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J Sex Med. 2016 Oct;13(10):1466-72. doi: 10.1016/j.jsxm.2016.07.017. Epub 2016 Aug 27.

Exposure to and Attitudes Regarding Transgender Education Among Urology Residents.

Author information

1
Department of Urology, University of Washington School of Medicine, Seattle, WA, USA.
2
Department of Urology, University of Washington School of Medicine, Seattle, WA, USA. Electronic address: nathanos@uw.edu.
3
Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, WA, USA.
4
Division of Plastic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
5
Department of Urology, University of Washington School of Medicine, Seattle, WA, USA; Division of Pediatric Urology, Seattle Children's Hospital, Seattle, WA, USA.

Abstract

INTRODUCTION:

Transgender individuals are underserved within the health care system but might increasingly seek urologic care as insurers expand coverage for medical and surgical gender transition.

AIM:

To evaluate urology residents' exposure to transgender patient care and their perceived importance of transgender surgical education.

METHODS:

Urology residents from a representative sample of U.S. training programs were asked to complete a cross-sectional survey from January through March 2016.

MAIN OUTCOME MEASURES:

Respondents were queried regarding demographics, transgender curricular exposure (didactic vs clinical), and perceived importance of training opportunities in transgender patient care.

RESULTS:

In total, 289 urology residents completed the survey (72% response rate). Fifty-four percent of residents reported exposure to transgender patient care, with more residents from Western (74%) and North Central (72%) sections reporting exposure (P ≤ .01). Exposure occurred more frequently through direct patient interaction rather than through didactic education (psychiatric, 23% vs 7%, P < .001; medical, 17% vs 6%, P < .001; surgical, 33% vs 11%, P < .001). Female residents placed greater importance on gender-confirming surgical training than did their male colleagues (91% vs 70%, P < .001). Compared with Western section residents (88%), those from South Central (60%, P = .002), Southeastern (63%, P = .002), and Mid-Atlantic (63%, P = .003) sections less frequently viewed transgender-related surgical training as important. Most residents (77%) stated transgender-related surgical training should be offered in fellowships.

CONCLUSION:

Urology resident exposure to transgender patient care is regionally dependent. Perceived importance of gender-confirming surgical training varies by sex and geography. A gap exists between the direct transgender patient care urology residencies provide and the didactic transgender education they receive.

KEYWORDS:

Curriculum; Medical Education; Residency; Transgender Persons

PMID:
27576024
DOI:
10.1016/j.jsxm.2016.07.017
[Indexed for MEDLINE]

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