A Call to Action: the Need for Integration of Transgender Topics in Psychiatry Education

Kosman, Katherine; AhnAllen, Christopher G.; Fromson, John A.

doi:10.1007/s40596-018-0966-7

Cited by 11 publications

(4 citation statements)

References 18 publications

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“… 23 – 25 Other experts recommend integration of transgender health topics into existing curricula. 26 It is also promising that 86% of programs are teaching transgender health content and rate it as moderately, very, or extremely important.…”

Section: Discussionmentioning

confidence: 99%

Curricular Approaches to Transgender Health in Physician Assistant Education

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Curricular Approaches to Transgender Health in Physician Assistant Education

et al. 2020

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“…[53][54][55] These findings would support calls to increase the education of psychiatrists and primary care providers in caring specifically for transgender and gender non-binary patients. 56 A 2009-2010 survey of all medical schools in the United States and Canada found that few (if any) of the average of 5 hours per year of training devoted to LGBT-specific concerns covered transgender topics. 57 Yet, these same providers may face increased demand to prescribe psychotropic medications safely and effectively to gender minority beneficiaries, especially those age 65 years or older.…”

Section: Discussionmentioning

confidence: 99%

Trends in Mental Health Care Use in Medicare from 2009 to 2014 by Gender Minority and Disability Status

et al. 2019

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Purpose: This study examines trends in Medicare beneficiaries' mental health care use from 2009 to 2014 by gender minority and disability status. Methods: Using 2009 to 2014 Medicare claims, we modeled mental health care use (outpatient mental health care, inpatient mental health care, and psychotropic drugs) over time, adjusting for age and behavioral health diagnoses. We compared trends for gender minority beneficiaries (identified using diagnosis codes) to trends for a 5% random sample of other beneficiaries, stratified by original entitlement reason (age vs. disability). Results: Adjusted outpatient and inpatient mental health care use decreased and differences generally narrowed between gender minority and other beneficiaries over the study period. Among beneficiaries qualifying through disability, the gap in the number of outpatient and inpatient visits (among those with at least one visit in a given year) widened. Psychotropic drug use rose for all beneficiaries, but the proportion of gender minority beneficiaries in the aged cohort who had a psychotropic medication prescription rose faster than for other aged beneficiaries. Conclusions: Mental health care needs for Medicare beneficiaries may be met increasingly by using psychotropic medications rather than outpatient visits, and this pattern is more pronounced for identified gender minority (especially aged) beneficiaries. These trends may indicate a growing need for research and provider training in safe and effective psychotropic medication prescribing alongside gender-affirming treatments such as hormone therapy, especially for aged gender minority individuals who likely already experience polypharmacy.

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“…Achieving representation within residency through diverse resident selection is crucial to generating advocacy from within. In an initiative to bridge the educational gap, a main objective and systemic recommendation from Kosman and colleagues is to recruit sexual and gender minorities into the field [11]. This recommendation would help foster activism throughout post-graduate education and allow a more representative emergency medicine faculty and leadership in the future.…”

Section: Summary Of Recommendations Barriers and Enabling Recommendationsmentioning

confidence: 99%

Education about sexual and gender minorities within Canadian emergency medicine residency programs

et al. 2022

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Objectives The CAEP 2021 2SLGBTQIA + i panel sought whether a gap exists within Canadian emergency medicine training pertaining to sexual and gender minority communities. This panel aimed to generate practical recommendations on improving emergency medicine education about sexual and gender minorities, thereby improving access to equitable healthcare. Methods From August 2020 to June 2021, a panel of emergency medicine practitioners, residents, students, and community representatives met monthly via videoconference. A literature review was undertaken, and three mixed methods surveys were distributed to the CAEP member list, CAEP Resident Section, College of Family Physicians of Canada (CFPC) iii Emergency Medicine Members Interest Group, and to emergency medicine residency program directors and their residents. Informed by the review and surveys, recommendations were drafted and refined by panel members before presentation at the 2021 CAEP Academic Symposium. A plenary was presented to symposium attendees composed of national emergency medicine community members, which reported the survey results and literature review. All attendees were divided into small groups to develop an action plan for each recommendation. Conclusions The panel outlines eight recommendations for closing the curricular gap. It identifies three perceived or real barriers to the inclusion of sexual and gender minority content in emergency medicine residency curricula. It acknowledges three enabling recommendations that are beyond the scope of individual emergency medicine programs or emergency departments (EDs), that if enacted would enable the implementation of the recommendations. Each recommendation is accompanied by two action items as a guide to implementation. Each of the three barriers is accompanied by two action items that offer specific solutions to overcome these obstacles. Each enabling recommendation suggests an action that would shift emergency medicine towards sociocultural competence nationally. These recommendations set the primary steps towards closing the educational gap.

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A Call to Action: the Need for Integration of Transgender Topics in Psychiatry Education

Cited by 11 publications

References 18 publications

Curricular Approaches to Transgender Health in Physician Assistant Education

Curricular Approaches to Transgender Health in Physician Assistant Education

Trends in Mental Health Care Use in Medicare from 2009 to 2014 by Gender Minority and Disability Status

Education about sexual and gender minorities within Canadian emergency medicine residency programs

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