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Medical Educators' Perceptions and Experiences of Transgender Curriculum in Barbados
Natalie Greaves1, Maisha K Emmanuel1, Arianne Harvey1
1Faculty of Medical Sciences, The University of the West Indies-Cave Hill, Bridgetown, Barbados.
Medical educators understand transgender health needs but face resource challenges integrating this into curricula. They suggest broad diversity training, emphasizing structural barriers to transgender healthcare access.
Area of Science:
- Medical Education
- Health Systems Research
- Sociology of Health
Background:
- Medical education often lacks comprehensive transgender health content.
- Understanding medical educators' perspectives is crucial for curriculum development.
- Health systems face challenges in responding to transgender patient needs.
Purpose of the Study:
- To explore medical educators' understanding of the term transgender.
- To assess educators' attitudes on health system responsiveness to transgender needs.
- To examine perspectives on integrating transgender curriculum in medical education.
Main Methods:
- Purposive sampling of 15 medical educators involved in curriculum design and delivery.
- Qualitative interpretivist methodology using Zoom focus groups.
- Verbatim transcription and analysis of focus group data with NVivo 12 Pro software.
Main Results:
- Educators demonstrated knowledge of transgender health and psychosocial needs.
- Perceived barriers to standalone transgender curriculum include resource constraints.
- Need identified for broad diversity content, including transgender health, at undergraduate and postgraduate levels.
- Structural stigma and discrimination identified as impediments to transgender healthcare access.
Conclusions:
- Medical educators possess knowledge of transgender health needs.
- Improvements in health system responsiveness are needed, addressing structural stigma and discrimination.
- Integrating transgender health into medical curricula requires pragmatic resource optimization and may be best achieved within broader diversity training.
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