Abstract
Purpose: The transgender population is a small yet distinctive portion of the gynecology patient population, requiring both primary care and specialty services. Recognizing the need for increased education, the Council on Resident Education in Obstetrics and Gynecology (CREOG) developed objectives specific to the care of transgender patients. This study is to assess residency program directors' knowledge about the transgender health CREOG objectives, describe how objectives are being implemented in training programs, and identify what types of educational materials would be useful if available.Methods: In May 2014, an 11-item anonymous survey was sent through e-mail to all eligible program directors of accredited obstetrics and gynecology residency programs. The short questionnaire contained questions about program demographics, approach to training residents with regard to the CREOG objectives, and opinions on tools they would like to use to train their residents on the transgender CREOG objectives.Results: Just under half (47%) of the 86 geographically diverse respondents were from hospital-based programs. The majority reported that the transgender health objectives were important (82%); however, only 70% were familiar with the objectives themselves. Most respondents (96%) felt that providing an educational activity in their training program would be beneficial for their residents' education.Conclusions: Most program directors support the CREOG transgender health objectives and are in favor of implementing educational tools to meet the objectives, suggesting that development of new tools to meet this need would be useful. Future endeavors will be made toward build a training module to facilitate obstetrics and gynecology (Ob-Gyn) programs meeting the CREOG objectives.
Highlights
The transgender population is a small yet distinct portion of the gynecology patient population, requiring primary care as well as specialty gynecologic services
In a 1997 survey done by the San Francisco Department of Public Health, 35% of male-tofemale transgender persons tested positive for HIV, and roughly 85% of transgender patients reported verbal abuse because of their gender identity or presentation.[2]
By compiling information from a variety of resources, an online module can bring together a manageable learning experience for the average obstetrics and gynecology (Ob-Gyn) residents without requiring them to seek out different sources, many of which are still only known to few programs
Summary
The transgender population is a small yet distinct portion of the gynecology patient population, requiring primary care as well as specialty gynecologic services. In a 1997 survey done by the San Francisco Department of Public Health, 35% of male-tofemale transgender persons tested positive for HIV, and roughly 85% of transgender patients reported verbal abuse because of their gender identity or presentation.[2] The National Transgender Discrimination Survey, a 2008 survey of 6436 transgender persons, found that at least 25% of respondents reported being harassed or disrespected in a doctor’s office or hospital, and 19% were refused medical care.[3] More than one-quarter (28%) of transgender individuals postponed seeking healthcare, even while ill, because of discrimination To address these issues, half of respondents acknowledged the need to teach their healthcare providers about transgender care
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