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在紧急医疗模拟课程中,LGBTQ+个体没有明确的代表
Jessica Bod1, Samuel Buck1, Iris Chandler1
1Emergency Medicine, Yale University, New Haven, Connecticut, USA.
MedEdPublish (2016)
|June 27, 2024
概括
紧急医疗 (EM) 模拟课程很少包括女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ+) 患者. 需要增加代表性,以改善LGBTQ+个人的护理和减少对LGBTQ+个人的耻辱.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 健康 公平 卫生 公平
背景情况:
- 医学协会主张将被边缘化的人群,如女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ +) 个人纳入教育课程.
- 缺乏包容性会导致由于无意识的偏见导致健康差异和虐待.
- 紧急医疗 (EM) 课程将最小的教学时间用于LGBTQ+患者的护理.
研究的目的:
- 评估在EM模拟课程中LGBTQ+人口的代表性.
- 确定这些课程中LGBTQ+个体的现有表示是否描绘了耻辱化的行为.
主要方法:
- 对来自六个模拟案例库的971个场景进行了审查,以确定LGBTQ+的代表性.
- 对人口统计学变量进行了频率分布分析.
- 奇平方或费舍尔的确切测试被用来检查LGBTQ+代表性和案例库类型,作者类型和污名化行为之间的关系.
主要成果:
- 在971个审查的场景中,只有8个 (0.82%) 显然代表了LGBTQ+患者.
- 所有LGBTQ+患者病例都是在机构病例库中发现的.
- 在8个场景中,有3个场景 (37.5%) 描绘了污名化的行为.
结论:
- 在当前的EM模拟课程中,LGBTQ+个体的代表性明显不足.
- 对LGBTQ+患者的明确代表对于减少耻辱至关重要.
- 增强的课程可以帮助EM学员练习性别肯定语言,并解决与LGBTQ+患者相关的特定健康需求和潜在偏见.
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