成人内分泌和新陈代谢课程培训的跨性别健康目标:修改后的德尔菲研究结果
Tehmina Ahmad1,2, Leighton Schreyer3, Raymond Fung1,4
1Division of Endocrinology and Metabolism, Department of Medicine, University of Toronto, Toronto, ON, Canada.
PloS one
|May 20, 2024
概括
这项研究建立了基于共识的跨性别健康培训目标 (THOOT) 对于内分泌学住院计划. 这些目标旨在改善跨性别者的医疗保健,并解决医生的教育差距.
科学领域:
- 医学教育 医学教育
- 内分泌学 在内分泌学.
- 健康 公平 卫生 公平
背景情况:
- 变性人面临着重大的医疗保健障碍,导致未满足的医疗需求和更高的慢性病率.
- 缺乏标准化的研究生跨性别健康培训使医生没有准备,导致医疗保健差距.
- 在医疗住院计划中,特别是在成人内分泌和新陈代谢方面,急需定义跨性别健康培训目标 (THOOT).
研究的目的:
- 为加拿大成人内分泌和新陈代谢住院计划制定基于共识的跨性别健康培训目标 (THOOT).
- 为未来的内分泌学家解决跨性别者医疗保健方面的教育差距.
- 在跨性别健康医学教育中为改善健康平等和社会正义奠定基础.
主要方法:
- 在国家专家小组中,采用了两轮修改后的Delphi过程.
- 参与者包括项目主管,医生专家,居民和跨性别社区成员.
- 使用5分利克尔特尺度和书面反来评估和完善THOOT.
主要成果:
- 最初对81个文献提取的THOOT进行审查,导致第一轮所有目标达成共识.
- 随着反,目标被添加,删除,整合和重新表述,导致第二轮的55个THOOT.
- 在第二轮中,共识达到了8个THOOT,在节目主任的反后,进一步巩固到4个关键THOOT以纳入课程.
结论:
- 这项研究代表了第一个基于共识的方法,用于在加拿大或美国建立THOOT的研究生医学子专业.
- 开发的THOOT为未来的跨性别健康医学教育创新提供了基础蓝图.
- 实现这些目标可以促进跨性别者医疗保健中的健康平等和社会正义.
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