Toward the inclusion of transgender and nonbinary residents among obstetrics and gynecology residency programs across the nation: a needs assessment
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Summary
This summary is machine-generated.Obstetrics and gynecology residencies are increasing in gender diversity, yet many programs feel unprepared to support transgender or nonbinary residents. Key supports include pronoun pins and gender-neutral bathrooms, highlighting opportunities for improved inclusivity.
Area Of Science
- Medical Education
- Gender-affirming Care
- Healthcare Inclusivity
Background
- Increasing numbers of transgender and nonbinary medical students are matriculating into residency programs.
- Existing literature indicates ongoing safety and discrimination concerns for transgender and nonbinary medical professionals.
- No prior studies have specifically examined the experiences of transgender or nonbinary providers within obstetrics and gynecology residency programs.
Purpose Of The Study
- To assess current strengths and barriers to including transgender or nonbinary trainees in obstetrics and gynecology residency programs.
- To identify opportunities for enhancing inclusivity for gender-diverse residents.
- To inform strategies for supporting the growing population of transgender and nonbinary residents.
Main Methods
- An online survey was administered to healthcare providers affiliated with US-accredited obstetrics and gynecology residency programs between May and November 2023.
- The survey collected data on program demographics, interpersonal interactions, physical spaces, and the provision of gender-affirming care.
- Quantitative data were analyzed using descriptive statistics and logistic regression, while qualitative data underwent thematic content analysis.
Main Results
- Of 127 participating programs, 21.3% had prior or current transgender/nonbinary residents. 57.4% of programs felt prepared to support such residents.
- Program readiness was associated with having a transgender/nonbinary resident, offering pronoun pins, and providing gender-neutral bathrooms.
- Qualitative analysis revealed seven key themes regarding barriers and facilitators to an inclusive workplace environment.
Conclusions
- Despite widespread agreement on the need for inclusive environments, nearly half of obstetrics and gynecology residency programs feel unprepared to support transgender/nonbinary residents.
- The study identifies practical and feasible strategies to improve gender identity inclusivity in residency programs.
- A toolkit is available to guide residency programs in developing supportive work environments for gender-diverse trainees.
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