The Warren Alpert Medical School of Brown University, Providence, RI.
Care New England Medical Group/Primary Care & Specialty Services, Pawtucket, RI.
Fam Med. 2020 Jun;52(7):518-522. doi: 10.22454/FamMed.2020.939791.
Physician discomfort, embarrassment, and perceived lack of time and/or training all play a role in preventing physicians from discussing sexual health with patients. Past research shows this discomfort begins in medical school. We aimed to determine whether teaching sexual health education increases medical students' self-efficacy in discussing sexual health topics with adolescents.
We emailed a retrospective pre/postsurvey to all medical students who taught sexual health education in a local middle school through Sex Ed by Brown Med (N=61).
Participation in Sex Ed by Brown Med improves self-efficacy in discussing nine sexual health topics and in performing nine advanced interviewing skills relevant to sexual health in a retrospective analysis using self-reported data.
Programs similar to Sex Ed by Brown Med may be useful in improving medical students' ability to adequately care for their patients' sexual health by making future clinicians more comfortable when discussing the important topic of sexuality, and concurrently providing evidence-based comprehensive sexual health education to middle school students. Further research is needed to determine the impact of our program (and similar programs) before disseminating this model of sexual education.
医生的不适、尴尬，以及对时间和/或培训的感知不足，都阻碍了医生与患者讨论性健康问题。既往研究表明，这种不适始于医学院。我们旨在确定教授性健康教育是否会提高医学生与青少年讨论性健康话题的自我效能感。
我们通过 Brown Med 的 Sex Ed 项目向所有在当地中学教授性健康教育的医学生（N=61）发送了一份回顾性预/后调查电子邮件。
在一项回顾性分析中，使用自我报告数据，参与 Brown Med 的 Sex Ed 项目可提高医学生讨论九个性健康主题和九个与性健康相关的高级访谈技巧的自我效能感。
类似于 Sex Ed by Brown Med 的项目可能有助于提高医学生为患者提供性健康护理的能力，使未来的临床医生在讨论重要的性话题时更加自在，同时为中学生提供基于证据的综合性性健康教育。在推广这种性教育模式之前，需要进一步研究我们项目（和类似项目）的影响。
