Implementation of sexual and gender minority health curricula in health care professional schools: a qualitative study

Pratt-Chapman, Mandi

doi:10.1186/s12909-020-02045-0

Cited by 38 publications

(35 citation statements)

References 41 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Overall, undergraduate medical trainees have consistently expressed interest in receiving formal education on SGM healthcare [24,42]. Implementation of educational interventions, such as lectures designed by physicians with expertise in the topic as well as small group sessions with SGM patient visitors, have previously been demonstrated to be effective in increasing students' confidence in interacting and evaluating members of this community [43][44][45]. In addition to educating trainees about the unique challenges of this population, representation of SGM individuals across specialties must also be addressed.…”

Section: Discussionmentioning

confidence: 99%

Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory

et al. 2021

View full text Add to dashboard Cite

Introduction The wellbeing of sexual and gender minority (SGM) medical students and the impact of their experiences on career trajectory remain poorly understood. The present study aimed to characterize the incidence of mistreatment in SGM trainees as well as general perspectives on the acceptance of SGM individuals across medical and surgical specialties. Methods This was a cross sectional survey study of all actively enrolled medical students within the six University of California campuses conducted in March 2021. An online, survey tool captured incidence of bullying, discrimination, and suicidal ideation as well as perceived acceptance of SGM identities across specialties measured by slider scale. Differences between SGM and non-SGM respondents were assessed with two-tailed and chi-square tests. Qualitative responses were evaluated utilizing a multi-stage, cutting-and-sorting technique. Results Of approximately 3,205 students eligible for participation, 383 submitted completed surveys, representing a response rate of 12.0%. Of these respondents, 26.9% (n = 103) identified as a sexual or gender minority. Overall, SGM trainees reported higher slider scale scores when asked about being bullied by other students (20.0 vs. 13.9, P = 0.012) and contemplating suicide (14.8 vs. 8.8, P = 0.005). Compared to all other specialties, general surgery and surgical subspecialties had the lowest mean slider scale score (52.8) in perceived acceptance of SGM identities (All P < 0.001). In qualitative responses, students frequently cited lack of diversity as contributing to this perception. Additionally, 67.0% of SGM students had concerns that disclosure of identity would affect their future career with 18.5% planning to not disclose during the residency application process. Conclusions Overall, SGM respondents reported higher incidences of bullying and suicidal ideation as well as increased self-censorship stemming from concerns regarding career advancement, most prominently in surgery. To address such barriers, institutions must actively promote diversity in sexual preference and gender identity regardless of specialty.

show abstract

Section: Discussionmentioning

confidence: 99%

Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory

et al. 2021

View full text Add to dashboard Cite

show abstract

“…A recent review of institutions leading SGM curricular change in health-care professional schools noted that empowered, motivated champions for change; available content expertise; alignment with organizational culture; institutional commitment; and inclusive strategic planning were keys to successful SGM health curricular change[ 13 ]. A key lesson learned from that review was ensuring that responsibility for inclusion of SGM health content is spread across faculty, not dependent on one or few faculties [ 13 ]. Medical schools that wish to bolster SGM health content can leverage these lessons learned to facilitate change.…”

Section: Discussionmentioning

confidence: 99%

An audit of the medical pre-clinical curriculum at an urban university: sexual and gender minority health content

Pratt-Chapman

Abon

2021

Medical Education Online

Self Cite

View full text Add to dashboard Cite

Most medical students receive inadequate preparation to care for sexual and gender minority (SGM) patients. A review of one urban medical school's pre-clinical curriculum was conducted to assess coverage of appropriate SGM health content. Curricula that fully or partially addressed American Association of Medical Colleges (AAMC) core competencies for SGM health were categorized in an Excel spreadsheet. For partially met competencies, content that addressed the competency along with what was needed to fully address the competency were documented. AAMC SGM competencies that were not addressed at all were also noted. As a secondary source for triangulation, curricular topics were compared to SGM health content prioritized by Vanderbilt, a leader in championing inclusion of SGM content in medical curricula. Of the 30 AAMC competencies, 10 competencies were addressed, 11 were partially addressed, and 9 were not addressed. Gaps were noted in the AAMC domains of professionalism, systems-based practice, interprofessional collaboration, and personal/ professional development. Among Vanderbilt topics, the George Washington University (GW) curriculum lacked content in intersex health, sexually transmitted infections (STIs) in lesbians, vaginitis in lesbians, efficacy of anal microbicides, anal Pap smears, and anal cancer risk and treatment for men who have sex with men (MSM). Despite these weaknesses, GW clocked greater than the national average at 7.5 hours of SGM content. This study provides a roadmap for curricular enhancements needed at GW as well as a prototype for other institutions to audit and improve curricular coverage on SGM health.

show abstract

“…There is a lack of SGM focused curriculum across healthcare programs including nursing and medical school programs [22][23][24][25][26][27] . Time devoted to SGM content was minimal across healthcare programs [24] .…”

Section: Discussionmentioning

confidence: 99%

Implementation of transgender and gender diverse curriculum in medical imaging programs: A review of the literature

Pedersen

Corcoran

2021

Journal of Medical Imaging and Radiation Sciences

View full text Add to dashboard Cite

Introduction: Sexual and gender minority patients experience significant inequities when accessing health care. Transgender and nonbinary patients are at an even greater risk of experiencing health disparities due to their specialized health care needs. In the discipline of medical imaging, limited cultural competence, social stigma, and cisheteronormative environments are barriers for these patients. There is an urgent need to improve medical imaging care for transgender and non-binary people; inclusion of sexual and gender minority content in medical imaging curriculum is one strategy to begin to address this need.Method: A review of the literature was undertaken to explore implementation of sexual and gender minority content in the curricula of medical imaging programs.Results/Discussion: Three main themes were identified: 1) educators' acknowledgement of the importance and value of adding sexual and gender minority content to healthcare curriculum; 2) educators' lack of a sense of preparedness, experience, and knowledge to adequately teach this content: and 3) lack of resources and institutional support to help develop curriculum. Conclusion:Including content in the curriculum related to the needs of transgender and non-binary patients will help ensure entry-topractice Medical Radiation Technologists are better prepared to provide inclusive care.

show abstract

Implementation of sexual and gender minority health curricula in health care professional schools: a qualitative study

Cited by 38 publications

References 41 publications

Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory

Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory

An audit of the medical pre-clinical curriculum at an urban university: sexual and gender minority health content

Implementation of transgender and gender diverse curriculum in medical imaging programs: A review of the literature

Contact Info

Product

Resources

About