Transgender and Gender Diverse Medical Education in Radiology : A Systematic Review

被引：2

作者：

Kamran, Rakhshan ^{[1
]}

Chan, Cynthia ^{[2
]}

Jackman, Victoria Anne ^{[3
]}

Lee, Ann C. ^{[4
]}

Suk, Yujin ^{[5
]}

Jackman, Liam ^{[6
]}

Ditkofsky, Noah ^{[7
]}

Nguyen, Elsie ^{[7
]}

Probyn, Linda ^{[7
]}

Doria, Andrea S. ^{[7
,8
]}

机构：

[1] Univ Oxford, Nuffield Dept Orthopaed Rheumatol & Musculoskelet, Oxford, England

[2] Univ Ottawa, Dept Family Med, Ottawa, ON, Canada

[3] Mem Univ Newfoundland, Fac Med, St John, NF, Canada

[4] Univ Ottawa, Dept Med, Ottawa, ON, Canada

[5] McMaster Univ, Dept Biochem & Biomed Sci, Hamilton, ON, Canada

[6] Univ Toronto, Temerty Fac Med, Toronto, ON, Canada

[7] Univ Toronto, Temerty Fac Med, Dept Med Imaging, Toronto, ON, Canada

[8] Univ Toronto, Hosp Sick Children, Temerty Fac Med, Dept Diagnost & Intervent Radiol, Toronto, ON, Canada

来源：

ACADEMIC RADIOLOGY | 2024年 / 31卷 / 10期

基金：

美国国家卫生研究院;

关键词：

Transgender; Gender diverse; Medical education; Radiology; Systematic review; RADIOGRAPHY STUDENTS; NONBINARY PATIENTS; IMAGING PROGRAMS; HEALTH-CARE; PATIENT; EXPERIENCES; GUIDELINES; CURRICULUM; SURGERY; IMPACT;

D O I：

10.1016/j.acra.2024.09.013

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Rationale and Objectives: Physicians report a lack of Transgender and Gender Diverse (TGD) health competency for medical imaging. This knowledge gap contributes to negative medical imaging experiences, discrimination, stigma, and diagnostic errors for TGD individuals. Medical education plays an important role in improving this. However, the current landscape and gaps in TGD medical education in radiology is underexplored. We aimed to fill the knowledge gap on the current state of TGD medical education in radiology. Materials and Methods: A PRISMA and SWiM guideline-compliant systematic review on TGD medical education in radiology was performed. Four databases were searched: Medline, Embase, Web of Science, and Scopus from inception to May 13, 2024. Article screening and extraction occurred independently and in duplicate. Narrative synthesis was performed on TGD medical education material in radiology, educational recommendations, barriers/enablers to education, and current guidelines. Results: A total of 4360 records were identified with 76 articles included. Most articles (52, 68%) were from the United States. Most articles aimed to provide recommendations for TGD medical education in radiology (53, 69.7%). Some articles focused on developing medical education (7, 9.2%), evaluating medical education (7, 9.2%), evaluating guidelines (8, 10.5%), or developing guidelines (3, 4%). Identified TGD medical education in radiology is inconsistent, focusing on terminology guides, clinical scenarios, and cultural sensitivity workshops. Many current guidelines for TGD medical imaging were developed through extrapolation of guidance for cisgender patients, demonstrating limited relevance and meaningfulness for TGD patients. Conclusion: This systematic review identifies a need to develop consistent TGD medical educational material in radiology in partnership with TGD patients to cover patient perspectives and guidance for medical imaging considerations. Results can be used to identify TGD medical education resources in radiology which may be helpful, and guide development of future medical education.

引用

页码：4272 / 4285

页数：14

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