Incorporating Sex and Gender Based Medical Education into Residency Curricula

Publication/Presentation Date

8-2019

Abstract

Background

Emergency Medicine (EM) residents do not generally receive sex and gender‐specific education. There will be increasing attention to this gap as undergraduate medical education integrates it within their curriculum.

Methodology

Members of the SGEM interest group set out to develop a SGEM Toolkit and pilot integrating developed components at multiple residency sites. The curriculum initiative involved a pre and post‐ training assessment that included basic demographics and queries regarding previous training in sex/gender‐based medicine (SGBM). It was administered to PGY1‐4 residents who participated in a 3‐hour training session that included one small group case‐based discussion, 2 oral board cases, and one simulation and group debriefing.

Analysis

Components of the developed toolkit (https://www.sexandgenderhealth.org) were implemented at 4 unique SGEM interest group member residency programs. Residents (N=82/174, 47%) participated; 64% (N=49) were male and 36% (N=28) were female. Twenty‐six percent (N=21) of the residents reported that they had less than one hour of training in this domain during residency; 59% (N=48) reported they had 1‐6 hours and 16% (N=13) reported they had >6 hours. The average pre‐assessment score was 61% and post‐ assessment was 88%. After training, 74% (N=60) felt their current practice would have benefited from further training in sex/gender‐based topics in medicine during medical school and 83% (N=67) felt their clinical practice would have benefited from further training in this domain during residency.

Implications

The majority of EM residents who participated in this training program reported that they had limited instruction in this domain in medical school or residency. This initiative demonstrated a method that can be emulated for the incorporation of SGBM educational components into an EM residency training educational day. Post training, the majority of residents who participated felt their current practice would have benefited from further training in sex and gender‐based topics in residency.

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Disciplines

Emergency Medicine

Department(s)

Department of Emergency Medicine, Department of Emergency Medicine Faculty

Document Type

Article

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