结直肠外科研究员对LGBTQIA+患者护理的看法：识别特定的教育缺陷

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-09-11 DOI:10.1016/j.jsurg.2025.103677

Emily F Simon MD , Tal Eitan MD , Kamil Erozkan MD , Shari Tian BS , Shubham Gupta MD , Rachel Pope MD, MPH , Michael Valente DO , Arielle Kanters MD , Ronald Charles MD , Emily Steinhagen MD

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引用次数: 0

摘要

目的：本研究旨在描述结直肠研究员为LGBTQIA+社区或更广泛的性少数群体（SGM）患者提供护理的既往经验，评估研究员对此类护理的临床相关性的看法，并确定与结直肠手术相关的特定领域，研究员感到准备不足。这是一项利用书面调查回答的横断面研究。背景调查是在结直肠奖学金职业课程中匿名自愿获得的。参与者：在2024 - 2025学年期间参加了职业课程的认可结直肠外科奖学金项目的研究员有资格参加。在117名acgme认证的研究员中，85人参加了课程，65人（76.47%）完成了调查。结果大多数受访者在医学院（66.15%）和住院医师（59.46%）接受过某种形式的sgm相关培训，最常见的是教学形式。然而，只有24.61%的人认为这种培训是足够的。超过90%的研究员表示，他们希望更多地了解LGBTQIA+患者的护理方面。虽然89.23%的人认为对LGBTQIA+患者的量身定制护理在结直肠手术中很重要，但只有56.9%的人有信心与这些患者讨论性健康和术后结果。在研究期间，先前接触过量身定制的LGBTQIA+护理与更高的置信度显著相关（p = 0.02），而人口统计学特征和研究前培训则无关。结论结直肠研究员认识到LGBTQIA+患者护理的相关性，但在培训和信心方面存在显著差距。这些发现强调了结构化的、特殊的教育的必要性，这种教育结合了教学和体验式学习。将针对性的LGBTQIA+医疗保健培训整合到结直肠外科奖学金中，可以改善提供者的准备工作，促进包容性的、以患者为中心的护理。

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Colorectal Surgery Fellows’ Perspectives on LGBTQIA+ Patient Care: Identifying Specific Educational Deficits

OBJECTIVE

The current study aimed to describe the prior experiences of colorectal fellows in providing care to patients who identify as part of the LGBTQIA+ community or broader sexual and gender minority (SGM) populations, evaluate fellows’ perceptions of the clinical relevance of such care, and identify specific areas relevant to colorectal surgery in which fellows feel inadequately prepared.

DESIGN

This was a cross-sectional study utilizing written survey responses.

SETTING

Surveys were obtained anonymously and voluntarily at a colorectal fellowship career course.

PARTICIPANTS

Fellows enrolled in accredited colorectal surgery fellowship programs during the 2024 to 2025 academic year who attended a career course were eligible to participate. Of 117 ACGME-accredited fellows, 85 attended the course and 65 (76.47%) completed the survey.

RESULTS

The majority of respondents had received some form of SGM-related training in medical school (66.15%) and residency (59.46%), most commonly in didactic format. However, only 24.61% felt this training was adequate. Over 90% of fellows indicated there were aspects of caring for LGBTQIA+ patients they wished they knew more about. While 89.23% agreed that tailored care for LGBTQIA+ patients was important in colorectal surgery, only 56.9% felt confident discussing sexual health and postoperative outcomes with these patients. Prior exposure to tailored LGBTQIA+ care during fellowship was significantly associated with higher confidence (p = 0.02), whereas demographic characteristics and prefellowship training were not.

CONCLUSIONS

Colorectal fellows recognize the relevance of LGBTQIA+ patient care but report significant gaps in training and confidence. These findings highlight the need for structured, specialty-specific education that incorporates both didactic and experiential learning. Integrating targeted LGBTQIA+ healthcare training into colorectal surgery fellowships may improve provider preparedness and promote inclusive, patient-centered care.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.