three-quarters of the boys and men who perpetrated the sexual violence were related or known to the girls (IRIN/PlusNews, 5/13). An abstract of the report is available online. Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.


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