A first step in addressing medical education Curriculum gaps in lesbian-, gay-, bisexual-, and transgender-related content: The University of Louisville Lesbian, Gay, Bisexual, and Transgender Health Certificate Program

Sawning, Susan; Steinbock, Stacie; Croley, Rachel; Combs, Ryan; Shaw, Ann; Ganzel, Toni M

doi:10.4103/efh.efh_78_16

Cited by 74 publications

(85 citation statements)

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“…This includes training regarding using the correct name and pronouns, which has been shown to be vitally important in validating TGD experiences [10,[12][13][14]. It can be argued that training programs in transgender healthcare would not only improve knowledge and professionalism and reduce discrimination but would address in part, the issue of lack of access to health services and inability to find doctors to provide gender-affirming treatments [15,16].…”

Section: Discussionmentioning

confidence: 99%

Health Needs of Trans and Gender Diverse Adults in Australia: A Qualitative Analysis of a National Community Survey

Zwickl

Wong

Bretherton

et al. 2019

IJERPH

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There is an increasing demand for trans and gender diverse (TGD) health services worldwide. Given the unique and diverse healthcare needs of the TGD community, best practice TGD health services should be community-led. We aimed to understand the healthcare needs of a broad group of TGD Australians, how health professionals could better support TGD people, and gain an understanding of TGD-related research priorities. An anonymous online survey received 928 eligible responses from TGD Australian adults. This paper focuses on three questions out of that survey that allowed for free-text responses. The data were qualitatively coded, and overarching themes were identified for each question. Better training for healthcare professionals and more accessible transgender healthcare were the most commonly reported healthcare needs of participants. Findings highlight a pressing need for better training for healthcare professionals in transgender healthcare. In order to meet the demand for TGD health services, more gender services are needed, and in time, mainstreaming health services in primary care will likely improve accessibility. Evaluation of training strategies and further research into optimal models of TGD care are needed; however, until further data is available, views of the TGD community should guide research priorities and the TGD health service delivery.

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Section: Discussionmentioning

confidence: 99%

Health Needs of Trans and Gender Diverse Adults in Australia: A Qualitative Analysis of a National Community Survey

Zwickl

Wong

Bretherton

et al. 2019

IJERPH

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“…14 Publications on teaching methods on caring for gender and sexual minority people have increased in recent years. Multiple different curricular models have been evaluated, including 2-h seminars, 23 standardized patient scenarios, 24 as well as a multisession interdisciplinary LGBT patient care certificate program, 25 all demonstrating various degrees of improvement in medical student knowledge and attitudes and varying degrees of adherence to prior literature and the AAMC guidelines. Regarding transgender-specific care, results of a longitudinal 10-h curriculum showed improve attitudes toward transgender people up to 3 months later, 26 and even a single didactic session on the biology of gender resulted in a significant 67% improvement in student willingness to care for transgender people 1 month after the teaching.…”

Section: Introductionmentioning

confidence: 99%

Transgender Health Care Curriculum Development: A Dual-Site Medical School Campus Pilot

et al. 2020

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Purpose: Lack of physician training contributes to health care disparities for transgender people. The limited generalizability and feasibility of published training approaches lessen their utility in lowering barriers for other institutions to adopt similar training. Methods: All first-year medical students at the Mayo Clinic Alix School of Medicine (MCASOM) in Minnesota and Arizona received a 1-h lecture introducing key concepts related to transgender people and their health disparities. Students completed a 21-question survey before and after the lecture, and 1 year later. Chi-square likelihood coefficients were used to compare responses between the three time points. Results: Eighty-six of 100 students answered the prelecture survey (86% response rate); 70 the postlecture survey; and 44 the 1-year follow-up survey. Twenty-five (29%) students had prior education in any lesbian, gay, bisexual, and transgender (LGBT +) health disparities, but this did not correlate with more favorable attitudes or knowledge. LGBT + students and those with close LGBT + friends had the most favorable attitudes and knowledge. The proportion of students comfortable with caring for transgender people changed significantly (76% self-reported very comfortable prelecture vs. 91% postlecture, p = 0.0073) and remained at 89% 1 year later. The proportion of students comfortable with a transgender patient scenario significantly increased (67% selfreported very comfortable prelecture vs. 87% postlecture, p = 0.032) even when surveyed 1 year later (95% very comfortable, p < 0.0001). Conclusion: This study demonstrates that a 1-h lecture can increase the proportion of medical students who demonstrate positive attitudes and correct knowledge on transgender patient care for at least a year, and how a survey can gather essential information on student learning needs to guide training development.

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“…Um estudo que corrobora essa percepção foi realizado em 2011 em 132 escolas médicas do Canadá e Estados Unidos e demonstrou que durante os quatro anos de academia em medicina, somente cinco horas eram dedicadas a conteúdos voltados à saúde da população LGBT. 23 Uma recomendação recorrente nos artigos encontrados é a integração da saúde da população…”

Section: Caso 3 -O Papel Da Estratégia Saúde Da Família E Da Educaçãounclassified

Atenção integral à saúde da população LGBT: Experiência de educação em saúde com agentes comunitários na atenção básica

Albuquerque

Botelho

Rodrigues

2019

Rev Bras Med Fam Comunidade

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Objetivo: Relatar uma experiência de educação em saúde com agentes comunitários de saúde acerca da saúde da população LGBT na atenção básica. Métodos: Foi realizada uma ação de educação continuada por meio do estudo de casos escolhidos pelos agentes de saúde dentro de suas microáreas de atuação seguida de discussão em grupo e reflexão sobre as práticas vigentes. Resultados: Foram discutidos três casos apresentados pelos agentes de saúde que abordavam as temáticas de: (1) a escola e o preconceito; (2) a importância do apoio familiar e social; e (3) o papel da estratégia saúde da família e da educação em saúde. Percebeu-se que o tema permanece excluído das grandes discussões, sobretudo nas escolas médicas e na atenção básica, que é o primeiro contato do usuário com o Sistema Único de Saúde. Dessa forma, estratégias que objetivem discutir as peculiaridades da prevenção, promoção e assistência à saúde desses grupos devem ser estimuladas e reproduzidas tendo em vista uma melhor qualidade do atendimento a fim de captar esses pacientes em um ambiente favorável a práticas integrativas com respeito à diversidade sexual. Conclusão: Conclui-se que a atividade educacional realizada foi de extrema importância para desmistificar mitos e preconceitos envolvendo a saúde LGBT no cenário da atenção básica. Observou-se que após a atividade educacional os ACS se mostraram mais confiantes e sensibilizados sobre as temáticas abordadas e mudaram concepções no sentido de respeitar as decisões dos pacientes e realizar abordagem adequada para o acolhimento a esses usuários.

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A first step in addressing medical education Curriculum gaps in lesbian-, gay-, bisexual-, and transgender-related content: The University of Louisville Lesbian, Gay, Bisexual, and Transgender Health Certificate Program

Abstract: Medical educators can play a critical role in decreasing LGBT healthcare disparities. The University of Louisville LGBT Health Certificate Program played an important first step in increasing medical students' knowledge and improving certain attitudes about LGBT patients.

Cited by 74 publications

References 1 publication

Health Needs of Trans and Gender Diverse Adults in Australia: A Qualitative Analysis of a National Community Survey

Health Needs of Trans and Gender Diverse Adults in Australia: A Qualitative Analysis of a National Community Survey

Transgender Health Care Curriculum Development: A Dual-Site Medical School Campus Pilot

Atenção integral à saúde da população LGBT: Experiência de educação em saúde com agentes comunitários na atenção básica

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