Sexual and Gender Minority Curriculum Within Otolaryngology Residency Programs

被引:8
作者
Goetz, Teddy G. [1 ]
Nieman, Carrie L. [2 ]
Chaiet, Scott R. [3 ]
Morrison, Shane D. [4 ]
Cabrera-Muffly, Cristina [5 ]
Lustig, Lawrence R. [6 ]
机构
[1] Columbia Univ, Vagelos Coll Phys & Surg, 104 Haven Ave, New York, NY 10032 USA
[2] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD 21205 USA
[3] Univ Wisconsin, Div Otolaryngol Head & Neck Surg, Dept Surg, Sch Med & Publ Hlth, Madison, WI USA
[4] Univ Washington, Div Plast Surg, Dept Surg, Sch Med, Seattle, WA USA
[5] Univ Colorado, Dept Otolaryngol Head & Neck Surg, Sch Med, Aurora, CO USA
[6] Columbia Univ, Dept Otolaryngol Head & Neck Surg, New York, NY USA
关键词
gender-affirming care; LGBTQ; medical education; otolaryngology; sexual and gender minority; SOCIAL DETERMINANTS; HEALTH; CARE;
D O I
10.1089/trgh.2020.0105
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Purpose: Otolaryngologists are uniquely situated to provide sexual and gender minority (SGM) care, including gender-affirmation (voice/communication, facial surgery) and HIV/AIDS-related conditions. Yet, no research has characterized otolaryngology residency program directors' attitudes toward SGM-related curricula, nor opportunities for supporting training in SGM-related care. Methods: An anonymous cross-sectional e-mail survey was disseminated to 116 otolaryngology residency program directors in July-September 2019. Information collected included current/future curriculum in and attitudes toward SGM care, and program demographics. Data were categorical and analysis utilized chi-square test. Results: The 65 complete responses (56% rate) were nationally representative. Overall, 17% of programs include no SGM-related education. Subjective importance of SGM training ranged from not important at all (3%) to absolutely essential (11%), with mode of average importance (47%); this varied significantly by program geographic setting and population, and program size. The mean percentage of curriculum dedicated to SGM care was 1.0% for didactics and 0.7% for clinical. Curricula include HIV/AIDS-related conditions (58%), facial gender-affirming procedures (50%), culturally informed care (42%), changes with gender-affirming hormones (voice/communication: 48%, facial: 22%), and cancer in SGM patients (42%). Frequently reported barriers were insufficient experienced faculty (52%) and time (42%). Program directors deemed visiting expert lectures (66%), small-group discussion (39%), and online modules (27%) the best ways to incorporate SGM education. Conclusions: More than 80% of otolaryngology residency curricula in a representative national survey include SGM-related education, which represents a limited portion of total curriculum. These results highlight the opportunity for expert lectures and discussion-based and online tool development to facilitate standardized SGM education in otolaryngology residencies.
引用
收藏
页码:267 / 274
页数:8
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