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Experiences of transgender and nonbinary physicians during residency training
Jamie Drew Weinand1, Elizabeth J Kvach2,3, Ryan O'Connell3,4
1El Rio Community Health Centers, Tucson, Arizona, USA.
International Journal of Transgender Health
|October 30, 2023
Summary
Transgender and gender non-binary (TNB) physicians in US residency programs face microaggressions and macroaggressions, despite perceived support. Further faculty action is needed to address barriers and prejudices during training.
Area of Science:
- Medical Education
- Gender Studies
- Physician Training
Background:
- Limited understanding exists regarding the experiences of transgender and gender non-binary (TNB) physicians during medical residency.
- Addressing the unique challenges faced by TNB trainees is crucial for fostering inclusive and equitable medical education environments.
Purpose of the Study:
- To investigate the self-reported experiences and specific needs of TNB individuals undergoing medical residency training in the United States.
- To identify areas for improvement in residency programs to better support TNB physicians.
Main Methods:
- An anonymous online survey was administered to current and recent TNB residents in US medical training programs.
- The survey collected data on demographics, experiences with gender-affirming care, disclosure of gender identity, and exposure to microaggressions and macroaggressions.
Main Results:
- While most TNB residents reported perceived support from program faculty and staff, a significant majority (84.6%) experienced microaggressions, with non-binary and transfeminine individuals reporting these more frequently.
- Nearly a quarter of transfeminine and non-binary participants reported macroaggressions, primarily from program faculty.
- Many TNB residents were unaware of available gender-affirming healthcare benefits and received limited transgender-related didactics.
Conclusions:
- Despite reported institutional support, TNB physicians encounter substantial barriers and prejudice during residency training.
- There is a critical need for enhanced faculty training and program initiatives to actively support TNB trainees and mitigate discriminatory experiences.
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