Cargando…

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 curricul...

Descripción completa

Detalles Bibliográficos
Autores principales: Khouri, Alexander N., Haley, Caleb, MacEachern, Mark, Morrison, Shane D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398522/
https://www.ncbi.nlm.nih.gov/pubmed/36017402
http://dx.doi.org/10.1055/s-0042-1751021
_version_ 1784772344375410688
author Khouri, Alexander N.
Haley, Caleb
MacEachern, Mark
Morrison, Shane D.
author_facet Khouri, Alexander N.
Haley, Caleb
MacEachern, Mark
Morrison, Shane D.
author_sort Khouri, Alexander N.
collection PubMed
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.
format Online
Article
Text
id pubmed-9398522
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format MEDLINE/PubMed
spelling pubmed-93985222022-08-24 Current Concepts in Gender-Affirming Surgery Postgraduate Training Khouri, Alexander N. Haley, Caleb MacEachern, Mark Morrison, Shane D. Indian J Plast Surg 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. Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-06-24 /pmc/articles/PMC9398522/ /pubmed/36017402 http://dx.doi.org/10.1055/s-0042-1751021 Text en Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Khouri, Alexander N.
Haley, Caleb
MacEachern, Mark
Morrison, Shane D.
Current Concepts in Gender-Affirming Surgery Postgraduate Training
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
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398522/
https://www.ncbi.nlm.nih.gov/pubmed/36017402
http://dx.doi.org/10.1055/s-0042-1751021
work_keys_str_mv AT khourialexandern currentconceptsingenderaffirmingsurgerypostgraduatetraining
AT haleycaleb currentconceptsingenderaffirmingsurgerypostgraduatetraining
AT maceachernmark currentconceptsingenderaffirmingsurgerypostgraduatetraining
AT morrisonshaned currentconceptsingenderaffirmingsurgerypostgraduatetraining