Vance Stanley R, Deutsch Madeline B, Rosenthal Stephen M, Buckelew Sara M
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California.
Department of Family Community Medicine, University of California, San Francisco, San Francisco, California.
J Adolesc Health. 2017 Apr;60(4):425-430. doi: 10.1016/j.jadohealth.2016.11.020. Epub 2017 Jan 5.
To enhance pediatric trainees' and students' knowledge of the psychosocial and medical issues facing transgender youth through a comprehensive curriculum.
During the 2015-2016 academic year, we administered a transgender youth curriculum to fourth-year medical students, pediatric interns, psychiatry interns, and nurse practitioner students on their 1-month adolescent and young adult medicine rotation. The curriculum included six interactive, online modules and an observational experience in a multidisciplinary pediatric gender clinic. The online modules had a primary care focus with topics of general transgender terminology, taking a gender history, taking a psychosocial history, performing a sensitive physical examination, and formulating an assessment, psychosocial plan, and medical plan. At the completion of the curriculum, learners completed an evaluation that assessed change in perceived awareness and knowledge of transgender-related issues and learner satisfaction with the curriculum.
Twenty learners participated in the curriculum with 100% completing the curriculum evaluations, 100% reporting completing all six online modules, and 90% attending the gender clinic. Learners demonstrated a statistically significant improvement in all pre-post knowledge/awareness measures. On a Likert scale where 5 indicated very satisfied, learners' mean rating of the quality of the curriculum was 4.5 ± .7; quality of the modules was 4.4 ± .7; and satisfaction with the observational experience was 4.5 ± .8.
A comprehensive curriculum comprised interactive online modules and an observational experience in a pediatric gender clinic was effective at improving pediatric learners' perceived knowledge of the medical and psychosocial issues facing transgender youth. Learners also highly valued the curriculum.
通过全面的课程增强儿科实习生和学生对跨性别青少年所面临的心理社会和医学问题的认识。
在2015 - 2016学年，我们为四年级医学生、儿科实习生、精神科实习生以及执业护士学生在他们为期1个月的青少年和青年医学轮转期间提供了一门跨性别青少年课程。该课程包括六个互动式在线模块以及在一个多学科儿科性别诊所的观察体验。在线模块以初级保健为重点，主题包括一般跨性别术语、获取性别史、获取心理社会史、进行敏感的体格检查以及制定评估、心理社会计划和医学计划。课程结束时，学习者完成了一项评估，该评估评估了他们对跨性别相关问题的感知意识和知识的变化以及学习者对课程的满意度。
20名学习者参与了该课程，100%完成了课程评估，100%报告完成了所有六个在线模块，90%参加了性别诊所。学习者在所有前后知识/意识测量指标上均显示出统计学上的显著改善。在5表示非常满意的李克特量表上，学习者对课程质量的平均评分是4.5±0.7；对模块质量的评分是4.4±0.7；对观察体验的满意度是4.5±0.8。
一门由互动式在线模块和在儿科性别诊所的观察体验组成的全面课程有效地提高了儿科学习者对跨性别青少年所面临的医学和心理社会问题的感知知识。学习者也高度重视该课程。
