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Transformative Impact: Advancing Resident Competence and Confidence in Gender-Affirming Care Through a Multimodal
Abbey Knickerbocker1, Nathan R Jones2, Kristina Kaljo3
1Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, aknickerbocker@uwhealth.org.
Summary
A year-long transgender health curriculum improved obstetrics and gynecology residents' knowledge and confidence in providing gender-affirming care. This education is vital for enhancing clinical competency and promoting equitable health outcomes for transgender and gender-diverse individuals.
Area of Science:
- Medical Education
- Gender-Affirming Care
- Graduate Medical Education
Background:
- Transgender and gender-diverse individuals experience significant health disparities.
- Limited provider knowledge contributes to these health inequities.
- Integrating transgender health into medical curricula is crucial.
Purpose of the Study:
- To assess the impact of a multimodal educational intervention on obstetrics and gynecology residents' skills in gender-affirming care.
- To evaluate changes in residents' knowledge, confidence, and comfort levels.
- To address the need for improved provider training in transgender health.
Main Methods:
- A 1-year longitudinal curriculum including didactics, clinical, and surgical experiences was implemented.
- Twenty obstetrics and gynecology residents participated.
- Pre- and post-intervention surveys and qualitative analysis of open-ended responses were used.
Main Results:
- Residents showed significant improvements in understanding transgender care, counseling for gender-affirming surgery, and hormone therapy management.
- Qualitative data revealed increased clinical awareness and a better understanding of systemic barriers.
- Residents reported enhanced confidence and comfort in providing gender-affirming care.
Conclusions:
- A structured, multimodal educational intervention effectively enhanced residents' preparedness for gender-affirming care.
- Integrating formal transgender health education into graduate medical education is supported by these findings.
- This approach can improve clinical competency and advance health equity for transgender and gender-diverse patients.
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