骄傲与偏见:对LGBTQ+医疗实习生经验的范围审查
Alana Sorgini1, Alexandra C Istl2, Mallory L Downie3,4
1Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Medical teacher
|July 7, 2023
概括
女同性恋,男同性恋,双性恋,变性恋和酷儿 (LGBTQ+) 医疗学员面临歧视和心理健康挑战. 需要对支持性干预进行更多的研究,以提高医学教育的包容性.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 心理健康 心理健康
背景情况:
- 女同性恋,同性恋,双性恋,变性恋和酷儿 (LGBTQ+) 医疗学员在异性恋和 cis-规范医疗系统中经历了严重的歧视.
- 这种歧视导致心理健康状况较差,职业压力增加,与他们的 cisgender 和异性恋同龄人相比.
- 关于LGBTQ+学员面临的障碍的现有文献是有限的,通常基于小型,异构的研究.
研究的目的:
- 进行范围审查,以对现有文献中的突出主题进行整理和探索.
- 确定LGBTQ+医疗学员的个人和专业成果.
- 突出关于LGBTQ+医疗学员的研究障碍和差距.
主要方法:
- 在五个主要的图书馆数据库 (SCOPUS,Ovid-Medline,ERIC,PsycINFO,EMBASE) 中进行了全面的搜索.
- 包括调查LGBTQ+医疗学员学术,个人或专业成果的研究.
- 所有作者都进行了主题分析,以确定新出现的主题,并进行代审查以达成共识.
主要成果:
- 在LGBTQ+医疗学员中,同事和上级的歧视和虐待很普遍.
- 他们担心身份披露,负面的心理健康影响 (抑郁症,物质使用,自杀念头) 和缺乏医疗教育的包容性.
- 同行和导师社区对于成功至关重要,但对跨学科性和积极干预的研究仍然显著缺乏.
结论:
- 对于LGBTQ+医疗学员而言,存在重大障碍,目前的研究存在重大差距.
- 进一步研究支持性干预和培训成功的预测因素对于培养包容性医学教育体系至关重要.
- 调查结果为教育领导者和研究人员提供了关键的见解,以创建和评估培训人员的包容性和赋权环境.
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