跨健康培训目标:一个范围审查
Tehmina Ahmad1, Lilian Robinson2, Elizabeth Uleryk3
1Department of Medicine, Division of Endocrinology and Metabolism, University of Toronto, Toronto, Ontario, Canada.
对跨性别健康的医生培训对于改善护理至关重要. 本综述确定了内科住院人员跨性别健康培训的主要目标,突出了当前研究生医学教育的差距.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 跨性别者健康 跨性别者健康
背景情况:
- 跨性别者在医疗保健机构中面临着严重的歧视.
- 这种歧视导致健康状况较差,而非 cisgender 个体.
- 改善跨性别健康方面的医生培训对于减少健康差距至关重要.
研究的目的:
- 确定在加拿大和美国的内科和子专业住院计划中的跨性别健康培训目标.
- 将现有目标综合为医学教育的关键主题.
- 突出目前对跨性别者医疗保健的研究生培训中的差距.
主要方法:
- 对1946年至2022年2月发表的研究进行了范围审查.
- 系统地搜索了关于跨性别健康培训目标的英语研究.
- 包括针对加拿大和美国内科和子专业医生的研究.
主要成果:
- 分析了4048篇最初识别的论文中的11篇研究.
- 综合了跨性别健康培训目标在五个主题:术语/生理学,性别肯定护理,荷尔蒙/手术管理,常规健康和公平/多样性/包容.
- 发现大多数目标都集中在尊重沟通和对跨性别患者的非判断性护理上.
结论:
- 该综述提供了对北美已公布的跨性别健康目标的全面概述.
- 确定了内部医学和子专业课程的研究生医学教育中的重大差距.
- 倡导标准化跨性别健康住院培训,并提供此评论作为教育框架.
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