Stumbar Sarah E, Garba Nana Aisha, de la Cruz Marisyl, Bhoite Prasad, Holley Matthew, Adams Christine, Virani Anna, Kale Neelima
Department of Humanities, Health, and Society, Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA.
PRiMER. 2021 Jul 9;5:29. doi: 10.22454/PRiMER.2021.503960. eCollection 2021.
With growing efforts to provide comprehensive and inclusive sexual health care, family medicine clerkships are well positioned to educate learners about a spectrum of related topics. This study investigated the current state of sexual health instruction in family medicine clerkships, including specific factors impacting its delivery.
Questions about sexual health curricula were created and included as part of the 2020 Council of Academic Family Medicine's Educational Research Alliance survey of family medicine clerkship directors. The survey was distributed via email to 163 recipients between June 1, 2020 and June 25, 2020.
One hundred five (64.42%) of 163 clerkship directors responded to the survey. Our results revealed that during family medicine clerkships, family planning, contraception, and pregnancy options counseling are covered significantly more often than topics related to sexual dysfunction and satisfaction and LGBTQ+ health. Most clerkship directors (91.5%) reported less than 5 hours of sexual health training in their curriculum. Those with more dedicated sexual health curricular hours were more likely to include simulation. Lack of time (41.7%) was the most frequently reported barrier to incorporating sexual health content into the clerkship.
Coverage of sexual health topics during the family medicine clerkship is limited in scope and delivery. To support curricular development and integration, future studies should more thoroughly examine the factors influencing the inclusion of sexual health content in family medicine clerkships as well as the development of assessment methods to determine competency.
随着提供全面和包容性性健康护理的努力不断增加，家庭医学实习项目非常适合向学习者传授一系列相关主题的知识。本研究调查了家庭医学实习项目中性健康教学的现状，包括影响其实施的具体因素。
创建了关于性健康课程的问题，并将其纳入2020年学术家庭医学理事会教育研究联盟对家庭医学实习项目主任的调查中。该调查于2020年6月1日至2020年6月25日通过电子邮件分发给163名收件人。
163名实习项目主任中有105名（64.42%）回复了调查。我们的结果显示，在家庭医学实习期间，计划生育、避孕和妊娠选择咨询的涵盖频率明显高于与性功能和满意度以及 LGBTQ+ 健康相关的主题。大多数实习项目主任（91.5%）报告其课程中的性健康培训时间少于5小时。那些有更多专门性健康课程时间的人更有可能采用模拟教学。时间不足（41.7%）是将性健康内容纳入实习项目最常报告的障碍。
家庭医学实习期间性健康主题的涵盖范围和实施有限。为了支持课程开发和整合，未来的研究应该更全面地检查影响家庭医学实习中性健康内容纳入的因素以及确定能力的评估方法的开发。
