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医学院校在女性健康和性别差异方面教授哪些内容?

What do medical schools teach about women's health and gender differences?

作者信息

Henrich Janet B, Viscoli Catherine M

机构信息

Medicine and of Obstetrics and Gynecology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.

出版信息

Acad Med. 2006 May;81(5):476-82. doi: 10.1097/01.ACM.0000222268.60211.fc.

DOI:10.1097/01.ACM.0000222268.60211.fc
PMID:16639208
Abstract

PURPOSE

To examine the curricula of U.S. medical schools to assess the inclusion of women's health and gender-specific information and identify institutional characteristics associated with this content.

METHOD

Using data from the Association of American Medical Colleges' Curriculum Management and Information Tool (CurrMIT), in November 2003 to February 2004 the authors performed a curriculum search of schools that entered course/clerkships in CurrMIT to identify interdisciplinary women's health or gender-specific courses/clerkships. A subset of schools that entered comprehensive information in CurrMIT was searched for a specified list of women's health topics and or gender-specific content on any topic. Statistical analyses were performed to assess the relationship between frequency of topics and school characteristics.

RESULTS

The authors identified 95 schools that entered related courses/clerkships. Ten courses/clerkships at nine schools met criteria for an interdisciplinary women's health course/clerkship. In the subset of 60 schools with comprehensive CurrMIT information, 18 specified women's health topics were identified, as well as 24 topics on gender-specific content, for a total of 42 topics. The number of topics taught ranged from zero to 26 (mean = 11). More than 50% of these schools taught 11 of the 18 specified topics, while fewer than 30% included gender-specific topics. There was no association in bivariate analysis between the mean number of topics taught and schools' characteristics; however, a women's health program (p= .01) and female dean (p= .06) were positively associated in a regression model.

CONCLUSIONS

Few schools offer interdisciplinary women's health courses/clerkships or include gender-specific information in their curricula. A designated women's health program may increase this content in schools' curricula.

摘要

目的

研究美国医学院校的课程设置,以评估女性健康和性别特定信息的纳入情况,并确定与该内容相关的机构特征。

方法

利用美国医学院协会课程管理与信息工具(CurrMIT)的数据,作者于2003年11月至2004年2月对在CurrMIT中录入课程/见习信息的学校进行了课程搜索,以确定跨学科的女性健康或性别特定课程/见习。对在CurrMIT中录入全面信息的一部分学校,搜索了一份特定的女性健康主题清单以及任何主题下的性别特定内容。进行统计分析以评估主题出现频率与学校特征之间的关系。

结果

作者确定了95所录入相关课程/见习的学校。9所学校的10门课程/见习符合跨学科女性健康课程/见习的标准。在拥有CurrMIT全面信息的60所学校子集中,确定了18个特定的女性健康主题,以及24个性别特定内容主题,共计42个主题。所教授主题的数量从零到26不等(平均 = 11)。这些学校中超过50%教授了18个特定主题中的11个,而包含性别特定主题的学校不到30%。在双变量分析中,所教授主题的平均数量与学校特征之间没有关联;然而,在回归模型中,女性健康项目(p = .01)和女性院长(p = .06)呈正相关。

结论

很少有学校提供跨学科的女性健康课程/见习,或在其课程中纳入性别特定信息。一个指定的女性健康项目可能会增加学校课程中的此类内容。

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