1
|
Clare CA, Woodland MB, Buery-Joyner S, Whetstone S, Ogunyemi D, Sims SM, Moxley M, Baecher-Lind LE, Hampton BS, Pradhan A, Katz NT. Educational guidelines on sexual orientation, gender identity and expression, and sex characteristics biases in medical education. Am J Obstet Gynecol 2024:S0002-9378(24)00422-8. [PMID: 38432411 DOI: 10.1016/j.ajog.2024.02.309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 02/25/2024] [Accepted: 02/28/2024] [Indexed: 03/05/2024]
Abstract
A commitment to diversity, equity, inclusion, and belonging in medical education requires addressing both explicit and implicit biases based on sexual orientation, gender identity and expression, and sex characteristics and the intersectionality with other identities. Heterosexism and heteronormative attitudes contribute to health and healthcare disparities for lesbian, gay, bisexual, transgender and queer or questioning, intersex, asexual individuals. Student, trainee, and faculty competencies in medical education curricula regarding the care of lesbian, gay, bisexual, transgender and queer or questioning, intersex, asexual patients and those who are gender nonconforming or born with differences of sex development allow for better understanding and belonging within the clinical learning environment of lesbian, gay, bisexual, transgender and queer/questioning, intersex, asexual learners and educators. The Association of Professors of Gynecology and Obstetrics issued a call to action to achieve a future free from racism and bias through inclusivity in obstetrics and gynecology education and healthcare, which led to the creation of the Association of Professors of Gynecology and Obstetrics Diversity, Equity, and Inclusion Guidelines Task Force. The task force initially addressed racism, racial- and ethnicity-based bias, and discrimination in medical education and additionally identified other groups that are subject to bias and discrimination, including sexual orientation, gender identity and expression, and sex characteristic identities, persons with disabilities, and individuals with various religious and spiritual practices. In this scholarly perspective, the authors expand on previously developed guidelines to address sexual orientation, gender identity and expression, and sex characteristics bias, heterosexism, and heteronormative attitudes in obstetrics and gynecology educational products, materials, and clinical learning environments to improve access and equitable care to vulnerable individuals of the lesbian, gay, bisexual, transgender and queer or questioning, intersex, asexual community.
Collapse
Affiliation(s)
- Camille A Clare
- Department of Obstetrics and Gynecology, Downstate Health Sciences University College of Medicine and Department of Health Policy and Management, School of Public Health, Brooklyn, NY.
| | - Mark B Woodland
- Department of OBGYN, Drexel University College of Medicine, Philadelphia, PA
| | - Samantha Buery-Joyner
- Department Ob/Gyn, Inova Fairfax Medical Campus, Division of Medical Education, University of Virginia School of Medicine, Inova Campus, Fairfax, VA
| | - Sara Whetstone
- Division of Obstetrics, Gynecology, and Gynecologic Surgery, Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, San Francisco, CA
| | - Dotun Ogunyemi
- Division of Graduate Medical Education, Department of Obstetrics & Gynecology, Charles Drew University of Medicine and Science, Los Angeles, CA
| | - Shireen Madani Sims
- Department of Obstetrics & Gynecology, University of Florida College of Medicine, Gainesville, FL
| | - Michael Moxley
- Department of Obstetrics/Gynecology, Roper St. Francis Healthcare, Division of Diversity, Inclusion and Health Equity, Georgetown University School of Medicine, Washington, DC
| | - Laura E Baecher-Lind
- Division of Educational Affairs, Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, MA
| | - B Star Hampton
- Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, The Warren Alpert Medical School of Brown University, Providence, RI
| | - Archana Pradhan
- Rutgers Robert Wood Johnson Medical School, Department of Obstetrics, Gynecology and Reproductive Sciences, General Division, New Brunswick, NJ
| | - Nadine T Katz
- Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY
| |
Collapse
|