Connect with us


30 years after Morgentaler ruling, future doctors say medical schools neglect abortion training



Three years into her medical training at McGill University, Charlotte Rosen says she has had just one lecture, so far, on abortions.

« Overall, » Rosen says, « in all Canadian medical schools, there is a lack of education on it. » 

« Medical students, in almost any field, will see patients who have had, or will have, an abortion — and it’s important to know that. » 

In 2011, researchers at the University of British Columbia found that between 1974 and 2005, nearly one in three women in Canada had an abortion in their reproductive years. 

Despite that evidence that it is a common procedure, a recent study confirms just how little training the family doctors — the people who perform most abortions — receive in school.

That study published in June in the online journal BioMed Central concluded family medicine residents need more training on abortions, with existing programs providing little education and exposure to the procedure. 

« After a combined 12 years of undergraduate and post-graduate medical education, we have been exposed to a grand total of one hour of official curricular education on abortion, » said two of the study’s authors, Daniel Myran and Jillian Bardsley, in a commentary in the August issue of Canadian Family Physician.

Family medicine residents when they carried out the study, both are now family doctors.

Dr. Henry Morgentaler celebrates at a news conference in Toronto, after abortion was decriminalised by the Supreme Court of Canada in 1988. (Blaise Edwards/The Canadian Press)

« How can this be when January 28, 2018 marked the 30th anniversary of the 1988 Morgentaler decision decriminalizing abortion in Canada? » they asked, referring to the landmark Supreme Court ruling which struck down Canada’s abortion law as unconstitutional, opening access to the procedure across the country.

Myran and Bardsley, along with Tania El Hindi and Kristine Whitehead, surveyed 1,518 family medicine residents across the country in 2016 to see how abortion care is taught in Canadian medical schools. 

They found that 57 per cent of residents surveyed had received no formal education on abortion.

When respondents had any received training, they reported it was often brief: only 20 per cent reported having more than one hour of instruction on abortion throughout the course of their medical education.

This is despite the fact that family doctors perform the majority of abortions in Canada: 75 per cent of all therapeutic abortions were performed by family doctors in 2014-2015, according to Canadian Institute for Health Information data cited by Myran and Bardsley.

Still a stigmatized subject

Rosen has taken it upon herself to integrate more information about abortion care into her own medical training. She is the co-president of the McGill chapter of Medical Students for Choice (MSFC), a U.S.-based organization which advocates for medical students and post-graduate training in abortion and family planning.

Charlotte Rosen, a third-year medical student at McGill University, wants to see more discussion on abortion counselling in the medical curriculum.

« It’s obviously a stigmatized subject. It’s obviously a controversial subject, » Rosen says. « All trainees and all physicians need to be equipped to cope with that. »

MSFC gives medical students a chance to hear more about the abortion care outside of their formal education, hosting lectures and workshops covering different aspects of care and organizing a tour of Montreal’s Morgentaler clinic.

« It is also important to learn about counselling women on abortion, » Rosen said. 

« Growing up in a post-Morgentaler world, we think that abortion is accessible and no problem. But there are still barriers to accessing abortion. »

Adequate abortion-care training is one of many contemporary issues being discussed at McGill University at a conference now underway, called Abortion Beyond Bounds.

The conference reflects on the Morgentaler decision and takes a close look at some of the issues surrounding abortion today, such as access.

The conference’s co-organizer, Rebekah Lewis, whose doctoral studies focus on residency training in family medicine and obstetrics and gynecology, says access to abortion depends on well-trained physicians.

Abortion pill’s arrival creates training opportunity

The emergence of the abortion pill in Canada, Lewis says, may trigger medical licensing bodies and medical schools to take a second look at how abortion is covered in medical education and training.

Mifepristone, a drug which induces a medical abortion, began rolling out in Canada almost two years ago and is now available in most provinces, including Quebec.

Lewis says with more doctors prescribing the drug as a method to terminate a pregnancy, there is an opportunity for certifying bodies to take a second look at the need to standardize abortion training across Canada.

But the drug’s availability is not enough, Lewis says.

« Availability of abortion is still dependent on physicians trained and willing to provide that service, » she says. « If you don’t have physicians willing and able to provide, you don’t have services. »

In a statement to CBC News, the College of Family Physicians of Canada (CFPC), which establishes the professional standards for the training and certification of family physicians, says it is « currently reviewing how education is included in family medicine residency training at each of the Canadian medical schools. »

For Rosen, who has seen increasing interest in the subject matter from her peers, it’s welcome news.

« It’s good to hear that they are reviewing so that perhaps there can be official, formal competencies developed for this subject matter, » she said.

