Primavesi Robert, Burcheri Adam, Bigham Blair L, Coutin Alexandre, Lien Kelly, Koh Justin, Kruse Michael, MacCormick Hilary, Odorizzi Scott, Ng Victor, Poirier Vincent, Primiani Nadia, Smith Sheila, Upadhye Suneel, Wallner Clare, Morris Judy, Lim Rodrick
Montreal General Hospital, McGill University, 1650 Cedar Avenue, Room C2-101.7, Montreal, QC, H3G1A4, Canada.
Concordia University, Montreal, QC, Canada.
CJEM. 2022 Mar;24(2):135-143. doi: 10.1007/s43678-021-00236-2. Epub 2022 Jan 5.
The CAEP 2021 2SLGBTQIA + panel sought whether a gap exists within Canadian emergency medicine training pertaining to sexual and gender minority communities. This panel aimed to generate practical recommendations on improving emergency medicine education about sexual and gender minorities, thereby improving access to equitable healthcare.
From August 2020 to June 2021, a panel of emergency medicine practitioners, residents, students, and community representatives met monthly via videoconference. A literature review was undertaken, and three mixed methods surveys were distributed to the CAEP member list, CAEP Resident Section, College of Family Physicians of Canada (CFPC) Emergency Medicine Members Interest Group, and to emergency medicine residency program directors and their residents. Informed by the review and surveys, recommendations were drafted and refined by panel members before presentation at the 2021 CAEP Academic Symposium. A plenary was presented to symposium attendees composed of national emergency medicine community members, which reported the survey results and literature review. All attendees were divided into small groups to develop an action plan for each recommendation.
The panel outlines eight recommendations for closing the curricular gap. It identifies three perceived or real barriers to the inclusion of sexual and gender minority content in emergency medicine residency curricula. It acknowledges three enabling recommendations that are beyond the scope of individual emergency medicine programs or emergency departments (EDs), that if enacted would enable the implementation of the recommendations. Each recommendation is accompanied by two action items as a guide to implementation. Each of the three barriers is accompanied by two action items that offer specific solutions to overcome these obstacles. Each enabling recommendation suggests an action that would shift emergency medicine towards sociocultural competence nationally. These recommendations set the primary steps towards closing the educational gap.
CAEP 2021年性少数群体、双性恋、变性者、酷儿及其他性向群体专题小组探讨了加拿大急诊医学培训在性少数群体和性别少数群体社区方面是否存在差距。该专题小组旨在就改善急诊医学中性少数群体和性别少数群体的教育提出切实可行的建议，从而改善获得公平医疗服务的机会。
2020年8月至2021年6月，一个由急诊医学从业者、住院医师、学生和社区代表组成的专题小组每月通过视频会议举行会议。进行了文献综述，并向CAEP成员名单、CAEP住院医师分会、加拿大家庭医生学院（CFPC）急诊医学成员兴趣小组以及急诊医学住院医师项目主任及其住院医师发放了三项混合方法调查问卷。在综述和调查的基础上，小组成员起草并完善了建议，然后在2021年CAEP学术研讨会上进行了展示。向由全国急诊医学社区成员组成的研讨会与会者进行了全体报告，汇报了调查结果和文献综述。所有与会者被分成小组，为每项建议制定行动计划。
该专题小组概述了八项缩小课程差距的建议。它确定了在急诊医学住院医师课程中纳入性少数群体和性别少数群体内容的三个可感知的或实际存在的障碍。它认可了三项超出个别急诊医学项目或急诊科范围的促进性建议，如果实施这些建议将有助于实施其他建议。每项建议都附有两个行动项目作为实施指南。三个障碍中的每一个都附有两个行动项目，提供了克服这些障碍的具体解决方案。每项促进性建议都提出了一项行动，将使急诊医学在全国范围内具备社会文化能力。这些建议为缩小教育差距奠定了主要步骤。
