TY - JOUR
T1 - Gender-affirming care curriculum in family medicine residencies
T2 - A cera study
AU - Donovan, Michael
AU - Vanderkolk, Kristi
AU - Graves, Lisa
AU - McKinney, Vicki R.
AU - Everard, Kelly M.
N1 - Publisher Copyright:
© 2021, Society of Teachers of Family Medicine. All rights reserved.
PY - 2021/10
Y1 - 2021/10
N2 - BACKGROUND AND OBJECTIVES: Family physicians are positioned to provide care for transgender patients, but few are trained in this care during residen-cy. This study examines associations between program directors’ (PDs) per-ceptions/beliefs on transgender health care and inclusion of gender-affirming health care (GAH) in residency curriculum. METHODS: Questions regarding current training in GAH, provision of GAH, competency in GAH delivery, barriers to GAH training, resident desire for GAH training, access to GAH curriculum, and feelings/perceptions about GAH were included in the 2020 Council of Academic Family Medicine Educational Research Alliance (CERA) Program Director Survey. RESULTS: Challenges to including GAH in residency curriculum were inade-quate numbers of transgender patients for residents to provide care (35.4%) and lack of faculty expertise in GAH for transgender patients (24.6%). PDs were more likely to include GAH into curriculum when they provided care for transgender patients in their own practice, completed continuing medical education in GAH since completing residency, had confidence in teaching GAH to residents, had residents who requested training on GAH, or had access to a GAH curriculum. PDs who believed that GAH should be a core competency in residency curriculum were more likely to have residents who requested increased education in GAH and wanted to provide GAH to transgender patients in their future practices. CONCLUSIONS: Barriers persist for training family medicine residents in GAH for transgender patients, but further training opportunities for faculty could help to decrease identified barriers. Further research should explore how best to increase family medicine faculty comfort/competence in educating residents in GAH.
AB - BACKGROUND AND OBJECTIVES: Family physicians are positioned to provide care for transgender patients, but few are trained in this care during residen-cy. This study examines associations between program directors’ (PDs) per-ceptions/beliefs on transgender health care and inclusion of gender-affirming health care (GAH) in residency curriculum. METHODS: Questions regarding current training in GAH, provision of GAH, competency in GAH delivery, barriers to GAH training, resident desire for GAH training, access to GAH curriculum, and feelings/perceptions about GAH were included in the 2020 Council of Academic Family Medicine Educational Research Alliance (CERA) Program Director Survey. RESULTS: Challenges to including GAH in residency curriculum were inade-quate numbers of transgender patients for residents to provide care (35.4%) and lack of faculty expertise in GAH for transgender patients (24.6%). PDs were more likely to include GAH into curriculum when they provided care for transgender patients in their own practice, completed continuing medical education in GAH since completing residency, had confidence in teaching GAH to residents, had residents who requested training on GAH, or had access to a GAH curriculum. PDs who believed that GAH should be a core competency in residency curriculum were more likely to have residents who requested increased education in GAH and wanted to provide GAH to transgender patients in their future practices. CONCLUSIONS: Barriers persist for training family medicine residents in GAH for transgender patients, but further training opportunities for faculty could help to decrease identified barriers. Further research should explore how best to increase family medicine faculty comfort/competence in educating residents in GAH.
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UR - http://www.scopus.com/inward/citedby.url?scp=85117210096&partnerID=8YFLogxK
U2 - 10.22454/FamMed.2021.764850
DO - 10.22454/FamMed.2021.764850
M3 - Article
AN - SCOPUS:85117210096
SN - 0742-3225
VL - 53
SP - 779
EP - 785
JO - Family medicine
JF - Family medicine
IS - 9
ER -