Ethical Considerations of Abortion Education in Undergraduate Catholic Medical Institutions

Abstract

Medical schools have an obligation to provide a well-rounded, comprehensive education for their students, including reproductive healthcare. The Ethical and Religious Directives for Catholic Healthcare Services (ERDs) provide guidance and directives for hospitals sponsored by the Catholic Church. The ERDs prohibit performing abortions, including material cooperation with abortion. We examined whether teaching medical students about abortion in Catholic medical schools is ethically permissible under the ERDs. Literature for ethical frameworks, theology, and medical education standards was examined. We also sought to identify whether medical students at a Catholic medical school were satisfied with the current abortion curriculum. An Institutional Review Board approved survey was distributed to fourth-year medical students at a Catholic medical school evaluating satisfaction with the current curriculum. Students indicated that abortion education is an important aspect of the medical school curriculum. We propose that it is ethically permissible to provide comprehensive didactic reproductive education, including abortion, in Catholic medical schools while still respecting the ERDs.

Keywords

abortion ethics direct and indirect abortion medical education reproductive education reproductive ethics

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References

American College of Obstetricians and Gynecologists. 2016. “The Limits of Conscientious Refusal in Reproductive Medicine.” Accessed March 5, 2023. https://www.acog.org/en/clinical/clinical-guidance/committee-opinion/articles/2007/11/the-limits-of-conscientious-refusal-in-reproductive-medicine.

Broen

Anne Nordal

Moum

Torbjörn

Bödtker

Anne Sejersted

Ekeberg

Öivind

. 2005. “Reasons for Induced Abortion and Their Relation to Women’s Emotional Distress: A Prospective, Two-Year Follow-up Study.” General Hospital Psychiatry 27 (1): 36–43. https://doi.org/10.1016/j.genhosppsych.2004.09.009 .

Catholic Health Association of the United States. 2024. Catholic Health Care in the United States—2024. St. Louis, MO: Catholic Health Association of the United States. Accessed February 27, 2025. https://www.chausa.org/docs/default-source/about/catholic-health-care-in-the-united-states—2024.pdf.

Chen

Lloyd

Chaturvedi

Adrija

McKenna

Madeline

, et al. 2023. “Values Clarification as a Reflective Practice for Preclerkship Medical Students.” MedEdPORTAL 19: 11308. https://doi.org/10.15766/mep_2374-8265.11308 .

Clark

Peter A.

2000. “Methotrexate and Tubal Pregnancies: Direct or Indirect Abortion?” The Linacre Quarterly 67 (1): 7–24. https://doi.org/10.1080/20508549.2000.11877563 .

Cohen

Pollyanna

Mayhew

Jonathan

Gishen

Faye

Potts

Henry W. W.

Lohr

Patricia A.

Kavanagh

Jayne

. 2021. “What Should Medical Students Be Taught about Abortion? An Evaluation of Student Attitudes towards Their Abortion Teaching and Their Future Involvement in Abortion Care.” BMC Medical Education 21 (1): 4. https://doi.org/10.1186/s12909-020-02414-9 .

Committee on Doctrine of the United States Conference of Catholic Bishops (USCCB). 2018. Ethical and Religious Directives for Catholic Health Care Services, Sixth Edition. United States Conference of Catholic Bishops, Washington, DC.

Hamal

Ron

. 2014. “Early Pregnancy Complications and the Ethical and Religious Directives.” Health Progress 95 (3): 48–56. https://www.chausa.org/docs/default-source/health-progress/early-pregnancy-complications-and-the-ethical-and-religious-directives.pdf.

Hampton

B. Star

Cox

Susan M.

Craig

LaTasha B.

, et al. 2019. “APGO Medical Student Educational Objectives, 11th Edition.” Association of Professors of Gynecology and Obstetrics.

10.

Jones-Nosacek

Cynthia

. 2022. “Referral vs Transfer of Care: Ethical Options When Values Differ.” The Linacre Quarterly 89 (1): 36–46. https://doi.org/10.1177/00243639211055970 .

11.

Kortsmit

Katherine

Nguyen

Antoinette T.

Mandel

Michele G.

, et al. 2023. “Abortion Surveillance—United States, 2021.” MMWR. Surveillance Summaries 72 (9): 1–29. https://doi.org/10.15585/mmwr.ss7209a1.

12.

Liaison Committee on Medical Education. 2023. “Functions and Structure of a Medical School.” Association of American Medical Colleges and American Medical Association.

13.

Maddow-Zimet

Isaac

Gibson

Candace

. 2024. “Despite Bans, Number of Abortions in the United States Increased in 2023 | Guttmacher Institute.” March 12, 2024. https://www.guttmacher.org/2024/03/despite-bans-number-abortions-united-states-increased-2023.

14.

O’Rourke

Kevin

Philip

Boyle

. 2011. “Normative Concepts.” In Medical Ethics: Sources of Catholic Teaching. 4th Edition. Washington, DC, United States: Georgetown University Press, 11–23.

15.

Seeds

John W.

2012. “Direct Abortion or Legitimate Medical Procedure Double Effect?” The Linacre Quarterly 79 (1): 81–87. https://doi.org/10.1179/002436312803571546 .

16.

Shanawani

Hasan.

2016. “The Challenges of Conscientious Objection in Health Care.” Journal of Religion and Health 55 (2): 384–393. https://doi.org/10.1007/s10943-016-0200-4 .

17.

Smith

James F

Jr.

2020. “Women’s Reproductive Health Education in Catholic Academic Healthcare Institutions: Time for Transparency, Authenticity, and Reflection.” The Linacre Quarterly 87 (3): 268. https://doi.org/10.1177/0024363920923466 .