Boskey Elizabeth R, Kant Jessica D
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Mass.
Department of Surgery, Harvard Medical School, Boston, Mass.
Plast Reconstr Surg Glob Open. 2023 Jan 11;11(1):e4734. doi: 10.1097/GOX.0000000000004734. eCollection 2023 Jan.
Although in most areas of practice, there is a reasonable expectation that doctors are sufficiently trained to offer care, this is not true in the case of gender-affirming procedures, which are not required learning in any surgical residency. At the current time, the field of gender surgery is too rapidly evolving, with available resources too scarce for fellowship or residency training to be a realistic requirement for offering these procedures, as the demand already outstrips the available workforce. However, patients are currently given too little information about surgeons' history with these procedures to provide truly informed consent. There is, as such, an ethical mandate to mold the culture of gender-affirming surgery such that surgeons are expected to routinely disclose relevant information about their training, experience, and outcomes to facilitate patient decision-making about care.
尽管在大多数医疗实践领域，人们合理地期望医生接受过足够的培训以提供医疗服务，但在性别肯定手术方面并非如此，因为这在任何外科住院医师培训中都不是必修内容。目前，性别手术领域发展太快，可用资源太少，以至于将专科培训或住院医师培训作为提供这些手术的现实要求是不切实际的，因为需求已经超过了现有的劳动力。然而，目前患者在这些手术方面获得的关于外科医生过往经历的信息太少，无法做出真正知情的同意。因此，有一项道德要求，即塑造性别肯定手术的文化，使外科医生应常规披露其培训、经验和手术结果等相关信息，以帮助患者做出关于医疗护理的决策。
