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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.
Journal of Graduate Medical Education
|December 16, 2024
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.
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.
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