Zelek B, Phillips S P, Lefebvre Y
Faculty of Health Sciences, University of Ottawa, Ont.
CMAJ. 1997 May 1;156(9):1297-300.
Both sex--the biologic aspects of being female or male--and gender--the cultural roles and meanings ascribed to each sex--are determinants of health. Medical education, research and practice have all suffered from a lack of attention to gender and a limited awareness of the effects of the sex-role stereotypes prevalent in our society. The Women's Health Interschool Curriculum Committee of Ontario has developed criteria for assessing the gender sensitivity of medical curricula. In this article, the effects of medicine's historical blindness to gender are explored, as are practical approaches to creating curricula whose content, language and process are gender-sensitive. Specific areas addressed include ensuring that women and men are equally represented, when appropriate, that men are not portrayed as the prototype of normal (and women as deviant), that language is inclusive and that women's health and illness are not limited to reproductive function. By eliminating or at least addressing the subtle and often unintentional gender stereotyping in lecture material, illustrations and problems used in problem-based learning, medical educators can undertake a much-needed transformation of curriculum.
性别——作为女性或男性的生物学特征——以及社会性别——赋予每种性别的文化角色和意义——都是健康的决定因素。医学教育、研究和实践都因对社会性别缺乏关注以及对我们社会中普遍存在的性别角色刻板印象的影响认识有限而受到影响。安大略省女子健康校际课程委员会已经制定了评估医学课程社会性别敏感性的标准。在本文中,探讨了医学史上对社会性别视而不见的影响,以及创建内容、语言和过程都具有社会性别敏感性的课程的实用方法。涉及的具体领域包括确保男女得到平等呈现,在适当情况下,男性不被描绘为正常的原型(女性为异类),语言具有包容性,以及女性的健康和疾病不限于生殖功能。通过消除或至少解决讲座材料、插图以及基于问题的学习中所使用问题中微妙且往往无意的性别刻板印象,医学教育工作者可以对课程进行急需的变革。