Transgender health in medical education

被引:47
|
作者
Hana, Tommy [1 ]
Butler, Kat [1 ]
Young, L. Trevor [1 ]
Zamora, Gerardo [2 ]
Lam, June Sing Hong [3 ]
机构
[1] Univ Toronto, Fac Med, Toronto, ON, Canada
[2] WHO, Gender Equ & Human Rights Team, Geneva, Switzerland
[3] Ctr Addict & Mental Hlth, 60 White Squirrel Way, Toronto, ON M6J 1H4, Canada
关键词
MENTAL-HEALTH; CARE; DISPARITIES; SURGERY; PEOPLE; ASSOCIATION; COMPETENCE; DIVERSITY; RESIDENTS; PROGRAMS;
D O I
10.2471/BLT.19.249086
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Transforming our world the 2030 agenda for sustainable development is working towards a world that reflects equity, with universal respect for human dignity, pledging to leave no one behind. However, transgender and gender-diverse individuals experience significant health inequities, including negative health outcomes and multiple barriers to accessing care. In this article, we first highlight the health inequities that transgender and gender-diverse people face globally. We describe important aspects of transgender and gender-diverse health care, including the design and provision of health services, epidemiological considerations, transition-related care, changes in transition-related goals, cultural considerations, and political and legal issues. We then review the existing global literature on incorporating transgender health into medical curricula. We make a case for prioritizing improved education in medical schools on the specific health needs of transgender and gender-diverse people as part of addressing global health inequities in care. Our recommendations for comprehensive education on transgender health include cultural humility and anti-oppression training; involvement of transgender and gender-diverse community members; integration of transgender and gender-diverse health into curricula; practice-focused and in situ training; staff development in medical schools; and improving access to careers in medicine for transgender and gender-diverse people.
引用
收藏
页码:296 / 303
页数:8
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