Source link

قالب وردپرس


EXCLUSIVE: China, Meng Wanzhou and Canada — how Huawei CFO’s arrest is playing out behind the scenes




Ever since Huawei CFO Meng Wanzhou landed at Vancouver’s YVR airport at 11:30 a.m. on Dec. 1 to catch a connecting flight to Mexico, Canada has been placed in the middle of a battle between the world’s two greatest powers.

Meng, 46, is at the centre of allegations that Huawei, a Chinese telecommunications giant linked to China’s People’s Liberation Army, has used a Hong Kong shell company known as Skycom to do business with Iran, defying U.S. sanctions against the Islamic Republic. Huawei denies the allegations.

The United States alleges Meng has been avoiding travel to the country ever since she learned of investigations into her business dealings. But when Meng landed in Vancouver and tried to pass Canadian customs on Dec. 1, she was flagged for detention and arrested by the RCMP, as the U.S. had filed proceedings for an extradition request with Canada.

Now, a high-stakes game of politics, espionage and covert surveillance operations is playing out in Vancouver, where Meng, one of China’s most powerful executives, was released on bail after a three-day hearing that was followed by media outlets worldwide.

READ MORE: Huawei CFO Meng Wanzhou granted bail, will live in Vancouver under electronic surveillance

Sources in law enforcement and government provided accounts of the unfolding events in British Columbia, a case that experts say has triggered a serious international crisis for Canada.

Already, China has apparently retaliated for Meng’s arrest by detaining two Canadians on national security charges, former Canadian ambassadors to China and CSIS employees say. And China has promised further revenge.

However, Minister of Foreign Affairs Chrystia Freeland told reporters Friday that China has drawn no connection between the arrests and the extradition of Meng.

WATCH: Who is Michael Spavor, the second Canadian to go missing in China?

Sources in this story could not be identified because of the sensitive nature of the information they provided.

At 8:30 a.m. Tuesday, while media outlets from around the world prepared to attend a Vancouver court hearing that would decide where Meng should stay during the pending extradition hearing — in one of her two luxurious homes in Vancouver or in jail — some elite RCMP officers already believed they had the answer.

A source told Global News the officers were saying Meng would be released later that day. They were right: Tuesday afternoon, Justice William Ehrcke released Meng on a $10-million security. Later that night, as media cameras crowded around, Meng was escorted in a protective embrace to a black Cadillac Escalade SUV by Scot Filer, a respected former RCMP geographic profiler with business experience in China, and the CEO of Lions Gate Risk Management, the private firm handling Meng’s security while she’s out on bail.

A vehicle is seen outside of Huawei CFO Meng Wanzhou’s home in Vancouver on Wednesday, Dec. 12, 2018. THE CANADIAN PRESS/Jonathan Hayward


A source said that while some of Canada’s business leaders have suggested the country was wrong to arrest Meng because of the political and economic consequences as well as the damage China has promised to inflict, it was never an option to let her continue on her travels to Mexico, where she reportedly planned to conduct business for Huawei.

‘China will take revenge’ if Canada doesn’t free Huawei CFO Meng Wanzhou: Global Times editor

Extradition requests from the United States are a standard, daily occurrence to be handled by Department of Justice Canada officials, a law enforcement source familiar with the Meng case and the general process said. As long as the evidence and allegations filed by an extradition treaty partner are in order, a suspect will be detained and enter the hearing process, and there will never be political interference, the source said.

Meng has two Vancouver homes worth $22 million in total. Now that she is living in one of the homes, RCMP officers are conducting covert surveillance operations in the area at night, a source said. This is to make sure that Meng doesn’t attempt to flee Canada and to monitor whether Chinese state agents attempt to contact her, according to a source.

At this time, since Meng has few friends in Vancouver; it is only neighbours attending her home, a source said.

Agents of China’s powerful Ministry of State Security, which protects China’s national interests and conducts intelligence operations in foreign lands, are also believed to be covertly monitoring Meng, a source said. And while crowds of Meng’s supporters protested for her release this week outside a downtown Vancouver court, MSS agents were also believed to be monitoring the events.

“Absolutely, the MSS are here (watching Meng) in Vancouver,” one source said.

Supporters hold signs and a Chinese flag outside B.C. Supreme Court during the third day of a bail hearing for Meng Wanzhou, the chief financial officer of Huawei Technologies, in Vancouver, on Tuesday, Dec. 11, 2018. THE CANADIAN PRESS/Darryl Dyck


The RCMP did not directly answer questions for this story nor deny information provided to Global News.

