Care of the transgender population: are the Indian gynaecology residents sufficiently trained?

Authors

  • Karthika Mayilvahanan Department of Obstetrics and Gynecology, Shri Sathya Sai Medical College and Research Institute, SBV University, Tamil Nadu, India
  • Ushadevi G Department of Obstetrics and Gynecology, Shri Sathya Sai Medical College and Research Institute, SBV University, Tamil Nadu, India
  • Muwaffika Taj Department of Obstetrics and Gynecology, Shri Sathya Sai Medical College and Research Institute, SBV University, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231212

Keywords:

Transgender, Gender dysphoria, Transition, Residents, Curriculum

Abstract

Background: Over the past few years awareness on gender dysphoria has risen but accessing healthcare as a transgender person (TGP) is still challenging. Deficits in training of residents may contribute to disparities impacting their health. Hence, the pressing priority is to understand the unique need of the TGP and be equipped to offer them competent care. The aim of the current study was to assess the comfort, knowledge and training of the Obstetrics and Gynaecology residents in Tamil Nadu with regard to transgender healthcare.

Methods: This was a cross sectional survey sent as a Google Form electronically to 100 residents who had recently completed their residency in obstetrics and gynecology in Tamil Nadu. The questions were designed to assess their knowledge and experience in the care of transgender population. Microsoft Excel software was used to analyze the results

Results: The response rate for the survey was 67%. Among them, 47.1% of the residents were unaware of the current recommendations for Gender Reassignment Surgery. The expertise related to transition of people with gender dysphoria and the hormonal regimen wanted for them were lacking. While half of the residents realized their lack of competency in caring for TGP, 98.5% were ready for under going further training to improve their knowledge.

Conclusions: It was observed that the residents did not have enough training and competency to adequately care for the TGP though they are ready to upskill their knowledge. Hence, efforts should be made to incorporate training modules for TGP care in Indian OBG residency curriculum and train the upcoming residents to offer quality care to all.

References

Qin LA, Estevez SL, Radcliffe E, Shan WW, Rabin JM, Rosenthal DW. Are obstetrics and gynecology residents equipped to care for transgender and gender non conforming patients? A national survey study. Transgender Health. 2021;6(4):194-200.

Schmidt CN, Stretten M, Bindman JG, Pettigrew G, Lager J. Care across the gender spectrum: A transgender health curriculum in the Obstetrics and Gynecology clerkship. BMC Med Educ. 2022;22(1): 706.

ACOG Committee Opinion. Health care for transgender and gender diverse individuals. Obstet Gynecol. 2021;137:e75-88.

Safer JD, Coleman E, Feldman J, Garofalo R, Hembree W, Radix A, Sevelius J. Barriers to healthcare for transgender individuals. Curr Opin Endocrinol Diabetes Obes. 2016;23(2):168-71.

Burgart JM, Walters RW, Shanahan M. Transgender education experiences among obstetrics and gynecology residents: a national survey. Transgender Health. 2022;7(1):30-5.

Lifshitz D, Yaish I, Wagner-Kolasko G, Greenman Y, Sofer Y, Alpern S, Groutz A, Azem F, Amir H. Transgender men's preferences when choosing obstetricians and gynecologists. Isr J Health Policy Res. 2022;11(1):12.

Price S, McManus J, Barrett J. The transgender population: improving awareness for gynaecologists and their role in the provision of care. Obstet Gynaecol. 2019;21:11-20.

Taylor HS, Pal L, Seli E. Speroff’s clinical gynecologic endocrinology and infertility. 9th ed. USA: Wolters Kluwer; 2020.

Unger CA. Care of the transgender patient: a survey of gynecologists’ current knowledge and practice. J Women’s Health. 2015;24(2):114-8.

Bukowski K, Haymer M, Sridhar A. Training and knowledge of transgender health among obstetrics and gynecology residents. Obstet Gynecol. 2017;130:53S.

Primary care initiated gender-affirming therapy for gender dysphoria: a review of evidence based guidelines. Ottawa: CADTH; 2020.

Vinekar K, Rush SK, Chiang S, Schiff MA. Educating obstetrics and gynecology residents on transgender patients: a survey of program directors. Obstet Gynecol. 2019;133(4):691-9.

Labanca T, Mañero I, Pannunzio M. Transgender patients: considerations for routine gynecologic care and cancer screening. Int J Gynecol Cancer. 2020;30: 1990-6.

Chan B, Skocylas R, Safer JD. Gaps in transgender medicine content identified among Canadian medical school curricula. Transgender Health. 2016;1(1):42-50.

Erryn T, Katler Q, Cherie M. Outcomes of a transgender care training program in obstetrics and gynecology resident education. Obstet Gynecol. 2011; 134:50S.

Warner DM, Mehta AH. Identifying and addressing barriers to transgender healthcare: where we are and what we need to do about it. J Gen Intern Med. 2021; 36(11):3559-61.

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Published

2023-04-28

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Original Research Articles