Kopel Jonathan, Beck Nancy, Almekdash Mhd Hasan, Varma Surendra
Department of Cell Biology and Biochemistry, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Department of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas, USA.
Proc (Bayl Univ Med Cent). 2023 Jul 5;36(5):620-626. doi: 10.1080/08998280.2023.2228140. eCollection 2023.
Recent studies have shown deficiencies in resident knowledge concerning transgender healthcare. However, there has not been an updated survey examining transgender healthcare training by medical residency directors. We assessed whether accredited residency programs in the United States and Canada were providing education on the healthcare needs of transgender patients.
We performed an exploratory descriptive survey study in 2022 of residency programs in the United States and Canada to assess residency education on transgender health using program directors listed in the website directory of the Accreditation Council for Graduate Medical Education.
Out of 1680 residency program directors, 160 programs responded (response rate, 10%). Among the residency programs, education in transgender health was taught periodically throughout the curriculum (52.5%), in discrete modules (34.4%), or not taught at all (10.6%). However, 60% of residency program directors who responded reported that their program lacked any clinical rotation in which residents directly work with transgender patients. The most common areas of transgender care omitted from residency education on transgender health were barriers associated with chronic illness and mental health.
There remains a need for robust transgender medical training in residency programs through clinical rotations on transgender health.
近期研究表明住院医师在跨性别者医疗保健知识方面存在不足。然而，尚未有最新调查审视住院医师培训主任开展的跨性别者医疗保健培训情况。我们评估了美国和加拿大经认可的住院医师培训项目是否针对跨性别患者的医疗保健需求提供教育。
2022年，我们对美国和加拿大的住院医师培训项目开展了一项探索性描述性调查研究，利用毕业后医学教育认证委员会网站目录中列出的项目主任来评估跨性别健康方面的住院医师培训情况。
在1680名住院医师培训项目主任中，有160个项目做出了回应（回应率为10%）。在这些住院医师培训项目中，跨性别健康方面的教育在整个课程中定期讲授（52.5%）、以离散模块形式讲授（34.4%）或根本未讲授（10.6%）。然而，做出回应的住院医师培训项目主任中有60%报告称他们的项目缺乏住院医师直接与跨性别患者合作的任何临床轮转。跨性别健康住院医师教育中最常被遗漏的跨性别护理领域是与慢性病和心理健康相关的障碍。
通过跨性别健康方面的临床轮转，住院医师培训项目仍需要强大的跨性别医学培训。
