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面向医学生的跨性别健康教育培训

Transgender health education for medical students.

作者信息

Click Ivy A, Mann Abbey K, Buda Morgan, Rahimi-Saber Anahita, Schultz Abby, Shelton K Maureen, Johnson Leigh

机构信息

Department of Family Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee, USA.

Department of Family Medicine and Community Health, University of Minnesota Medical Center Family Medicine Residency Program, Minneapolis, Minnesota, USA.

出版信息

Clin Teach. 2020 Apr;17(2):190-194. doi: 10.1111/tct.13074. Epub 2019 Aug 6.

Abstract

BACKGROUND

Transgender individuals face numerous health disparities and report negative experiences with health care providers related to their gender identity. Significant gaps in medical education regarding transgender health persist despite calls for increased sexual and gender minority content. The purpose of this student-led study was to assess the effectiveness of a half-day educational intervention on first- and second-year medical students' attitudes and knowledge of transgender health.

METHODS

Students and faculty members collaborated to develop an educational session on transgender health. This content was presented to first- and second-year medical students at Integrated Grand Rounds, a pedagogical method in which basic science and clinical faculty members co-present didactic content interspersed between live patient interviews and student-led small group discussions. Student participants (n = 138) completed voluntary 9-item pre- and post-session surveys assessing comfort with and knowledge of transgender medicine.

RESULTS

Students' comfort with and perceived knowledge about transgender patients increased significantly between pre- and post-test. Students' knowledge of transgender medicine standards of care also improved, though not all items reached significance.

DISCUSSION

A half-day educational intervention improved many facets of medical students' attitudes and knowledge about transgender patients. The significant disparities in physical health, mental health and access to care currently experienced by transgender persons in the United States warrants the continued testing and refinement of educational interventions for future and practising providers. Students' comfort with transgender patients increased significantly between pre- and post-test.

摘要

背景

跨性别者面临诸多健康差异,且报告称在与医疗服务提供者打交道时,因自身性别认同而有负面经历。尽管一直有人呼吁增加性取向和性别少数群体相关内容,但医学教育中关于跨性别健康的重大差距依然存在。这项由学生主导的研究旨在评估为期半天的教育干预对一、二年级医学生跨性别健康态度和知识的影响。

方法

学生和教师共同合作开展了一场关于跨性别健康的教育课程。该内容在综合大查房时向一、二年级医学生进行了讲授,综合大查房是一种教学方法,基础科学和临床教师共同呈现教学内容,穿插在现场患者访谈和学生主导的小组讨论之间。参与的学生(n = 138)完成了自愿填写的会前和会后9项调查问卷,以评估他们对跨性别医学的舒适度和知识水平。

结果

学生在测试前和测试后对跨性别患者的舒适度和认知度显著提高。学生对跨性别医学护理标准的知识也有所改善,不过并非所有项目都达到显著水平。

讨论

为期半天的教育干预改善了医学生对跨性别患者态度和知识的多个方面。目前美国跨性别者在身体健康、心理健康和医疗服务获取方面存在的显著差异,使得有必要继续对针对未来和在职医疗服务提供者的教育干预措施进行测试和完善。学生在测试前和测试后对跨性别患者的舒适度显著提高。

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