Background: Free Open-Access Medical education (FOAM) use among residents continues to rise. However, it often lacks quality assurance processes and residents receive little guidance on quality assessment. The Academic Life in Emergency Medicine Approved Instructional Resources tool (AAT) was created for FOAM appraisal by and for expert educators and has demonstrated validity in this context. It has yet to be evaluated in other populations. Objectives: We assessed the AAT's usability in a diverse population of practicing emergency medicine (EM) physicians, residents, and medical students; solicited feedback; and developed a revised tool.
Introduction: Les médecins sont responsables de la santé de tous les patients, mais les étudiants en médecine reçoivent une formation inadéquate en ce qui a trait aux besoins de soins de santé des patients LGBTQ (lesbienne, gai, bisexuel, trans et queer) [1]. Les enjeux culturels et la terminologie appropriée sont également trop peu abordés au cours de la formation. Les pratiques de soins de santé qui ne font pas preuve d'inclusion risquent d'aliéner les patients et de perpétuer les obstacles aux soins de santé pour les personnes de minorités sexuelles et de genre [2]. Méthodes: En 2013, des étudiants en médecine ont créé la conférence Inclusive Health (santé inclusive) afin de combler ce manque éducationnel. Des experts ont été invités à présenter un curriculum qui incluait des désordres de développement sexuel, la prophylaxie préexposition contre le VIH, les soins aux patients transgenres, et l'élaboration de pratiques inclusives. Des patients ayant volontairement déclaré leur appartenance à une minorité sexuelle ont également été invités à partager leurs expériences. À la suite de ces sé-ances, les professionnels de la santé et les étudiants ont rempli un sondage sur leurs connaissances et leur niveau de confort dans la prestation des soins de santé aux personnes LGBTQ. Résultats: La majorité des personnes interrogées ont affirmé « mieux comprendre les problèmes de santé des personnes LGBTQ » (moyenne de 4,39 en 2015, n = 41 ; moyenne de 4,31 en 2016, n = 52), « mieux comprendre les enjeux sociaux liés à la prestation des soins de santé aux personnes LGBTQ » (moyenne de 4,32 en 2015, n = 41 ; moyenne de 4,31 en 2016, n = 52) et « se sentir plus à l'aise d'explorer et de discuter de ces problèmes avec les personnes LGBTQ » (moyenne de 4,43 en 2015, n = 41 ; moyenne de 4,17 en 2016, n = 52). Conclusions: En se fondant sur les résultats du sondage, la conférence s'est avérée efficace pour contrer une omission importante dans les curriculums médicaux. En outre, la conférence a attiré l'attention sur cet important problème, a mené à un parrainage par la Faculté de médecine et de médecine dentaire de l'Université d'Alberta, a entraîné des mises à jour aux curriculums médicaux, et a inspiré des évènements semblables à d'autres établissements.Re s e a rc h Inclusive Health Conference: Conference-Based Education as an Intervention to Address Medical Education DeficitsJocelyn Andruko, BHSc 1 ; Brandon Christensen 1 ; Melanie Lewis, MD, FRCPC 2 1 University of Alberta Faculty of Medicine and Dentistry 2 University of Alberta Faculty of Medicine and Dentistry, Professor of Pediatrics Introduction: Physicians are responsible for the health of all patients, but medical students receive inadequate training on the healthcare needs of LGBTQ (Lesbian, Gay, Bisexual, Transgender, and Queer) patients [1]. Education about cultural issues and proper terminology are also under-addressed. Healthcare practices that cannot demonstrate inclusivity risk alienating patients and perpetuating barriers to patient care for sexual and gender ...
Introduction: Medicine demands a sacrifice of physicians’ personal life, but culture has slowly changed towards valuing a balanced work life. Parental leave is linked to better physical and mental health, but policies and culture surrounding parental leave are largely unstudied in the Canadian Emergency Medicine landscape. Anecdotally, experiences vary widely. This study was designed to determine what proportion of Canadian Emergency Departments have formal parental leave policies (maternity, paternity, and other ex. adoption) and what proportion of Canadian EM physicians are satisfied with their department's parental leave policies. Methods: Two surveys were generated; one to assess attitudes and experiences of emergency physicians, and a second survey for department chiefs assessed the policies and their features. These were approved by the UBC REB and distributed through the CAEP Research Committee. Primary outcomes were physician satisfaction with their department's parental leave policy (4-5/5 Likert Scale), and departments with a formal parental leave policy (Y/N). Results: 38% (8/21) of department chiefs reported having a formal policy for maternity leave, 29% (6/21) for paternity leave, and 24% (5/21) other. The survey of Emergency Physicians revealed similar rates at 48% (90/187) maternity, 40% (70/184) paternity, 29% (53/181) other. Among physicians who were aware of them, 69% (62/90) were somewhat or very satisfied with the maternity leave policies, 58% (51/88) with paternity leave policies, and 48% (39/81) with other parental leave. Less than 10% were somewhat or very dissatisfied with any of these. Several department chiefs commented that they had never refused anyone parental leave, but have no formal policy. However, 87% (147/187) of physicians reported a formal maternity leave policy was somewhat or very important to them; similarly 80% (134/187) paternity leave. Less than 15% felt each was somewhat or extremely unimportant. Conclusion: Presence and type of parental leave policy varies across the country. Most physicians were satisfied with the support they had available, but the vast majority felt that a formal maternity and paternity leave policy itself was important. This study would suggest that, without actually changing practice, the introduction of a formal parental leave policy is of value. Our research group will use this data to collaborate on a template parental leave policy to be made available for this purpose.
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