In a statement, the RCMP said: “Under the terms of a consular agreement between Canada and the People’s Republic of China, the RCMP contacted Chinese consulates in Vancouver and Ottawa within hours of the arrest.”

Trudeau’s justice minister will make final call on Meng Wanzhou extradition — if court approves it

Stephanie Carvin, a Carleton University professor and former strategic analyst for CSIS who was not involved in tactical operations, said China has “robust” global spy networks, and it would make sense for MSS agents in British Columbia to be conducting operations to protect China’s national interests.

“Huawei is not a normal company in any sense,” Carvin said. “It is wrapped up in Chinese nationality and represents (Chinese President) Xi Jinping’s interests as a national champion company. It doesn’t surprise me the Chinese state is taking a huge interest (in Meng’s case in British Columbia) and retaliating with these two kidnappings of Canadians in China.”

Carvin said that while the RCMP is not usually the lead agency in Canada’s counter-intelligence operations, it would make sense that the RCMP “wants to keep track of who is coming and going from Meng’s residence.”

WATCH: Supporters of Huawei and Meng Wanzhou protest for her release outside a Vancouver court house.

Meanwhile, according to B.C. political sources, there was high-level interest within the provincial government about Meng’s detention conditions.

State media in China have charged that Meng’s arrest was an affront to her dignity and human rights. In an editorial titled “Canada’s treatment of Meng Wanzhou in violation of human rights,” the Global Times claimed that Meng was “immediately handcuffed at the airport and taken to a detention facility…subjected to rude and degrading treatment…put into restraining devices used on felons.”

A source claimed that while Meng’s initial detention and bail proceedings played out, B.C. Premier John Horgan’s chief of staff Geoff Meggs allegedly took an interest in where and how Meng was detained. The source said Meggs reportedly had a call made to the office of B.C. Solicitor General Mike Farnworth “expressing concern that they could not hold Meng in a Canada Border Services facility…(and saying Farnworth) needs to make sure she is extended courtesies.”

Meng was detained before her release at B.C.’s Alouette Correctional Centre for Women in Maple Ridge. The CBSA did not immediately respond to requests for comment on the case.

The reported contact from the premier’s office to Farnworth was seen as “odd,” according to a source with knowledge of the case.

WATCH : Ralph Goodale says rumoured ban on Huawei is ‘speculation’

Meggs was not available for an interview. However, in response to requests for comment from Global News, a spokeswoman from the premier’s office said it was “our communications director (that) made an informational request about what had been reported in media about Ms. Meng.”

In an emailed response, a spokeswoman for Farnworth said: “The premier’s communications director contacted the solicitor general’s office to simply gain clarity on what was being reported on this investigation. This is standard procedure. This was a request for information only — there was no request for any change in circumstances.”

Meanwhile, in the aftermath of China’s detention of former Canadian diplomat Michael Kovrig and businessman Michael Spavor, a source with knowledge of Canadian relations with China said that Canada should expect China to carry out threats of revenge. It has been reported that China’s MSS is handling the cases of both Kovrig and Spavor.

“The Chinese don’t just say threats,” a source said. “This would be all planned out from Beijing beforehand. If they say they will do something, they are going to do it.”

Canada is currently considering whether to take further action, such as issuing travel advisories for China, a source said. A B.C. trade mission to China has already been cancelled, and on Friday, federal Tourism Minister Melanie Joly reversed her position from Thursday, deciding to postpone a trip to China.

The situation is so volatile, a source said, that the RCMP is also considering cancelling an international police training mission to China’s mainland that is scheduled for early 2019.

© 2018 Global News, a division of Corus Entertainment Inc.

Source link

قالب وردپرس

Continue Reading


GM working to retrain employees affected by Oshawa plant closure




General Motors of Canada is working with other employers to identify jobs and targeted training programs for GM employees affected by plans to close the Oshawa Assembly plant next year, the truck and auto maker said Friday.

It says several employers have identified about 2,000 jobs that will become open in Durham region in 2019 and 2020 — many of them related to the refurbishment of the Darlington nuclear power plant southeast of Oshawa.

General Motors has also identified 300 openings for auto technicians at GM dealerships in Ontario and 100 jobs that will be open at other GM facilities in Ontario.

In addition, GM estimates about half of the 3,000 unionized and salaried employees are eligible to retire under the company’s defined benefit pension plan — leaving about 1,500 who will want to transition to new occupations.

GM Canada vice-president David Paterson said the company is committed to spend « millions » to ensure its employees get the retraining they require, but the exact amount will depend on what other employers provide.

« What we want to do is to assure employees that their training will be taken care of. We’ll make sure that there’s enough money to do that, » he said in an interview.

