临床学习和LGBTQ+健康:LGBTQ+健康临床轮换总结
Quinnette Jones1,2,3, Heather Batchelder1,2,3, Carly Kelley1,2,3
1Quinnette Jones, MSW, MHS, PA-C, is an associate professor, Duke Physician Assistant Program, Department of Family Medicine and Community Health, Duke University, Durham, North Carolina.
概括
医生助理 (PA) 学生的新临床轮换显著提高了他们在照顾女同性恋,男同性恋,双性恋,跨性别者,同性恋者和认同为其他 (LGBTQ +) 患者的知识,舒适度和信心. 这项教育干预措施解决了LGBTQ+医疗保健中的关键差距.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 在LGBTQ+健康方面
背景情况:
- 女同性恋者,男同性恋者,双性恋者,跨性别者,同性恋者以及认同其他身份的人 (LGBTQ+) 面临着重大的医疗保健障碍.
- 尽管增加了教学努力,但在专注于LGBTQ+患者护理的临床学习经验中存在着显著的差距.
- 医生助理 (PA) 教育需要专门的培训,以解决LGBTQ+社区独特的健康需求.
研究的目的:
- 为PA学生开发和实施专用临床轮换,专注于LGBTQ+健康.
- 评估这种轮换对学生在照顾LGBTQ+患者方面的知识,舒适度和信心的影响.
- 为未来的教育增强,在LGBTQ+医疗保健中确定具体的学习优先级.
主要方法:
- 在多个临床场所设计并实施了为期4周的LGBTQ+健康临床轮换.
- 六名PA学生完成了轮换前和后的调查,以评估知识,舒适度和信心的变化.
- 配对的t测试分析了定量数据,而两个独立的审查者分析了定性反.
主要成果:
- 在轮换后,学生的知识,舒适度和信心水平的统计学上显著改善.
- 学生的评估表明,在临床轮换的所有组成部分中都有积极的反.
- 定性数据显示,学生对跨性别医疗保健有很强的兴趣,这是一个重要的学习优先事项.
结论:
- 专门为LGBTQ+患者护理设计的临床轮换是非常有效的学习体验.
- 这种轮换增强了学生的知识,舒适性和信心,有助于改善医疗保健提供.
- 基于临床的教育干预是缓解LGBTQ+个体面临的健康差异的重要策略.
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