关于性别和性多样性 (GSD) 健康的系统和实践框架,用于内科住院医生
Sebastian Suarez1, Emily Lupton Lupez2, Katherine L Modzelewski3
1Associate Program Director, UM/JMH Internal Medicine Residency Program, University of Miami Miller School of Medicine.
概括
内科住院医生在新的课程后提高了对照护性别和性多样性 (GSD) 患者的知识和信心. 该培训为解决GSD健康需求提供了一个系统的框架,包括STI查和性别肯定护理.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 在LGBTQ+健康方面
背景情况:
- 内科住院医生往往缺乏足够的培训来照顾性别和性多样性 (GSD) 患者.
- 这种知识差距导致了GSD社区内的重大健康差异.
- 需要一个结构化的教育方法来为居民提供基本的GSD医疗保健能力.
研究的目的:
- 开发和评估一个实用的,以证据为基础的课程,以内科住院医生专注于GSD健康.
- 改善居民在为GSD个体提供护理方面的知识,态度和信心.
- 为解决GSD患者独特的健康需求提供一个系统的框架.
主要方法:
- 针对46名内科住院医生,在两个2小时的课程中实施了基于案例的互动课程.
- 该课程涵盖了性传播感染 (STIs) 的查和治疗,暴露前预防 (PrEP) 处方和性别确认激素治疗 (GAHT) 的启动.
- 会议前后的调查评估了知识,态度和信心的变化,并使用Wilcoxon签名等级测试进行了分析.
主要成果:
- 住户在提供GSD性健康护理,处方PrEP和启动GAHT (p < .001) 的感知信心方面显示出显著的改善.
- 关于全面性史和GSD特定护理的重要性的态度也显著增加 (p < .001).
- 知识分数有所改善,正确答案的中位数从1增加到4 (p < .001).
结论:
- 实施的课程有效地提高了居民对管理GSD患者健康需求的理解和临床技能.
- 该计划提供了一个有价值的,系统的框架和实践资源,用于内部医学在GSD护理的住院教育.
- 解决GSD健康方面的教育差距对于减少健康差异和改善对这一群体的护理至关重要.
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