レズビアン,ゲイ,バイセクシュアル,トランスジェンダー関連のコンテンツは,大学院医学教育で提供されます
Juno Obedin-Maliver1, Elizabeth S Goldsmith, Leslie Stewart
1Lesbian, Gay, Bisexual, and Transgender Medical Education Research Group, Stanford University School of Medicine, Stanford, California, USA.
JAMA
|September 9, 2011
まとめ
医学部では,レズビアン,ゲイ,バイセクシュアル,トランスジェンダー (LGBT) の健康に関する教育が限られており,このテーマに専念する平均時間はわずか5時間です. カリキュラムの内容と質は著しく異なっており,LGBT患者のケア訓練の改善の必要性を強調しています.
科学分野:
- 医療教育 医療教育について
- 公衆衛生は公衆衛生である.
- 健康の格差について
背景:
- レズビアン,ゲイ,バイセクシャル,トランスジェンダー (LGBT) の個人は,健康格差に直面し,ユニークな医療ニーズを持っています.
- 医療教育組織は,LGBTに敏感なトレーニングを提唱しています.
- LGBTに特化した医療カリキュラムの範囲は,依然としてほとんど不明です.
研究 の 目的:
- 北米の医学部におけるLGBT関連の医学カリキュラムの範囲を評価する.
- LGBTの健康に関するカリキュラム開発の実践を特徴づける.
- 医療学部の院長の,その機関のLGBT関連の教育内容に対する認識を評価する.
主な方法:
- カナダと米国の176のアロパシーおよびオステオパシー医学部の院長に対して,ウェブベースの調査が行われました.
- 2009年5月から2010年3月にかけて実施された調査には,LGBTに関連するカリキュラムの内容に関する13の質問が含まれていました.
- 収集されたデータは,報告された指導時間と特定のトピックのカバーに焦点を当てました.
主要な成果:
- LGBT関連のコンテンツの報告平均時間は5時間 (IQR, 3-8時間) でした.
- 有意な差異は存在し,一部の学校では,臨床前年または臨床年において0時間の学習時間を報告した.
- ほとんどの学校では性的歴史の取扱いを教えていたが,16のLGBT特有のトピックの幅広い範囲をカバーした学校は少なかった.知覚されたコンテンツの品質は,43.9%の機関によって"公正"と評価された.
結論:
- 米国とカナダの医科大学では,LGBTトピックの平均授業時間は,2009年から2010年にかけて最小でした.
- LGBT関連の教育の量と内容には大きな違いがありました.
- LGBTの健康教育を改善するには,専用のカリキュラム材料と教員の関与が必要です.
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