University Hospital Birmingham, Edgbaston, Birmingham B15 2TH, UK.
Imperial College Healthcare Trust, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK.
J Plast Reconstr Aesthet Surg. 2023 Dec;87:41-45. doi: 10.1016/j.bjps.2023.09.024. Epub 2023 Sep 14.
To assess the expected duration of exposure of United Kingdom urology and plastic surgery trainees to the provision of gender affirming healthcare to transgender patients. This observational, cross-sectional survey asked UK training programme directors (TPDs) to report the volume of training in gender affirming care of transgender patients that urology and plastic surgery trainees are expected to receive.
A Google Form online questionnaire was distributed to each regional TPD in the UK both for plastic surgery and urology.
Eleven of 14 TPDs in plastic surgery and 13 of 19 urology TPDs completed the survey with responses representing 487 trainees. The total estimated exposure of UK trainees to any aspect of gender affirming healthcare was a median of one hour of training per trainee per year (clinical or didactic). Thirteen deaneries reported that trainees received some (didactic or clinical) training in transgender care each year. Only eight of these deaneries reported provision of direct clinical training. The remaining eleven deaneries reported that trainees received no training in gender affirming care. No training was expected to take place for any trainee of either speciality within multi-disciplinary team meetings or in masculinising genital surgery.
The above evidence demonstrates the low exposure of plastic surgery and urology registrar trainees to gender affirming care during their training years in the UK.
评估英国泌尿科和整形外科学员提供性别肯定医疗保健给跨性别患者的预期暴露时长。这项观察性、横断面调查要求英国培训计划主任（TPD）报告泌尿科和整形外科学员预计接受的性别肯定护理培训量。
向英国每个地区的整形外科和泌尿科 TPD 都分发了一份谷歌表单在线问卷。
14 个整形外科 TPD 中有 11 个和 19 个泌尿科 TPD 中有 13 个完成了调查，回复代表了 487 名学员。英国学员接受任何性别肯定医疗保健方面的总估计暴露量是每名学员每年接受一小时培训（临床或理论）。13 个教务长报告说，学员每年都会接受一些（理论或临床）关于跨性别护理的培训。只有其中 8 个教务长报告提供直接的临床培训。其余 11 个教务长报告说，学员没有接受任何性别肯定护理的培训。在多学科团队会议中或在男性化生殖器手术中，没有培训预计会针对任何专业的学员进行。
上述证据表明，英国整形外科和泌尿科住院医师在培训期间接受性别肯定护理的机会非常少。
