Educational Exposure to Transgender Patient Care in Plastic Surgery Training
Educational Exposure to Transgender Patient Care in Plastic Surgery Training
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DOI：
10.1097/prs.0000000000002559
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发表时间：
2016-10-01
影响因子：
3.6
通讯作者：
Friedrich, Jeffrey B.
中科院分区：
文献类型：
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作者：
Morrison, Shane D.;Chong, H. Jonathan;Friedrich, Jeffrey B.
背景：据估计，性别焦虑症发生在高达0.9%的美国人口中。随着人们对跨性别问题的认识不断提高和污名化的减少，预计将有更多的患者开始寻求医疗和手术过渡。本研究旨在确定美国整形外科住院医师培训计划中的变性相关教育的现状，并评估学员对此类培训重要性的看法。方法：整形外科学员从21个美国培训计划的代表性样本中被要求完成2015年11月至2016年1月的横断面八个问题调查。受访者被问及人口统计学，跨性别课程曝光（教学与临床），并认为在跨性别患者care.Results的培训机会的重要性：共有322名居民或研究员回答了调查（80%的响应率）从四个美国人口普查地区。64%的受访者在住院医师期间接受过跨性别患者护理方面的教育或直接接触过跨性别患者护理。在那些有性别确认手术经验的人中，超过一半的人接受过胸部和生殖器手术。总体而言，大多数受访者认为，性别确认手术的培训是重要的，72%赞同性别确认手术奖学金training opportunities.Conclusions的必要性：大量的整形外科实习生接触到变性患者的护理，虽然暴露类型是可变的。大多数受训人员赞同性别确认手术中住院医师和研究金培训的重要性。为了更好地为变性人服务，应提供性别确认手术方面的正式研究金培训。
Background: Gender dysphoria is estimated to occur in up to 0.9 percent of the U.S. population. With increasing awareness and decreasing stigma surrounding transgender issues, it is predicted that more patients will begin to seek medical and surgical transition. This study aims to determine the current state of transgender-related education in U.S. plastic surgery residency programs and to evaluate trainee perceptions regarding the importance of such training.Methods: Plastic surgery trainees from a representative sample of 21 U.S. training programs were asked to complete a cross-sectional eight-question survey between November of 2015 and January of 2016. Respondents were queried regarding demographics, transgender curricular exposure (didactic versus clinical), and perceived importance of training opportunities in transgender patient care.Results: A total of 322 residents or fellows responded to the survey (80 percent response rate) from four U.S. Census regions. Sixty-four percent of respondents had education on or direct exposure to transgender patient care during residency. Among those with experiences in gender-confirming surgery, more than half were exposed to chest and genital surgery. Overall, the majority of respondents believed that training in gender-confirming surgery is important, and 72 percent endorsed the necessity for gender-confirming surgery fellowship training opportunities.Conclusions: A significant number of plastic surgery trainees are exposed to transgender patient care, although exposure type is variable. The majority of trainees endorsed the importance of residency and fellowship training in gender-confirming surgery. To better serve the transgender population, formal fellowship training in gender-confirming surgery should be offered.