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讲授对性别敏感的医学不仅仅是内容的问题。

Teaching Sex- and Gender-Sensitive Medicine Is Not Just a Matter of Content.

作者信息

Wortmann Laura, Oertelt-Prigione Sabine

机构信息

Sex- and Gender-Sensitive Medicine Department, Medical Faculty OWL, University of Bielefeld, Bielefeld, Germany.

Gender Unit, Department of Primary and Community Care, Radboud University, Nijmegen, Netherlands.

出版信息

J Med Educ Curric Dev. 2024 Dec 5;11:23821205241304531. doi: 10.1177/23821205241304531. eCollection 2024 Jan-Dec.

DOI:10.1177/23821205241304531
PMID:39650070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11622302/
Abstract

Despite a growing integration of sex and gender-sensitive content in medical education around the globe, the focus on content often leads to a lack of consideration of the hidden curriculum. To foster an inclusive, sex- and gender-sensitive culture in medical education, we have to take a holistic approach that transcends a sole focus on explicit teaching content. This article provides reflections about the practice of teaching sex and gender-sensitive medicine focusing on the impactful yet implicit notions we convey about sex and gender in medical education. We propose action for leaders and teachers in medical education to explicitly address sex/gender in the hidden curriculum and within their institution, challenging the invisible practices of academia in the medical field.

摘要

尽管全球医学教育中对性别敏感内容的整合日益增加,但对内容的关注往往导致对隐性课程缺乏考虑。为了在医学教育中培育一种包容的、对性别敏感的文化,我们必须采取一种超越单纯关注显性教学内容的整体方法。本文围绕我们在医学教育中传达的关于性与性别的有影响力但隐含的观念,对性别敏感医学教学实践进行反思。我们建议医学教育的领导者和教师采取行动,在隐性课程以及所在机构中明确处理性/性别问题,挑战医学领域中学术界无形的做法。

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本文引用的文献

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Medical students impacted by discrimination: a qualitative study into their experiences of belonging and support systems at medical schools in the UK.医学生遭受歧视:英国医学院归属感和支持体系体验的定性研究
BMJ Open. 2023 Dec 28;13(12):e078314. doi: 10.1136/bmjopen-2023-078314.
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Barriers to Family Building Among Physicians and Medical Students.医生和医学生在建立家庭方面的障碍。
JAMA Netw Open. 2023 Dec 1;6(12):e2349937. doi: 10.1001/jamanetworkopen.2023.49937.
3
A gender biased hidden curriculum of clinical vignettes in undergraduate medical training.本科医学教育中临床案例存在性别偏见的隐性课程。
Patient Educ Couns. 2023 Nov;116:107934. doi: 10.1016/j.pec.2023.107934. Epub 2023 Aug 3.
4
Skin Tone and Gender of High-Fidelity Simulation Manikins in Emergency Medicine Residency Training and their Use in Cultural Humility Training.急诊住院医师培训中高仿真模拟人皮肤颜色和性别及其在文化谦逊培训中的应用。
West J Emerg Med. 2023 Jul 12;24(4):668-674. doi: 10.5811/westjem.59459.
5
Intersectional insights into racism and health: not just a question of identity.关于种族主义与健康的交叉性见解:不仅仅是身份认同问题。
Lancet. 2022 Dec 10;400(10368):2125-2136. doi: 10.1016/S0140-6736(22)02304-2.
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Are stereotypes in decline? The portrayal of female anatomy in e-learning.刻板印象在减少吗?电子学习中女性解剖结构的描绘。
Anat Sci Educ. 2023 Jul-Aug;16(4):720-732. doi: 10.1002/ase.2211. Epub 2022 Aug 3.
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Sex and race visual representation in emergency medicine textbooks and the hidden curriculum.急诊医学教科书中的性别与种族视觉呈现及隐性课程
AEM Educ Train. 2022 Jun 1;6(3):e10743. doi: 10.1002/aet2.10743. eCollection 2022 Jun.
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How to Reduce Stigma and Bias in Clinical Communication: a Narrative Review.如何减少临床沟通中的污名化和偏见:叙事评论。
J Gen Intern Med. 2022 Aug;37(10):2533-2540. doi: 10.1007/s11606-022-07609-y. Epub 2022 May 6.
9
How to Integrate Sex and Gender Medicine into Medical and Allied Health Profession Undergraduate, Graduate, and Post-Graduate Education: Insights from a Rapid Systematic Literature Review and a Thematic Meta-Synthesis.如何将性与性别医学融入医学及相关健康专业的本科、研究生和博士后教育:快速系统文献综述与主题元综合的见解
J Pers Med. 2022 Apr 11;12(4):612. doi: 10.3390/jpm12040612.
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J Osteopath Med. 2022 Apr 13;122(7):353-357. doi: 10.1515/jom-2021-0033.