Evaluation of a gender-affirming healthcare curriculum for second-year medical students

H Thompson, JA Coleman, RM Iyengar… - Postgraduate …, 2020 - academic.oup.com
H Thompson, JA Coleman, RM Iyengar, S Phillips, PM Kent, N Sheth
Postgraduate Medical Journal, 2020academic.oup.com
Background Transgender medicine is an emergent subfield with clearly identified
educational gaps. Aims This manuscript evaluates a gender-affirming healthcare curriculum
for second-year medical (M2) students. Methods Students received a survey assessing
Gender Identity Competency in terms of skills, knowledge and attitudes regarding
transgender and gender non-conforming (TGNC) issues. The authors administered the
survey before and after the delivery of the curriculum. The curriculum included five online …
Background
Transgender medicine is an emergent subfield with clearly identified educational gaps.
Aims
This manuscript evaluates a gender-affirming healthcare curriculum for second-year medical (M2) students.
Methods
Students received a survey assessing Gender Identity Competency in terms of skills, knowledge and attitudes regarding transgender and gender non-conforming (TGNC) issues. The authors administered the survey before and after the delivery of the curriculum. The curriculum included five online modules, a quiz, a 3-hour case-based workshop and a 2-hour interactive patient-provider panel.
Results
Approximately 60% of M2 students (n=77) completed both preassessments and postassessments. The following showed a statistically significant improvement from preassessment to postassessment: student Gender Identity Competency, t(76) = −11.07, p<0.001; skills, t(76) = −15.22, p<0.001; and self-reported knowledge, t(76) = −4.36, p<0.001. Negative attitudes did not differ (p=0.378). Interest in TGNC issues beyond healthcare settings did not change (p=0.334). M2 students reported a significant change in experience role-playing chosen pronouns in a clinical setting, t(76) = −8.95, p<0.001.
Conclusions
The curriculum improved students’ gender-affirming medical competency, knowledge and skills. The development of a sustained, longitudinal curriculum is recommended in addition to the continuing education of faculty to reinforce this expanding knowledge and skills base and to address discomfort working with this population.
Oxford University Press
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