性别不同患者的腹痛:医学二年级学生的标准化病例
Sarah Stumbar1, Nahal Khamisani2, Prasad Bhoite1
1Medical Education, Florida International University Herbert Wertheim College of Medicine (FIU HWCOM), Miami, USA.
Cureus
|February 24, 2025
概括
医学学生通过标准化的患者接触获得了对照不同人群的信心. 这次培训提高了他们对健康差异的理解,并为边缘化群体提高了包容性患者采访技巧.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 对边缘化群体的整体护理,包括女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ+) 个人,对于以患者为中心的医疗保健至关重要.
- 本科医学培训往往缺乏关于照顾不同人群和解决健康的社会决定因素的全面教育.
- 标准化患者 (SP) 与性别多样化个体的接触提供了一种实际方法,以提高学生的包容性采访技巧.
研究的目的:
- 评估标准化患者 (SP) 接触使用性别多样化的个体对医学学生知识和技能的影响.
- 评价学生对采取性史和使用包容性术语的信心的改善.
- 确定本次会议是否提高了学生对性别和性别少数群体 (SGM) 面临的健康差异的认识.
主要方法:
- 一个长达1.5小时的小组会议涉及第二年医学专业的学生,他们采访了一名性别和性别少数群体 (SGM) 标准化患者,该患者表现为腹痛.
- 接下来是一次简报会议,SP分享了他们的实践经验,包括医疗保健系统的互动.
- 匿名的课前和课后在线调查评估了学生知识,感知影响,满意度和信心的变化.
主要成果:
- 学生对性史记录,使用包容性语言和引起SGM特定健康问题的信心有统计学上显著的增加.
- 会议结束后,学生识别性别多样性人群所经历的健康差异的能力显著提高.
- 这次会议提高了学生对健康差异的了解,以及他们对照顾SGM人口的技能的看法.
结论:
- 一个1.5小时的教师方便的SP与性别多元化的参与者相遇显著提高了医学二年级学生在照顾SGM个人的感知信心和能力.
- 干预有效地提高了学生对影响性别多样性人口的健康差异的理解.
- 利用SGM个体作为SP是加强这些教育成果的有价值的方法.
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