Are Obstetrics and Gynecology Residents Equipped to Care for Transgender and Gender Nonconforming Patients? A National Survey Study

Qin, Lei; Estevez, Samantha L.; Radcliffe, Ella; Shan, Wei; Rabin, Jill M.; Rosenthal, David W.

doi:10.1089/trgh.2020.0063

Cited by 15 publications

(20 citation statements)

References 22 publications

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“…Training in transgender health for surgical residents is neither standardized nor uniform and the current exposure during residency does not sufficiently prepare all residents to care for this marginalized population. 15 18 26 30 31 33 The Accreditation Council for Graduate Medical Education (ACGME) at this time has no case log requirements or mandated education related to transgender health and GAS. 34 As a result, a surgical trainee's experience varies significantly across surgical specialty, geographical region, and individual program.…”

Section: Discussionmentioning

confidence: 99%

“…2 ). 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 Residents from different specialties reported significantly different comfort levels when caring for transgender patients. 22 28 31 Recently, an emphasis has been placed on the multidisciplinary and holistic approach to transgender health.…”

Section: Discussionmentioning

confidence: 99%

“… 28 Similar to other surgical specialties, OBGYN residents feel only “somewhat” prepared to care for this marginalized population, despite strongly agreeing that education in transgender care is important, and highlighting the need for a more developed formal curricula. 31 This request for increased education is supported by The American College of Obstetricians and Gynecologists, who echoed the need for transgender education in response to a landmark study that detailed disparities affecting this community. 32 Yet, current curricula lack sufficient transgender education.…”

Section: Current Training For Surgical Residents In Transgender Healthmentioning

confidence: 99%

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Current Concepts in Gender-Affirming Surgery Postgraduate Training

Khouri

Haley

MacEachern

et al. 2022

Indian J Plast Surg

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Background Recent advocacy efforts and expanded insurance coverage has increased health care utilization among transgender patients. Therefore, it is pivotal that surgical residents are properly trained to care for transgender patients in both clinical and surgical settings. Yet, no formal curriculum or training requirements exist for surgical residents. The aim of this systematic review is to understand the surgical trainee's postgraduate education and training with respect to transgender health and gender-affirming surgeries (GAS). Methods A Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA)-compliant literature search was performed on December 04, 2020 in PubMed, Elsevier Embase, and Wiley Cochrane Central Register of Controlled Trials. The retrieved hits were screened and reviewed by two independent reviewers. Results Our literature search identified 186 unique publications, of which 14 surveys and one interventional study from various surgical specialties including plastic surgery, urology, otolaryngology, oral and maxillofacial surgery (OMS), dermatology, and obstetrics and gynecology (OBGYN) were included in this study. The majority of residents and program directors in surgical specialties believe education related to transgender health is important, and the current exposure in surgical training does not sufficiently prepare surgical residents to care for this marginalized population. Conclusion Current postgraduate surgical training in gender-affirming surgery is nonuniform across surgical specialty, geographical region, and individual program. Incorporating training modules and hands-on experiences into surgical trainee education will better prepare residents for the numerous clinical and surgical interactions with transgender patients. Further research is required to better understand how to best incorporate these experiences into existing surgical curriculums.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Current Training For Surgical Residents In Transgender Healthmentioning

confidence: 99%

See 1 more Smart Citation

Current Concepts in Gender-Affirming Surgery Postgraduate Training

Khouri

Haley

MacEachern

et al. 2022

Indian J Plast Surg

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“…Medicine is ill-prepared to care for TGNB individuals and discriminatory and stigmatizing environments are common [7 ▪ ,15]. TGNB individuals may protect themselves through identity concealment.…”

Section: Preconception Triage and Antepartum Carementioning

confidence: 99%

“…Simultaneously, 80% of Obstetricians and Gynecologists (OBGYNs) report never receiving formal training on caring for TGNB patients [6]. OBGYN residents report feeling 'somewhat not’ comfortable caring for TGNB individuals and ‘strongly agree’ it is important to have further training on TGNB care [7 ▪ ]. Discomfort and lack of competency diminish the quality-of-care TGNB people receive and need to be rectified.…”

