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Updated: Jun 5, 2025

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A Rapid-Response Curricular Approach to Teaching Politically Charged Topics.

Janet B Henrich1, Katherine A Gielissen2, Cynthia F McNamara3

  • 1is Professor, Section of General Internal Medicine, Department of Internal Medicine, and Director, Women & Gender Health Education Program, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

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|December 16, 2024
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Summary

Medical residency curricula can be quickly updated to address changing laws in reproductive and gender-affirming health care (R/GAHC). This adaptable model ensures residents are prepared to provide essential R/GAHC services despite evolving legal landscapes.

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Area of Science:

  • Medical Education
  • Public Health Policy
  • Reproductive Health

Background:

  • Residency education in the US is impacted by external influences on reproductive and gender-affirming health care (R/GAHC).
  • Curricula require updates to equip residents for navigating legal changes in R/GAHC.
  • Adapting educational content is crucial for maintaining evidence-based practice.

Purpose of the Study:

  • To present a model for rapidly adapting R/GAHC curriculum in response to legislative shifts.
  • To ensure medical residents are prepared to provide R/GAHC amidst changing legal environments.
  • To demonstrate a scalable process for curriculum modification.

Main Methods:

  • A 6-step model was employed to adapt an existing R/GAHC module for internal medicine residents.
  • Needs assessments, curriculum design, implementation, and evaluation were conducted over 5 months.
  • Feasibility, acceptability, and resident readiness were assessed through various metrics.

Main Results:

  • A needs assessment identified an urgent requirement for R/GAHC education due to legal changes.
  • The adapted curriculum was implemented with high resident participation (94%).
  • Post-training assessments indicated residents felt ready to provide R/GAHC, despite substantial faculty time investment.

Conclusions:

  • A generalizable approach for expeditiously tailoring medical curricula to evolving healthcare laws was demonstrated.
  • This model prepares residents to navigate legal complexities in providing R/GAHC.
  • The study highlights the importance of adaptable educational strategies in healthcare.