OPG wants to hire Oshawa workers, GM says

GM Canada says Durham College will also establish a confidential internet portal in the new year to help auto workers identify job openings and begin plans to take retraining courses offered by a consortium of colleges.

The city of Oshawa and surrounding areas east of Toronto were shocked last month when the highly rated Oshawa Assembly plant was included as one of five North American GM plants identified to close next year.

Unifor national president Jerry Dias has said the union would fight against the Oshawa closure.

« They are not closing our damn plant without one hell of a fight, » Dias said Nov. 26.

Paterson said GM recognizes that the union has voiced « some strong opinions » but thinks it would be good for employees if they have time to plan for their future.

« We have an obligation and duty to work with our union to determine — in addition to our pensions and the income supplements our employees will get — what things we can provide, » Paterson said.

He said two of the prospective employers that came to GM after the closure announcement are Ontario Power Generation and Aecon, a construction company, working on the nuclear plant’s refurbishment.

« They have huge needs in terms of millwrights, boiler makers, electricians and a number of areas where our employees are especially suited to that type of work and have great experience, » Paterson said.

Source link

قالب وردپرس

Continue Reading


Justin Trudeau links China’s detention of two Canadians to U.S. extradition request for Huawei executive




OTTAWA—Prime Minister Justin Trudeau admits he is worried about the “unintended consequences” of an escalating trade fight between China and the United States, but will give no ground to demands he get involved in an extradition case.

With two Canadians now detained in China after Canada arrested Huawei executive Meng Wanzhou at the behest of the U.S., Trudeau says he will “stand up for” the rule of law and the independence of Canada’s judiciary, which is now handling the American extradition request.

And the prime minister took a more direct shot at both China and the U.S. President Donald Trump, who has suggested Meng’s case could be used as a bargaining chip in his larger security and trade dispute with China.

“Other countries can politicize their judicial system or make arbitrary actions,” Trudeau told Citytv in Toronto. “We are going to demonstrate that the best way not just to protect our citizens but to support the jobs the future the stability that Canadians expect is by standing up for our values in a clear unequivocal way that protects our interests.”

While China has not publicly drawn a direct link between Meng’s arrest and the detention of Canadians Michael Kovrig and Michael Spavor, Trudeau did appear to tie the cases together when asked about strained relations.

Justin Trudeau links China’s detention of 2 Canadians to U.S. extradition request for Huawei executive

On Friday, five days after he was detained, China had finally granted consular access to Kovrig, a former diplomat on leave to work with a Hong Kong-based non-governmental organization.

John McCallum, Canada’s ambassador to China, met with Kovrig in Beijing, Global Affairs Canada said in a news release.

“Canadian consular officials continue to provide consular services to him and his family and will continue to seek further access to Mr. Kovrig. Due to the provisions of the Privacy Act, no further information can be disclosed.”

The government is still pressing for consular access to Michael Spavor, the China-based entrepreneur who was arrested on Dec. 10.

The purpose of consular access is to determine a Canadian citizen’s well-being, clarify the reasons for detention with the Chinese, see if he requires medical attention and be able to act as a communications link for the family.

Both men were arrested after China threatened “grave consequences” if Canada didn’t release Meng, but a day before Meng was allowed to leave prison to await her extradition hearing in Vancouver, on strict bail conditions issued by a judge.

Her arrest has infuriated the Chinese government.

And for all Trudeau’s insistence that he will continue to engage with China, it is no longer business as usual.

Canada and China on Friday agreed to cancel or postpone a trip Tourism Minister Melanie Joly was to take to China next week, one day after she said that she still planned to travel there to further Canada-China tourism.

Canada Goose, the luxury outdoor wear brand, has delayed an opening of its new store in Beijing, citing construction reasons, even as its stock took a hit.

And the Chinese Foreign Ministry issued a veiled threat against Ottawa, warning it against pursuing a foreign investment protection agreement with Taiwan, which China considers part of the People’s Republic of China, not an independent state.

Foreign Ministry spokesman Lu Chang said Friday in Beijing when it comes to China’s position on “the Taiwan issue, I believe that all the countries in the world are very clear about that.

“If … the Canadian side did try to play the ‘Taiwan card,’ then it has miscalculated the situation so much that it will only end up hurting itself.”

Trudeau, who appeared on Citytv’s Breakfast Television show, was asked if he was worried about Canada’s relations with China and with the U.S.

“This is one of the situations you get in when the two largest economies in the world, China and the United States, start picking a fight with each other. The escalating trade war between them is going to have all sorts of unintended consequences on Canada, and potentially on the entire global economy. So we’re very worried about that,” he said.

