Educational Exposure to Transgender Patient Care in Plastic Surgery Training
Shane D Morrison1,2, H Jonathan Chong1,2, Geolani W Dy1,2
1Seattle, Wash.; St. Louis, Mo.; New York, N.Y.; Providence, R.I.; and Portland, Ore.
Plastic and Reconstructive Surgery
|June 17, 2016
Summary
Most plastic surgery trainees receive some education on transgender patient care. The majority believe gender-affirming surgery training is important and support fellowship programs.
Area of Science:
- Medical Education
- Plastic Surgery
- Gender-Affirming Care
Background:
- Gender dysphoria affects up to 0.9% of the U.S. population.
- Increasing awareness of transgender issues leads to greater demand for transition-related care.
- Transgender-related medical and surgical education is crucial for healthcare providers.
Purpose of the Study:
- To assess current transgender-related education in U.S. plastic surgery residency programs.
- To evaluate plastic surgery trainees' perceptions of transgender patient care training.
- To identify needs for improved surgical training for transgender individuals.
Main Methods:
- A cross-sectional survey was distributed to 21 U.S. plastic surgery residency programs.
- 322 residents and fellows completed an eight-question survey on demographics and training exposure.
- Data collected included didactic vs. clinical exposure and perceived importance of training.
Main Results:
- 64% of respondents reported some education or exposure to transgender patient care.
- Over half of those with experience had undergone chest and genital gender-confirming surgeries.
- A majority deemed gender-affirming surgery training important, with 72% supporting fellowship opportunities.
Conclusions:
- Exposure to transgender patient care varies among plastic surgery trainees.
- Trainees widely recognize the importance of residency and fellowship training in gender-affirming surgery.
- Formal fellowship training in gender-affirming surgery is recommended to better serve the transgender population.
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