Sexual Health Education in Medical School: A Comprehensive Curriculum

doi:10.1001/virtualmentor.2014.16.11.medu1-1411

Cited by 8 publications

(2 citation statements)

References 10 publications

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“…There has been increasing focus on sexual health screening and MI in medical school curricula over the past 2 decades [35-40]. Other studies have found younger clinicians to be more comfortable discussing sexual health and using MI for behavior change as compared with older providers [41,3,1].…”

Section: Discussionmentioning

confidence: 99%

Brief Motivational Interviewing Delivered by Clinician or Computer to Reduce Sexual Risk Behaviors in Adolescents: Acceptability Study

2019

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Background Clinicians are expected to screen their adolescent patients for an increasing number of health behaviors and intervene when they uncover risky behaviors, yet, the clinic time allotted to screen, intervene, and provide resources is insufficient. Brief motivational interviewing (MI) offers succinct behavior change counseling; however, for implementation, clinicians need training, skill, and time. Computerized screening and counseling adjuvants may help clinicians increase their scope of behavioral screening, especially with sensitive topics such as sexual health, and provide risk-reduction interventions without consuming provider time during visits. Objective The objectives of this study were to (1) understand the extent to which health care providers use brief MI for sexual health discussions with adolescent patients and (2) assess the acceptability of incorporating a brief MI-based intervention to reduce sexual risk behaviors into their clinical practice delivered by either themselves or a computer. Methods At a national medical conference, surveys were administered to clinicians who provide sexual health care to adolescents. They were asked about their current use of MI for sexual risk behavior discussions and their willingness to implement computerized sexual health screening and computerized sexual risk behavior interventions into their clinical practice. Results The large majority (87.6%, 170/194) of clinicians already used MI with their patients with less than half (72/148, 48.6%) reporting they had been formally trained in MI. Despite all (195/195, 100.0%) clinicians feeling very or completely comfortable discussing sexual risk behaviors with their patients, the large majority (160/195, 82.1%) reported it would be useful, very useful, or extremely useful for a computerized program to do it all: screen their patients, generate risk profiles, and provide the risk-reduction counseling rather than doing it themselves. Conclusions In this study, most clinicians used some form of brief MI or client-centered counseling when discussing sexual risk behaviors with adolescents and are very comfortable doing so. However, the large majority would prefer to implement computerized sexual health screening, risk assessment, and sexual risk behavior interventions into their clinical care of adolescents.

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Section: Discussionmentioning

confidence: 99%

Brief Motivational Interviewing Delivered by Clinician or Computer to Reduce Sexual Risk Behaviors in Adolescents: Acceptability Study

2019

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“…Medical SHE originally incorporated some biopsychosocial focus on sexuality as well as instruction in reproductive physiology with a dual purpose of providing the basics of the education and shifting undergraduate medical students' personal attitudes towards sexuality. Now medical SHE often emphasizes sexual engagement risk reduction, and the biological and physiological elements of reproductive biology and sexual engagement rather than a comprehensive biopsychosocial focus incorporating sexual medicine [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Unfortunately, since the 1980s, the amount of medical SHE has been decreased [5-9, 11, 15].…”

Section: Introductionmentioning

confidence: 99%

The Ethics of Medical Sexual Health Education and Its Provision

Gordon

2022

Curr Sex Health Rep

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Purpose of Review The purpose of this paper is to open a discussion of the ethics of medical sexual health education (SHE) and its provision in medical education. The paper utilizes a qualitative analysis of currently available literature on medical SHE and a medical ethics framework of the four prima facie principles of (1) respect for autonomy, (2) beneficence, (3) non-maleficence, and (4) justice, together with expert opinion. The result is a review of the ethics of medical SHE as well as the ethics of the decision to provide, or not to provide, comprehensive SHE. Recent Findings Recent literature has underscored the many ways in which comprehensive medical SHE supports trainees’ ability to provide sexual health care and improve their delivery of general health care, as well as the many ways sexual health is correlated with systemic health. The literature also provides evidence that the provision of comprehensive SHE is limited in undergraduate and graduate medical education. There is a dearth of literature specifically examining the ethics of medical SHE provision. Summary This analysis demonstrates the ways in which comprehensive medical SHE and its provision conforms with the principles of the ethical practice of medicine. The analysis also supports that a lack of inclusion of SHE in medical education programs may be a violation of these principles and increases the risk of future unethical practice by medical professionals. MESH Headings: Ethics, Medical, Social justice, Sexual health, Sexuality, Human, Education, Medical, Undergraduate, Education, Medical, Graduate

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Moving Medical Education and Sexuality Education Forward

Bayer

2015

Curr Sex Health Rep

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Despite well-documented sexual health disparities, medical school training in human sexuality remains limited. Our intents with this paper are to deconstruct the successes and challenges in including sexuality education in medical education and to pose critical questions for moving medical education and sexuality education forward. We offer future systematic level strategies for consideration, including the role of health policy in addressing this problem in training. It is imperative that all physicians are well equipped to address sexual health with patients in order to help eliminate sexual health disparities. Finding solutions to bridge the patient realities with the medical training realities is one step in creating sexually healthy societies.

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Sexual Health Education in Medical School: A Comprehensive Curriculum

Cited by 8 publications

References 10 publications

Brief Motivational Interviewing Delivered by Clinician or Computer to Reduce Sexual Risk Behaviors in Adolescents: Acceptability Study

Brief Motivational Interviewing Delivered by Clinician or Computer to Reduce Sexual Risk Behaviors in Adolescents: Acceptability Study

The Ethics of Medical Sexual Health Education and Its Provision

Moving Medical Education and Sexuality Education Forward

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