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Sexual and gender minorities educational content within obstetric anesthesia fellowship programs: a survey.
Canadian Journal of Anesthesia ( IF 4.2 ) Pub Date : 2020-01-02 , DOI: 10.1007/s12630-019-01562-x
Hilary MacCormick 1, 2 , Ronald B George 3
Affiliation  

PURPOSE Improved patient-provider relationships can positively influence patient outcomes. Sexual and gender minorities (SGM) represent a wide variety of marginalized populations. There is an absence of studies examining the inclusion of SGM-related health education within postgraduate training in anesthesia. This study's objective was to perform an environmental scan of the educational content of North American obstetric anesthesia fellowship programs. METHODS An online survey was developed based on a review of the existing literature assessing the presence of SGM content within other healthcare-provider curricula. The survey instrument was distributed electronically to 50 program directors of North American obstetric anesthesia fellowship programs. Survey responses were summarized using descriptive statistics. RESULTS Survey responses were received from 30 of the 50 program directors (60%). Of these, 54% (14/26) felt their curriculum adequately prepares fellows to care for SGM patients, yet only 19% (5/26) of participants stated that SGM content was part of their curriculum and 31% (8/26) would like to see more incorporated in the future. Perceived lack of need was chosen as the biggest barrier to curricular inclusion of SGM education (46%; 12/26), followed by lack of available/interested faculty (19%; 5/26) and time (19%; 5/26). CONCLUSIONS Our results suggest that, although curriculum leaders appreciate that SGM patients are encountered within the practice of obstetric anesthesia, most fellowship programs do not explicitly include SGM curricular content. Nevertheless, there appears to be interest in developing SGM curricular content for obstetric anesthesia fellowship training. Future steps should include perspectives of trainees and patients to inform curricular content.

中文翻译:

产科麻醉研究金计划中的性少数性别教育内容:一项调查。

目的改善患者与提供者之间的关系可以对患者的预后产生积极影响。性少数群体(SGM)代表了各种各样的边缘化人群。尚无研究检查将SGM相关的健康教育纳入麻醉学研究生训练的研究。这项研究的目的是对北美产科麻醉研究金计划的教育内容进行环境扫描。方法在对现有文献进行评估的基础上,开发了一项在线调查,以评估其他医疗保健提供者课程中是否存在SGM内容。该调查仪器以电子方式分发给了北美产科麻醉研究金计划的50位计划主任。使用描述性统计数据汇总了调查答复。结果从50名计划主管中的30名(60%)收到了调查答复。在这些人中,有54%(14/26)认为自己的课程为参加SGM患者的护理做好了充分的准备,但只有19%(5/26)的参与者表示SGM内容是其课程的一部分,而31%(8/26)希望将来有更多合并。认为缺乏需求是阻碍将SGM教育纳入课程的最大障碍(46%; 12/26),其次是缺乏可用/感兴趣的教师(19%; 5/26)和时间(19%; 5/26) )。结论我们的结果表明,尽管课程负责人赞赏SGM患者在产科麻醉实践中遇到,但大多数研究金计划并未明确包括SGM课程内容。不过,似乎有兴趣开发SGM课程内容以进行产科麻醉研究金培训。未来的步骤应包括受训者和患者的观点,以告知课程内容。
更新日期:2020-01-04
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