Beyond the curriculum: A gay medical student's perceptions of health sciences education and healthcare access in KwaZulu-Natal.

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
Health SA Gesondheid Pub Date : 2024-07-31 eCollection Date: 2024-01-01 DOI:10.4102/hsag.v29i0.2656
Sthembiso P Mkhize, Sanele Buthelezi, Attah M Mkhize, Lwandile Tokwe
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引用次数: 0

Abstract

Background: The prevailing social constructs of cis-heteronormativity and endosexism have structurally marginalised sexual and gender minorities, leading to their limited representation and inclusion in mainstream health systems and health sciences education.

Aim: The study aimed to explore a gay medical student's perceptions of the health sciences curriculum and their experiences in accessing and utilising healthcare services offered both by the university and externally.

Setting: At a university in KwaZulu-Natal, South Africa.

Methods: This study originates from a larger qualitative study conducted in 2018, involving 12 Lesbian, Gay, Bisexual, Transgender (LGBT)-identifying participants who were selected using purposive and snowball sampling techniques. The larger study used a case study approach to explore how healthcare services meet the sexual health needs of LGBT youth. Among the 12 sampled participants, one participant self-identified as 'gay' and was pursuing a Bachelor of Medicine and Bachelor of Surgery. This participant was specifically selected for analysis in this study because of their knowledge of health sciences education and pursuit of a career in healthcare.

Results: Three themes were identified in the participant's interview, including: (1) navigating healthcare services as a young gay man, (2) silenced voices: the impact of the limited Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, Asexual and + (LGBTIQA+) health education, and (3) challenging the silenced voices.

Conclusion: There is a need for a well-planned curriculum that includes LGBTIQA+ issues to equip healthcare professionals with the knowledge to provide high-quality care to all patients, regardless of their sex, gender, or sexuality.

Contribution: The study provides solid proposals for developing an inclusive healthcare curriculum that considers identities beyond binary going forward.

课程之外:一名同性恋医科学生对夸祖鲁-纳塔尔省健康科学教育和医疗服务的看法。
背景:目的:本研究旨在探讨同性恋医学生对健康科学课程的看法,以及他们在获取和利用学校和外部提供的医疗保健服务方面的经验:地点:南非夸祖鲁-纳塔尔省的一所大学:本研究源于2018年开展的一项规模更大的定性研究,涉及12名女同性恋、男同性恋、双性恋和变性者(LGBT)身份认同的参与者,这些参与者是通过目的性抽样和滚雪球抽样技术选出的。这项大型研究采用案例研究的方法,探讨医疗保健服务如何满足 LGBT 青年的性健康需求。在 12 名抽样参与者中,有一名参与者自我认同为 "同性恋",并正在攻读医学和外科学士学位。本研究特别选取了这名参与者进行分析,因为他们了解健康科学教育,并希望从事医疗保健行业:在该参与者的访谈中确定了三个主题,包括:(1) 作为一名年轻的男同性恋者如何驾驭医疗保健服务;(2) 沉默的声音:有限的女同性恋、男同性恋、双性恋、变性者、双性者、同性恋、无性恋和双性人(LGBTIQA+)健康教育的影响;(3) 挑战沉默的声音:结论:有必要制定包含 LGBTIQA+ 问题的周密计划课程,使医疗保健专业人员掌握为所有患者提供优质护理的知识,无论其性、性别或性取向如何:本研究为开发包容性医疗保健课程提供了可靠的建议,该课程考虑到了二元身份之外的其他身份。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health SA Gesondheid
Health SA Gesondheid HEALTH CARE SCIENCES & SERVICES-
CiteScore
1.40
自引率
11.10%
发文量
77
审稿时长
23 weeks
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