TY - JOUR
T1 - Exposure to and Attitudes Regarding Transgender Education Among Urology Residents
AU - Dy, Geolani W.
AU - Osbun, Nathan C.
AU - Morrison, Shane D.
AU - Grant, David W.
AU - Merguerian, Paul A.
N1 - Publisher Copyright:
© 2016 International Society for Sexual Medicine
PY - 2016/10/1
Y1 - 2016/10/1
N2 - 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.
AB - 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.
KW - Curriculum
KW - Medical Education
KW - Residency
KW - Transgender Persons
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U2 - 10.1016/j.jsxm.2016.07.017
DO - 10.1016/j.jsxm.2016.07.017
M3 - Article
C2 - 27576024
AN - SCOPUS:84991030436
SN - 1743-6095
VL - 13
SP - 1466
EP - 1472
JO - Journal of Sexual Medicine
JF - Journal of Sexual Medicine
IS - 10
ER -