Gaps in Transgender Medicine Content Identified Among Canadian Medical School Curricula.
Gaps in Transgender Medicine Content Identified Among Canadian Medical School Curricula.
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DOI：
10.1089/trgh.2016.0010
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发表时间：
2016
影响因子：
2
通讯作者：
Safer JD
中科院分区：
文献类型：
--
作者：
Chan B;Skocylas R;Safer JD
目的：变性人群体是一个多元化的群体，需要在医疗保健环境中给予独特的考虑。然而，几项研究表明，我们的医疗系统目前没有满足他们的需求。尽管这种差异的原因可能是多因素的，但对医疗保健专业人员管理这一人群的培训不足被认为是一个促成因素。方法：为了评估加拿大医学院在解决这些拟议的缺陷方面所发挥的作用，项目管理者被邀请提供详细说明他们提供变性人健康的课程信息，并对医学生进行调查，以评估当前课程对他们关于变性人健康的知识、态度和经验的影响。结果：14所学校中有6所学校提供了关于变性人健康指导的课程信息，并发现差异很大；255/1152名不列颠哥伦比亚大学(UBC)学生和155/2358名来自加拿大其他8所医学院的学生回答了调查。超过95%的受访者同意变性人问题很重要，应该由医生来解决。然而，只有不到10%的学生认为他们有足够的知识来这么做。在不列颠哥伦比亚大学，在接受变性人相关课程后，自我报告的知识水平没有显著提高，只有24%的学生认为这个主题被熟练地教授了。结论：这项研究表明，大多数接受调查的学生对在医疗保健环境中解决变性人的需求感到不舒服，并建议重新评估相关课程。
Purpose: The transgender community is a diverse group that requires unique consideration in the healthcare setting. However, several studies have suggested that their needs are not currently being met by our medical system. Although the reason for this discrepancy is likely multifactorial, inadequate training of healthcare professionals to manage this population has been cited as a contributing factor. Methods: To evaluate the role that Canadian medical schools play in addressing these proposed deficits, program administrators were invited to provide curricular information detailing their delivery of transgender health, and medical students were surveyed to assess the impact of current curricula on their knowledge, attitudes, and experiences with regard to transgender health. Results: Six of fourteen schools provided curricular information about their instruction in transgender health and wide variation was found; 255/1152 University of British Columbia (UBC) students and 155/2358 students from eight other Canadian medical schools responded to the survey. Greater than 95% of responders agreed that transgender issues are important and should be addressed by physicians. However, fewer than 10% of students felt that they were sufficiently knowledgeable to do so. At UBC, there was no significant improvement in the self-reported knowledge levels after receiving the transgender-related curricula, and only 24% of students felt the topic was proficiently taught. Conclusion: This study showed that the majority of students who responded do not feel comfortable addressing the needs of transgender individuals in a healthcare setting and suggests that a reevaluation of related curricula may be warranted.