Faculty of Medicine, 12358University of British Columbia, Vancouver, BC, Canada.
Department of Radiology, 12366University of Toronto, Toronto, ON, Canada.
Can Assoc Radiol J. 2022 Aug;73(3):473-477. doi: 10.1177/08465371211066104. Epub 2022 Jan 12.
Transgender and gender non-binary (TGNB) individuals face numerous inequalities in healthcare and there is substantial work to be done in fostering TGNB culturally competent care in radiology. A radiology department's online presence and use of gender-inclusive language are essential in promoting an environment of equity, diversity, and inclusion (EDI). The naming of radiology fellowships and continuing medical education (CME) courses with terminology such as "Women's Imaging" indicates a lack of inclusivity to TGNB patients and providers, which could result in suboptimal patient care. We conducted a cross-sectional analysis of all institutions in Canada and the United States (US) offering training in Breast Imaging, Women's Imaging, or Breast and Body Imaging. Data was collected from each institution's radiology department website pertaining to fellowship names, EDI involvement, and CME courses. 8 Canadian and 71 US radiology fellowships were identified. 75% of Canadian and 90% of US fellowships had gender-inclusive names. One (12.5%) Canadian and 29 (41%) US institutions had EDI Committees mentioned on their websites. Among institutions publicly displaying CME courses about breast/body or women's imaging, gender-inclusive names were used in only 1 (25%) of the Canadian CME courses, compared to 81% of the US institutions. Most institutions in Canada and the US have gender-inclusive names for their radiology fellowships pertaining to breast and body imaging. However, there is much opportunity to and arguably the responsibility for institutions in both countries to increase the impact and visibility of their EDI efforts through creation of department-specific committees and CME courses.
跨性别者和非二元性别者(TGNB)在医疗保健方面面临着诸多不平等,放射学领域需要做大量工作来培养 TGNB 文化上的胜任能力。放射科部门的在线形象和使用性别包容语言对于促进公平、多样性和包容性(EDI)环境至关重要。使用术语“女性影像学”来命名放射科研究员职位和继续医学教育(CME)课程表明对 TGNB 患者和提供者缺乏包容性,这可能导致患者护理不佳。我们对加拿大和美国(美国)所有提供乳房影像学、女性影像学或乳房和身体影像学培训的机构进行了横断面分析。从每个机构放射科部门的网站上收集有关研究员职位名称、EDI 参与情况和 CME 课程的数据。确定了 8 个加拿大和 71 个美国放射科研究员职位。75%的加拿大研究员职位和 90%的美国研究员职位的名称具有性别包容性。有 1 个(12.5%)加拿大机构和 29 个(41%)美国机构在其网站上提到了 EDI 委员会。在公开展示有关乳房/身体或女性影像学的 CME 课程的机构中,只有 1 个(25%)加拿大 CME 课程使用了性别包容性名称,而美国机构则有 81%使用了这种名称。加拿大和美国的大多数机构都为与乳房和身体成像相关的放射科研究员职位取了具有性别包容性的名称。然而,两国的机构都有机会并且可以说有责任通过创建部门特定的委员会和 CME 课程来增加 EDI 工作的影响力和可见度。