2– 5 Providers report challenges in learning about resources and best practices for trans patients, specifically citing limited education in medical school or residency. 2– 4 Erasure can also mean lack of knowledge or perceived importance by providers, as illustrated by trans patients having to educate providers on their needs or tolerate invasive and insensitive questions. 1 One challenge for trans and nonbinary folx is their experiences of erasure in health care due to the culmination of systemic oppression, implicit bias, and providers’ negative responses. The results suggest that ongoing education is an important tool in optimizing trans health care.īased on 2019 data, up to 2.7% of Americans identify as transgender (trans) or gender nonbinary. Medical students increased their knowledge and self-confidence regarding trans medicine and felt the modified jigsaw exercise was an effective teaching method. Student surveys suggested formal integration of more trans health education into the curriculum. On 1-year follow-up, students showed decreased knowledge and self-confidence in discussing trans health however, scores remained higher than presession. All expressed interest in further training and felt the session enhanced their understanding of trans health and reproductive physiology. Participants showed increases in knowledge and self-confidence discussing gender identity and clinical care postsession. Their initial attitudes and beliefs regarding trans health care were highly positive and remained elevated. A pre- and posttest design compared students’ knowledge, attitudes, and beliefs.Įighty-nine students participated. The session featured a knowledge test with answer discussion followed by a clinical correlation-either a case discussion or video discussion. The session was implemented both in person and virtually over 2 years with preclerkship medical students at the end of their endocrine/reproduction physiology course. We implemented a voluntary 2-hour modified jigsaw exercise on trans health care with changes designed to optimize the structure for medical students. Jigsaw activities emphasize positive interdependence through structured cooperative learning, resulting in increased interest and self-confidence. Incorporation of trans health care into medical school curricula has increased recently to address this gap. Transgender (trans) individuals have unique medical needs and difficulty accessing quality health care, exacerbated by inadequate provider knowledge.
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