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Training and Knowledge of Transgender Health Among Obstetric and Gynecology Residents
Background: Transgender individuals experience significant health disparities,
including stigma and lack of provider knowledge. The Council on Resident
Education in Obstetrics and Gynecology (CREOG) has specific educational
objectives regarding care for transgender individuals; however, the extent to
which OB/GYN residents meet these objectives is not known.
Methods: We invited all current US OB/GYN residents to complete
an electronic, anonymous 42-item survey including questions regarding
transgender health training, experiences caring for transgender patients, and
comfort meeting the CREOG educational objectives.
Results: Of programs that had at least one respondent, 313 of
2276 eligible trainees completed the survey for a corrected response rate of
13.8%. The majority (76%) of respondents had received at least some form of
training on transgender health topics. 42% of respondents had cared for a
transgender individual as a resident. While most residents (80%) felt
comfortable with basic trans-sensitivity protocols, only 22% of respondents
felt competent to provide trans-relevant services. Over 90% of respondents felt
this was an important topic for OB/GYN residents to learn and desired to
receive more training.
Discussions: While many respondents felt comfortable with basic topics
regarding terminology and sensitivity protocols, a minority of respondents
reported feeling prepared to provide care for transgender individuals
independently. Given the high desire among respondents for more training,
creation of high-quality educational materials for OB/GYN residents should be a
priority for residency programs and national organizations, such as CREOG.
Development/Evaluation, Instructional Materials/Methods, LGBTQIA, Underserved
CREOG & APGO Annual Meeting, 2017, Resident, Patient Care, Medical Knowledge, GME, Advocacy,