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Related Experiment Video

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Current Concepts in Gender-Affirming Surgery Postgraduate Training.

Alexander N Khouri1, Caleb Haley2, Mark MacEachern3

  • 1Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, United States.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
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PubMed
Summary

Surgical residents require better training in transgender health and gender-affirming surgeries (GAS) due to increased patient utilization. Current postgraduate surgical education is insufficient and non-uniform, necessitating curriculum improvements.

Keywords:
gender-affirming surgeryresidencysurgical educationtransgender persons

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Area of Science:

  • Medical Education
  • Surgical Training
  • Transgender Health

Background:

  • Increased healthcare utilization by transgender patients necessitates improved surgical resident training.
  • Current postgraduate surgical education lacks formal curricula and training requirements for transgender health.
  • This gap impacts the ability of surgical residents to provide adequate care to transgender individuals.

Purpose of the Study:

  • To systematically review postgraduate education and training for surgical trainees concerning transgender health.
  • To assess the current state of training for gender-affirming surgeries (GAS) among surgical residents.

Main Methods:

  • A PRISMA-compliant systematic literature search was conducted across major databases (PubMed, Embase, Cochrane).
  • Searches were performed on December 04, 2020, and included studies from various surgical specialties.
  • Two independent reviewers screened and reviewed retrieved publications.

Main Results:

  • 15 studies (14 surveys, 1 interventional) were included, covering specialties like plastic surgery, urology, and OBGYN.
  • Most residents and program directors deem transgender health education important.
  • Current training is insufficient to prepare residents for caring for transgender patients.

Conclusions:

  • Postgraduate surgical training in gender-affirming surgery is inconsistent across specialties, regions, and programs.
  • Integrating specific training modules and hands-on experiences is crucial for better resident preparedness.
  • Further research is needed to effectively incorporate these essential experiences into surgical curricula.