Cooper M Brett, Chacko Mariam, Christner Jennifer
Clinical Fellow, Department of Pediatrics, Section of Adolescent and Sports Medicine, Baylor College of Medicine.
Professor, Department of Pediatrics, Section of Adolescent and Sports Medicine, Baylor College of Medicine.
MedEdPORTAL. 2018 Dec 7;14:10781. doi: 10.15766/mep_2374-8265.10781.
The AAMC has provided a resource to medical schools for implementing curricular change in lesbian, gay, bisexual, and transgender (LGBT) health education. However, studies have identified that many health professionals who do not feel comfortable in their ability to provide quality care for LGBT patients do not perform complete sexual histories routinely and/or harbor bias towards these patients or their sexual practices. This situation underscores the continued need for further education on this topic.
Based on a needs assessment survey of medical students and faculty, we developed a 1-hour didactic lecture to provide instruction on how social determinants of health impact the care of LGBT patients. Students were not required to have any prerequisite knowledge for the session. A content expert in LGBT health taught the lecture using Microsoft PowerPoint in a traditional medical school lecture hall.
The lecture was given to 180 third-year medical students. A total of 63 students (35%) responded to the retrospective pre- and postlecture survey. After the didactic lecture, students reported a statistically significant change in their knowledge of the lecture objectives.
The didactic lecture was able to increase students' knowledge of how social determinants impact the health of LGBT patients. The lecture can be incorporated into a longitudinal curriculum on LGBT health. Additional work and research are needed on increasing comfort in faculty teaching.
美国医学院协会(AAMC)为医学院校提供了一种资源,用于在女同性恋、男同性恋、双性恋和跨性别(LGBT)健康教育方面实施课程改革。然而,研究发现,许多对自身为LGBT患者提供高质量护理的能力感到不自信的医疗专业人员,不会常规地进行完整的性史询问,和/或对这些患者或其性行为持有偏见。这种情况凸显了在该主题上持续开展进一步教育的必要性。
基于对医学生和教师的需求评估调查,我们开发了一个1小时的理论讲座,以提供关于健康的社会决定因素如何影响LGBT患者护理的指导。该课程不要求学生具备任何先修知识。一位LGBT健康领域的内容专家在传统的医学院讲堂使用微软PowerPoint讲授该讲座。
该讲座面向180名三年级医学生。共有63名学生(35%)对讲座前后的回顾性调查做出了回应。在理论讲座之后,学生们报告称他们对讲座目标的了解有了统计学上的显著变化。
该理论讲座能够增加学生对社会决定因素如何影响LGBT患者健康的了解。该讲座可以纳入LGBT健康的纵向课程中。在提高教师教学的舒适度方面,还需要开展更多的工作和研究。