School of Medicine and Health Sciences, The George Washington University, Washington, DC.
Med Educ Online. 2021 Dec;26(1):1947172. doi: 10.1080/10872981.2021.1947172.
Most medical students receive inadequate preparation to care for sexual and gender minority (SGM) patients. A review of one urban medical school's pre-clinical curriculum was conducted to assess coverage of appropriate SGM health content. Curricula that fully or partially addressed American Association of Medical Colleges (AAMC) core competencies for SGM health were categorized in an Excel spreadsheet. For partially met competencies, content that addressed the competency along with what was needed to fully address the competency were documented. AAMC SGM competencies that were not addressed at all were also noted. As a secondary source for triangulation, curricular topics were compared to SGM health content prioritized by Vanderbilt, a leader in championing inclusion of SGM content in medical curricula. Of the 30 AAMC competencies, 10 competencies were addressed, 11 were partially addressed, and 9 were not addressed. Gaps were noted in the AAMC domains of professionalism, systems-based practice, interprofessional collaboration, and personal/professional development. Among Vanderbilt topics, the George Washington University (GW) curriculum lacked content in intersex health, sexually transmitted infections (STIs) in lesbians, vaginitis in lesbians, efficacy of anal microbicides, anal Pap smears, and anal cancer risk and treatment for men who have sex with men (MSM). Despite these weaknesses, GW clocked greater than the national average at 7.5 hours of SGM content. This study provides a roadmap for curricular enhancements needed at GW as well as a prototype for other institutions to audit and improve curricular coverage on SGM health.
大多数医学生在照顾性少数群体和跨性别群体（SGM）患者方面的准备不足。对一所城市医学院的临床前课程进行了审查，以评估适当的 SGM 健康内容的涵盖范围。将完全或部分解决美国医学协会（AAMC）SGM 健康核心能力的课程列入 Excel 电子表格中。对于部分满足的能力，记录了涉及该能力的内容以及充分满足该能力所需的内容。还注意到完全没有涉及到的 AAMC SGM 能力。作为三角测量的辅助来源，课程主题与范德比尔特大学优先考虑的 SGM 健康内容进行了比较，范德比尔特大学是倡导在医学课程中纳入 SGM 内容的领导者。在 30 项 AAMC 能力中，有 10 项得到了涵盖，11 项得到了部分涵盖，9 项没有涵盖。在专业精神、基于系统的实践、跨专业合作和个人/专业发展等 AAMC 领域发现了差距。在范德比尔特大学的主题中，乔治华盛顿大学（GW）课程缺乏有关两性畸形者健康、女同性恋者中的性传播感染（STIs）、女同性恋者中的阴道炎、肛门杀菌剂的疗效、肛门巴氏涂片以及男男性行为者（MSM）的肛门癌风险和治疗等内容。尽管存在这些弱点，但 GW 的 SGM 内容的时间仍超过全国平均水平 7.5 小时。本研究为 GW 所需的课程增强提供了路线图，并为其他机构审核和改进 SGM 健康课程覆盖范围提供了原型。
