美国居留课程中的LGBTQ+健康内容:全面审查
Elaine Hsiang1, Carolina Ornelas-Dorian2, Margaret Lin-Martore3
1is a Fellow, Department of Emergency Medicine, Stanford University, Palo Alto, California, USA.
Journal of graduate medical education
|June 18, 2025
概括
研究生医学教育正在增加LGBTQ+健康教学,但在跨性别健康和临床暴露方面仍然存在重大差距. 需要进一步的研究来改善LGBTQ+ (女同性恋,男同性恋,双性恋,跨性别者,酷尔和其他人) 的健康课程.
科学领域:
- 医学教育研究 医学教育研究
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 临床医师培训显著影响性和性别少数群体 (LGBTQ+) 患者的护理.
- 在医学研究生课程中理解LGBTQ+健康教育是有限的.
研究的目的:
- 绘制美国研究生医学教育中各种医学专业LGBTQ+健康教育的现状.
- 确定在住院项目中LGBTQ+健康教学的范围,数量和方法.
主要方法:
- 在2024年2月,对六个数据库进行了范围审查.
- 提取和合成了教学和临床教学以及教育干预措施的数据.
- 分析了符合纳入标准的52篇文章.
主要成果:
- 在过去的十年中,LGBTQ+健康教学的专业覆盖范围从4个扩展到12个.
- 课程内容和时间差异很大,在跨性别健康和临床经验方面存在明显的差距.
- 项目主任的态度,教师的多样性和地区影响了课程的纳入.
结论:
- 虽然LGBTQ+健康教育在研究生医学教育中正在增长,但存在重大缺陷.
- 内容,范围和交付方法的差距需要在医疗专业之间和内部解决.
- 进一步发展LGBTQ+健康课程对于公平的患者护理至关重要.
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