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Trans health training objectives: A scoping review.
Tehmina Ahmad1, Lilian Robinson2, Elizabeth Uleryk3
1Department of Medicine, Division of Endocrinology and Metabolism, University of Toronto, Toronto, Ontario, Canada.
Physician training in transgender health is crucial for improving care. This review identifies key transgender health training objectives for Internal Medicine residents, highlighting gaps in current postgraduate medical education.
Area of Science:
- Medical Education
- Health Equity
- Transgender Health
Background:
- Transgender individuals face significant discrimination in healthcare settings.
- This discrimination leads to poorer health outcomes compared to cisgender individuals.
- Improved physician training in transgender health is essential to reduce health disparities.
Purpose of the Study:
- To identify transgender health training objectives in Internal Medicine and Subspecialty residency programs in Canada and the US.
- To synthesize existing objectives into key themes for medical education.
- To highlight gaps in current postgraduate training for transgender healthcare.
Main Methods:
- Conducted a scoping review of studies published from 1946 to February 2022.
- Systematically searched for English-language studies on transgender health training objectives.
- Included studies targeting Internal Medicine and Subspecialty residents in Canada and the US.
Main Results:
- Analyzed 11 studies out of 4048 initially identified papers.
- Synthesized transgender health training objectives into five themes: terminology/physiology, gender-affirming care, hormonal/surgical management, routine health, and equity/diversity/inclusion.
- Found that most objectives focused on respectful communication and non-judgmental care for transgender patients.
Conclusions:
- The review provides a comprehensive overview of published transgender health objectives in North America.
- Identified significant gaps in postgraduate medical education for Internal Medicine and Subspecialty programs.
- Advocates for standardized transgender health residency training and offers this review as an educational framework.
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