Beebe Sarah, Payne Nicolette, Posid Tasha, Diab Dinah, Horning Paul, Scimeca Alicia, Jenkins Lawrence C
Department of Urology, Ohio State University Wexner Medical Center, Columbus, OH, USA.
The Ohio State University School of Medicine, Columbus, OH, USA.
J Sex Med. 2021 Dec;18(12):1998-2004. doi: 10.1016/j.jsxm.2021.09.011. Epub 2021 Oct 26.
Despite physicians frequently caring for patients with sexual health issues, only 50% of United States medical schools require formal education in sexual medicine, and there are currently no guidelines pertaining to this with research which found that medical trainees are ill-equipped to provide sexual healthcare.
This study aims to identify areas to improve sexual health training in order to increase physician confidence and competence in evaluating and training patients with sexual health problems.
A prospective survey was sent via REDCap to medical students (n = 190, 68.6%), residents (n = 75, 27.1%), and fellows (n = 11, 3.9%) via a known listserv. Participants (N = 276, ∼15% response rate) were asked to provide demographic information, whether they received sexual health training during medical school and rate their confidence in addressing patients' sexual health concerns.
Medical students and residents currently do not receive sufficient education on sexual health and medicine, particularly in fields outside of OB-GYN and Urology, leaving them underqualified and less confident than needed for adequate patient care.
65.6% of trainees reported receiving formal sexual health education, while 13.9% received informal education, and 20.6% received no education during medical school. Although trainees desire to understand a patients' sexual health (P < .001), only residents in a relevant field (Urology, OB-GYN) felt confident in their ability to assist patients with a sexual health issue (P = .013). All other trainees lacked confidence in attending to sexual health concerns (P < .001), regardless of training level (P > .1).
More efforts should be made to integrate sexual health education into medical school curriculum.
STRENGTHS & LIMITATIONS: The strength of this study includes specific evaluation of medical student and resident confidence level with 15 individual sexual health topics. The limitations include that the demographic was regionally confined to the Midwest of the United States and women were more strongly represented among medical students.
Due to the lack of standardized education, medical trainees (except for Urology and OB-GYN residents) feel unprepared to treat patients with sexual health issues, and medical schools should make sexual health education mandatory. Beebe S, Payne N, Posid T, et al. The Lack of Sexual Health Education in Medical Training Leaves Students and Residents Feeling Unprepared. J Sex Med 2021;18:1998-2004.
尽管医生经常诊治有性健康问题的患者，但美国只有50%的医学院校要求进行性医学方面的正规教育，目前也没有相关指南，研究发现医学实习生在提供性健康护理方面准备不足。
本研究旨在确定改善性健康培训的领域，以增强医生评估和治疗有性健康问题患者的信心和能力。
通过REDCap向医学生（n = 190，68.6%）、住院医师（n = 75，27.1%）和研究员（n = 11，3.9%）发送了一份前瞻性调查问卷，通过已知的邮件列表进行发放。参与者（N = 276，回复率约为15%）被要求提供人口统计学信息，他们在医学院期间是否接受过性健康培训，并对解决患者性健康问题的信心进行评分。
医学生和住院医师目前在性健康和性医学方面没有接受足够的教育，特别是在妇产科和泌尿科以外的领域，这使得他们资质不足，且在为患者提供充分护理方面信心不足。
65.6%的实习生报告接受过正规的性健康教育，13.9%接受过非正规教育，20.6%在医学院期间未接受过任何教育。尽管实习生希望了解患者的性健康情况（P <.001），但只有相关领域（泌尿科、妇产科）的住院医师对自己协助有性健康问题患者的能力有信心（P = 0.013）。所有其他实习生在处理性健康问题方面缺乏信心（P <.001），无论培训水平如何（P >.1）。
应做出更多努力将性健康教育纳入医学院课程。
本研究的优点包括对医学生和住院医师对15个性健康主题的信心水平进行了具体评估。局限性包括人口统计学数据在地域上局限于美国中西部地区，且医学生中女性占比更高。
由于缺乏标准化教育，医学实习生（除泌尿科和妇产科住院医师外）对治疗有性健康问题的患者感到准备不足，医学院应将性健康教育设为必修课。Beebe S、Payne N、Posid T等。医学培训中缺乏性健康教育使学生和住院医师感到准备不足。《性医学杂志》2021年；18:1998 - 2004。
