Allyship in Surgical Residents: Evidence for LGBTQ Competency Training in Surgical Education.

Autor: Grova MM; Department of Surgery, UNC Chapel Hill, Chapel Hill, North Carolina., Donohue SJ; School of Medicine, UNC Chapel Hill, Chapel Hill, North Carolina., Bahnson M; Department of Psychology, North Carolina State University, Raleigh, North Carolina., Meyers MO; Department of Surgery, UNC Chapel Hill, Chapel Hill, North Carolina., Bahnson EM; Division of Vascular Surgery, Department of Surgery, and Center of Nanotechnology in Drug Delivery, UNC Chapel Hill, Chapel Hill, North Carolina. Electronic address: edward_bahnson@med.unc.edu.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2021 Apr; Vol. 260, pp. 169-176. Date of Electronic Publication: 2020 Dec 17.
DOI: 10.1016/j.jss.2020.11.072
Abstrakt: Background: Studies have shown poorer health outcomes for people who identify as sexual and/or gender minority (LGBTQ+) compared to heterosexual peers. Our goal was to establish baseline levels of LGBTQ Ally Identity Measure (AIM) scores: (1) Knowledge and Skills, (2) Openness and Support, and (3) Awareness of Oppression of the LGBTQ+ in surgical trainees, and implement a pilot training in LGBTQ + cultural competency.
Materials and Methods: General surgery residents from a single academic medical center participated in a 2-h educational training developed from the existing Health Care Safe Zone training at our institution. Utilizing the previously validated LGBTQ Ally Identity Measure (AIM), residents responded to 19 items on Likert-type scales from 1 to 5 pretraining and 6 wk posttraining. The residents' perceptions of the utility of the training were also assessed. Data were analyzed by MANOVA, repeated measures MANOVA, and subsequent univariate analysis.
Results: 27 residents responded to the pretraining survey (52%), 22 residents participated in the training, and 10 responded at 6 wk posttraining (19%). The average baseline scores were Knowledge and Skills 19.38 ± 4.64, Openness and Support 25.96 ± 4.31, and Awareness of Oppression 17.15 ± 2.20. Participants who identified as women scored 4.46 (95% CI 0.77-8.15) points higher in Openness and Support compared to males. Of those respondents who completed pretraining and posttraining surveys (n = 10), training had a significant effect on AIM scores with an improvement in Knowledge and Skills (P = 0.024) and Openness and Support (P = 0.042). Residents found the training relevant to surgery patient care (71%), increased their competency in LGBTQ + patient care (86%), and all participants indicated they were better LGBTQ allies following the training.
Conclusions: Assessing LGBTQ + allyship in surgical residents, we found that training improved AIM scores over time with significant improvement in the Knowledge and Skills, and Openness and Support scales, suggesting a viable and valuable curriculum focused on sexual and gender identity-related competencies within the graduate medical education for surgical trainees.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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