Section: Introductionmentioning

confidence: 99%

Perinatal considerations for care of transgender and nonbinary people: a narrative review

McCracken

DeHaan

Obedin‐Maliver

2022

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of reviewThe visibility of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities, specifically the transgender and nonbinary (TGNB) communities, continues to grow. However, there is little description, much less guidance toward optimizing, the pregnancy-related care of TGNB people. The overarching goal of this paper is to provide guidance that aids in reimagining obstetrics to include people of all genders.Recent findingsThis article will review current literature and provide recommendations specific to the hospital birthing environment to help address the lack of knowledge regarding pregnancy-related care of TGNB individuals. This care is further divided into three main times: (1) preconception, antepartum care, and triage, (2) intrapartum, and (3) postpartum. We also discuss considerations for the general medical care of TGNB individuals.SummaryUnderstanding facilitators and barriers to gender affirming pregnancy-related care of TGNB individuals are first steps toward providing a respectful, affirming, and evidence-based environment for all patients, especially TGNB individuals. Here we provide context, discussion, and resources for providers and TGNB patients navigating pregnancy-related care. Lastly, this review challenges researchers and clinicians with future directions for the care of TGNB individuals in this continually expanding field.

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Physical medicine & rehabilitation residents' perspectives on women's musculoskeletal health

Gray

Bennis

et al. 2023

PM&R

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IntroductionWomen are either disproportionately or uniquely affected by certain musculoskeletal conditions but have limited access to providers of sex‐specific musculoskeletal care. Few physical medicine & rehabilitation (PM&R) residencies offer women's musculoskeletal health training, and it is unknown whether PM&R residents feel prepared to care for women's musculoskeletal health concerns.ObjectiveTo examine PM&R residents' perspectives and experiences in women's musculoskeletal health.DesignCross‐sectional survey developed through clinical expertise and consistent with sports medicine guidelines.SettingElectronic survey sent to all accredited PM&R residency programs within the United States, distributed through program coordinators and resident representatives.ParticipantsPM&R residents.InterventionsNot applicable.Main Outcome MeasuresThe primary outcome was residents' perspective of comfort with women's musculoskeletal health. Secondary outcomes were exposure to formal education on women's musculoskeletal health topics, exposure to various learning formats for these topics; and residents' perspectives on desire for further education, access to field‐specific mentors, and interest in incorporating women's musculoskeletal health into future practice.ResultsTwo hundred eighty‐eight responses were included for analysis (20% response rate, 55% female sex residents). Only 19% of residents self‐reported feeling comfortable providing care for women's musculoskeletal health conditions. Comfort did not significantly differ by postgraduate year, program region, or sex. However, with regression modeling, the number of topics learned formally in their curriculum had an increased odds of residents self‐reporting comfort (odds ratio [OR] 1.18, confidence interval [CI] 1.08–1.30, adjusted p value .01). The majority of residents viewed learning women's musculoskeletal health as important (94%) and requested more exposure to the field (89%).ConclusionsMany PM&R residents do not feel comfortable in caring for women's musculoskeletal health conditions despite their interest in the field. To improve health care access for patients seeking care for these sex‐predominant or sex‐specific conditions, residency programs may want to consider increasing exposure to women's musculoskeletal health for residents.

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Are Obstetrics and Gynecology Residents Equipped to Care for Transgender and Gender Nonconforming Patients? A National Survey Study

Cited by 15 publications

References 22 publications

Current Concepts in Gender-Affirming Surgery Postgraduate Training

Current Concepts in Gender-Affirming Surgery Postgraduate Training

Perinatal considerations for care of transgender and nonbinary people: a narrative review

Physical medicine & rehabilitation residents' perspectives on women's musculoskeletal health

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