Current Concepts in Gender-Affirming Surgery Postgraduate Training
Background Recent advocacy efforts and expanded insurance coverage has increased health care utilization among transgender patients. Therefore, it is pivotal that surgical residents are properly trained to care for transgender patients in both clinical and surgical settings. Yet, no formal curriculu...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2022-04-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751021 |
| _version_ | 1798039308332957696 |
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| author | Alexander N. Khouri Caleb Haley Mark MacEachern Shane D. Morrison |
| author_facet | Alexander N. Khouri Caleb Haley Mark MacEachern Shane D. Morrison |
| author_sort | Alexander N. Khouri |
| collection | DOAJ |
| description | Background Recent advocacy efforts and expanded insurance coverage has increased health care utilization among transgender patients. Therefore, it is pivotal that surgical residents are properly trained to care for transgender patients in both clinical and surgical settings. Yet, no formal curriculum or training requirements exist for surgical residents. The aim of this systematic review is to understand the surgical trainee's postgraduate education and training with respect to transgender health and gender-affirming surgeries (GAS).
Methods A Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA)-compliant literature search was performed on December 04, 2020 in PubMed, Elsevier Embase, and Wiley Cochrane Central Register of Controlled Trials. The retrieved hits were screened and reviewed by two independent reviewers.
Results Our literature search identified 186 unique publications, of which 14 surveys and one interventional study from various surgical specialties including plastic surgery, urology, otolaryngology, oral and maxillofacial surgery (OMS), dermatology, and obstetrics and gynecology (OBGYN) were included in this study. The majority of residents and program directors in surgical specialties believe education related to transgender health is important, and the current exposure in surgical training does not sufficiently prepare surgical residents to care for this marginalized population.
Conclusion Current postgraduate surgical training in gender-affirming surgery is nonuniform across surgical specialty, geographical region, and individual program. Incorporating training modules and hands-on experiences into surgical trainee education will better prepare residents for the numerous clinical and surgical interactions with transgender patients. Further research is required to better understand how to best incorporate these experiences into existing surgical curriculums. |
| first_indexed | 2024-04-11T21:52:06Z |
| format | Article |
| id | doaj.art-643e8d9cb8f24743ad8e05fbe87de0ef |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-04-11T21:52:06Z |
| publishDate | 2022-04-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-643e8d9cb8f24743ad8e05fbe87de0ef2022-12-22T04:01:12ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2022-04-01550212913810.1055/s-0042-1751021Current Concepts in Gender-Affirming Surgery Postgraduate TrainingAlexander N. Khouri0Caleb Haley1Mark MacEachern2Shane D. Morrison3Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, United StatesMedical School, University of Michigan, Ann Arbor, MI, United StatesUniversity of Michigan Taubman Health Sciences Library, Ann Arbor, MI, United StatesSection of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, United StatesBackground Recent advocacy efforts and expanded insurance coverage has increased health care utilization among transgender patients. Therefore, it is pivotal that surgical residents are properly trained to care for transgender patients in both clinical and surgical settings. Yet, no formal curriculum or training requirements exist for surgical residents. The aim of this systematic review is to understand the surgical trainee's postgraduate education and training with respect to transgender health and gender-affirming surgeries (GAS). Methods A Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA)-compliant literature search was performed on December 04, 2020 in PubMed, Elsevier Embase, and Wiley Cochrane Central Register of Controlled Trials. The retrieved hits were screened and reviewed by two independent reviewers. Results Our literature search identified 186 unique publications, of which 14 surveys and one interventional study from various surgical specialties including plastic surgery, urology, otolaryngology, oral and maxillofacial surgery (OMS), dermatology, and obstetrics and gynecology (OBGYN) were included in this study. The majority of residents and program directors in surgical specialties believe education related to transgender health is important, and the current exposure in surgical training does not sufficiently prepare surgical residents to care for this marginalized population. Conclusion Current postgraduate surgical training in gender-affirming surgery is nonuniform across surgical specialty, geographical region, and individual program. Incorporating training modules and hands-on experiences into surgical trainee education will better prepare residents for the numerous clinical and surgical interactions with transgender patients. Further research is required to better understand how to best incorporate these experiences into existing surgical curriculums.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751021surgical educationtransgender personsgender-affirming surgeryresidency |
| spellingShingle | Alexander N. Khouri Caleb Haley Mark MacEachern Shane D. Morrison Current Concepts in Gender-Affirming Surgery Postgraduate Training Indian Journal of Plastic Surgery surgical education transgender persons gender-affirming surgery residency |
| title | Current Concepts in Gender-Affirming Surgery Postgraduate Training |
| title_full | Current Concepts in Gender-Affirming Surgery Postgraduate Training |
| title_fullStr | Current Concepts in Gender-Affirming Surgery Postgraduate Training |
| title_full_unstemmed | Current Concepts in Gender-Affirming Surgery Postgraduate Training |
| title_short | Current Concepts in Gender-Affirming Surgery Postgraduate Training |
| title_sort | current concepts in gender affirming surgery postgraduate training |
| topic | surgical education transgender persons gender-affirming surgery residency |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751021 |
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