Davidge-Pitts Caroline, Nippoldt Todd B, Danoff Ann, Radziejewski Lauren, Natt Neena
Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, Minnesota 55905.
CPL Michael J. Crescenz Veterans Administration Medical Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104.
J Clin Endocrinol Metab. 2017 Apr 1;102(4):1286-1290. doi: 10.1210/jc.2016-3007.
The transgender population continues to face challenges in accessing appropriate health care. Adequate training of endocrinologists in this area is a priority.
Assess the status of transgender health care education in US endocrinology fellowship training programs and assess knowledge and practice of transgender health among practicing US endocrinologists.
Mayo Clinic and the Endocrine Society developed and administered a Web-based anonymous survey to 104 endocrinology fellowship program directors (PDs; members of the Association of Program Directors in Endocrinology, Diabetes and Metabolism) and 6992 US medical doctor members of Endocrine Society.
There were 54 total responses from 104 PDs (51.9%). Thirty-five of these 54 programs (72.2%) provide teaching on transgender health topics; however, 93.8% respondents indicated that fellowship training in this area is important. Barriers to provision of education included lack of faculty interest or experience. The most desired strategies to increase transgender-specific content included online training modules for trainees and faculty. Of 411 practicing clinician responders, almost 80% have treated a transgender patient, but 80.6% have never received training on care of transgender patients. Clinicians were very or somewhat confident in terms of definitions (77.1%), taking a history (63.3%), and prescribing hormones (64.8%); however, low confidence was reported outside of the hormonal realm. The most requested methods of education included online training modules and presentation of transgender topics at meetings.
Confidence and competence in transgender health needs to increase among endocrinologists. Strategies include the development of online training modules, expansion of formal transgender curricula in fellowship programs, and presentations at national and international meetings.
跨性别群体在获得适当的医疗保健方面仍面临挑战。在内分泌学家中进行该领域的充分培训是当务之急。
评估美国内分泌学住院医师培训项目中跨性别医疗保健教育的现状，并评估美国执业内分泌学家对跨性别健康的知识和实践情况。
梅奥诊所和内分泌学会开发并实施了一项基于网络的匿名调查，对象为104名内分泌学住院医师培训项目主任（内分泌、糖尿病和代谢住院医师培训项目主任协会成员）以及6992名美国内分泌学会的医生会员。
104名项目主任中有54人回复（51.9%）。这54个项目中有35个（72.2%）提供跨性别健康主题的教学；然而，93.8%的受访者表示该领域的住院医师培训很重要。提供教育的障碍包括教员缺乏兴趣或经验。增加跨性别特定内容的最理想策略包括为学员和教员提供在线培训模块。在411名执业临床医生受访者中，近80%治疗过跨性别患者，但80.6%从未接受过跨性别患者护理方面的培训。临床医生在定义（77.1%）、问诊（63.3%）和开具激素处方（64.8%）方面非常或有些自信；然而，在激素领域之外，自信程度较低。最需要的教育方法包括在线培训模块以及在会议上介绍跨性别主题。
内分泌学家对跨性别健康的信心和能力需要提高。策略包括开发在线培训模块、在住院医师培训项目中扩展正式的跨性别课程，以及在国内和国际会议上进行演讲。
