利用德尔菲方法制定本科医学教育学习目标,以解决性别和性多样性个体的医疗保健问题
Raymond Reynolds1, Jacob Knight1, Bridget Dorsey1
1Internal Medicine, University of Utah, Salt Lake City, USA.
这项研究开发了51个基于共识的学习目标,用于性别和性多样性 (GSD) 医学教育. 这些目标旨在通过为未来的卫生专业人员提供标准化的培训,改善GSD个体的医疗保健.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 在LGBTQ+健康方面
背景情况:
- 性别和性多样性 (GSD) 个体面临着严重的医疗保健差异,包括偏见和歧视.
- 害怕受到虐待导致许多GSD个体避免寻求必要的医疗护理.
- 在本科医学教育 (UME) 中对GSD医疗护理培训的现有框架是广泛的,并且具有挑战性.
研究的目的:
- 为GSD医疗保健制定一套特定的,基于共识的学习目标.
- 为UME学习者创建易于实施的教育工具.
- 提高护理质量,改善GSD患者的健康公平.
主要方法:
- 采用了德尔菲方法,涉及四轮代的专家参与.
- 一个专家小组审查和提出项目,这些项目被整合成学习目标.
- 共识被定义为至少80%的专家将目标评为"非常重要"或"非常重要" (在五分利克特级别上为4或5).
主要成果:
- 31名专家参与了建立共识的过程.
- 该研究使用包容性,以患者为中心的语言产生了51个简洁的学习目标.
- 这些目标是从最初的能力和学习项目中改进出来的.
结论:
- 开发的学习目标为GSD医学教育在UME中提供了标准化和实用的框架.
- 整合这些目标可以改善未来医疗保健提供者的课程内容.
- 最终,这一倡议旨在减少GSD个体所经历的健康不平等.
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