Third-Year Medical Student, Department of Dermatology, Emory University School of Medicine.
Resident, Department of Dermatology, University of Tennessee Health Science Center.
MedEdPORTAL. 2021 Apr 21;17:11148. doi: 10.15766/mep_2374-8265.11148.
Despite increasing emphasis on LGBTQ health in medical education, evidence-based training on LGBTQ patient care in dermatology is lacking. We designed an interactive online didactic session on dermatologic care of LGBTQ patients for medical students and dermatology residents.
Session content was based on continuing medical education articles and incorporated preexisting LGBTQ-inclusive policies, environments, and videos. We implemented the session via a web-based videoconferencing platform as part of a preexisting resident lecture series. We began with a 90-minute lecture on LGBTQ health care disparities and dermatologists' roles, best practices for providing inclusive care, and dermatologic health concerns and screening recommendations in LGBTQ populations. To solidify knowledge and promote practice of learned skills, a 30-minute interactive role-playing session followed where participants acted as observer, patient, or provider in three distinct clinical scenarios pertaining to dermatologic care of LGBTQ patients. Participants completed baseline and follow-up surveys, which included a psychometrically validated clinical skills scale and an ad hoc knowledge assessment.
Baseline and follow-up scores from the clinical skills scale increased overall (0.7; 95% CI, 0.5-0.9; < .001), in self-reported clinical preparedness (1.1; 95% CI, 0.5-1.6; = .001), and in basic knowledge (0.8; 95% CI, 0.3-1.4; = .003).
An online interactive didactive session on dermatological care of LGBTQ patients increased participants' clinical preparedness and basic knowledge. Implementation of similar sessions at other institutions can improve gaps in preparing residents and medical students in dermatological care of LGBTQ patients.
尽管医学教育越来越重视 LGBTQ 健康,但皮肤科 LGBTQ 患者护理的循证培训却很缺乏。我们为医学生和皮肤科住院医师设计了一个关于 LGBTQ 患者皮肤科护理的互动在线教学课程。
课程内容基于继续医学教育文章,并纳入了现有的 LGBTQ 包容政策、环境和视频。我们通过基于网络的视频会议平台来实施该课程,作为现有住院医师讲座系列的一部分。我们首先进行了 90 分钟的讲座,内容涉及 LGBTQ 医疗保健差距和皮肤科医生的角色、提供包容护理的最佳实践,以及 LGBTQ 人群中的皮肤科健康问题和筛查建议。为了巩固知识并促进所学技能的实践,接下来进行了 30 分钟的互动角色扮演课程,参与者在三个与 LGBTQ 患者皮肤科护理相关的不同临床场景中分别扮演观察者、患者或提供者。参与者完成了基线和随访调查,其中包括一项经过心理测量验证的临床技能量表和一项临时知识评估。
临床技能量表的基线和随访评分总体上均有所提高(0.7;95%CI,0.5-0.9;<0.001),自我报告的临床准备情况(1.1;95%CI,0.5-1.6;<0.001)和基础知识(0.8;95%CI,0.3-1.4;<0.003)。
关于 LGBTQ 患者皮肤科护理的在线互动教学课程提高了参与者的临床准备情况和基础知识。在其他机构实施类似课程可以缩小住院医师和医学生在皮肤科 LGBTQ 患者护理方面的差距。