“We are doing what Canada will always do, standing up for the rules, obeying our laws, standing up for Canadian principles, standing up for Canadian values and you know not, not reacting the way some other countries are reacting.”

Tonda MacCharles is an Ottawa-based reporter covering federal politics. Follow her on Twitter: @tondamacc

Source link

قالب وردپرس

Continue Reading


Arts Et Spectacles22 minutes ago

Paris sous le charme de la BD canadienne | ÉRIC DELHAYE

Anglais41 minutes ago

EXCLUSIVE: China, Meng Wanzhou and Canada — how Huawei CFO’s arrest is playing out behind the scenes

Technologie1 heure ago

Mise en garde contre une fraude par cartes iTunes

Actualités1 heure ago

Québec hausse les prestations des plus vulnérables | PIERRE SAINT-ARNAUD

Santé Et Nutrition1 heure ago

This Cookie Scoop Will Fool Your Friends Into Thinking the Rest of Your Life Is Perfect Too

Arts Et Spectacles1 heure ago

Décès de la légende du jazz Nancy Wilson

Affaires1 heure ago

Trump remercie Apple pour ses investissements aux États-Unis

Anglais2 heures ago

GM working to retrain employees affected by Oshawa plant closure

Actualités2 heures ago

Direction du Bloc: deux nouveaux appuis pour Yves-François Blanchet | MYLÈNE CRÊTE

Santé Et Nutrition2 heures ago

These Braisey Chicken Legs in Coconut Milk Are Almost Too Easy to Make | Healthyish

Arts Et Spectacles2 heures ago

Elisapie Isaac dans le vent | MARC CASSIVI

Affaires3 heures ago

Livraison des colis par Postes Canada: la situation s’améliore

Anglais3 heures ago

Justin Trudeau links China’s detention of two Canadians to U.S. extradition request for Huawei executive

Actualités3 heures ago

L’hiver hâtif force Montréal à suspendre 10 chantiers | Pierre-André Normandin

Styles De Vie3 heures ago

Les cinq Porsche les plus rapides au monde

Affaires4 heures ago

Hydro-Québec: un employé sur trois fait plus de 100 000 $

Anglais4 heures ago

Tay Township deputy mayor Jim Crawford has died – Barrie

Technologie4 heures ago

Les photos de 6,8 millions utilisateurs de Facebook exposées à la suite d’une faille de sécurité

Actualités4 heures ago

Rencontre entre Ottawa et Washington en plein bras de fer avec Pékin | FRANCESCO FONTEMAGGI

Styles De Vie4 heures ago

L’univers d’un chef sommelier – Le Figaro Vin

Santé Et Nutrition2 mois ago

Gluten-Free Muffins

Anglais1 mois ago

Body found after downtown Lethbridge apartment building fire, police investigating – Lethbridge

Styles De Vie2 mois ago

Renaud Capuçon, rédacteur en chef du Figaroscope

Anglais1 mois ago

100 years later, Montreal’s Black Watch regiment returns to Wallers, France

Anglais2 semaines ago

Ontario Tories argue Trudeau’s carbon plan is ‘unconstitutional’

Santé Et Nutrition3 mois ago

3 fois par jour – Desserts: le casse-tête sucré de Marilou | Sophie Ouimet

Mode2 mois ago

Kid’s collections : Little Hedonist

Anglais2 mois ago

No federal party will turn back the clock on the legalization of marijuana

Actualités2 mois ago

Le fils aîné de Tony Accurso meurt dans une embardée | Daniel Renaud et Vincent Larouche

Anglais1 mois ago

Keystone pipeline is Trump’s latest failed attempt to roll back environmental regulations

Affaires3 mois ago

Pas de grève cette semaine à Postes Canada

Technologie2 mois ago

Le nombre de morts par égoportrait ne cesse d’augmenter dans le monde

Anglais2 mois ago

Police presence in Jewish communities across Canada to be increased following Pittsburgh shooting – National

Actualités2 mois ago

La souveraineté est toujours nécessaire, dit Bernard Landry | Denis Lessard

Anglais3 mois ago

Condo developer Thomas Liu — who collected millions but hasn’t built anything — loses court fight with Town of Ajax

Mode3 mois ago

Have A Nice Day | Hello it’s Valentine

Technologie2 mois ago

La maison connectée, un paradis pour les pirates

Mode1 mois ago

W.I.M.A.M.P, la capsule responsable de Bobo Choses 2018

Anglais4 semaines ago

‘At whose expense?’: B.C. entrepreneur says small business owners caught in postal strike crossfire

Affaires3 mois ago

Taxes sur les importations: Pékin riposte à Washington