Assessment of Knowledge,Comfort,and Skills Working with Transgender Clients of Saskatchewan Family Physicians,Family Medicine Residents,and Nurse Practitioners
Restricted accessResearch articleFirst published online October, 2022
Assessment of Knowledge,Comfort,and Skills Working with Transgender Clients of Saskatchewan Family Physicians,Family Medicine Residents,and Nurse Practitioners
People who are transgender and gender diverse (TGD) report suboptimal care from health care providers. A cross-sectional survey was codesigned with community partners to assess the knowledge, comfort, and skills of family physicians, family medicine residents, and nurse practitioners working with TGD patients in Saskatchewan. It was administered from August to October 2019. Of 188 participants, 30% and 96% were comfortable providing transition-related and non-transition-related medical care to patients who are TGD, respectively. Interest in further training in providing transition-related medical care and cultural safety was high. No significant differences between provider groups were observed. Based on our results, provincial training initiatives will be undertaken.
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References
1.
JohnstonC, ShearerL. Internal medicine resident attitudes, prior education, comfort, and knowledge regarding delivering comprehensive primary care to transgender patients. Transgend Health. 2017; 2:91–95.
ParadisoC, LallyR. Nurse practitioner knowledge, attitudes, and beliefs when caring for transgender people. Transgend Health. 2018; 3:47–56.
4.
SaferJ, ColemanE, FeldmanJ, et al.Barriers to healthcare for transgender individuals. Curr Opin Endocrinol Diabetes Obes. 2016; 23:168–171.
5.
VanceS, Halpern-FelsherB, RosenthalS. Health care providers' comfort with and barriers to care of transgender youth. J Adolesc Health. 2015; 56:251–253.
6.
AlpertA, CichoskiKellyE, FoxA. What lesbian, gay, bisexual, transgender, queer, and intersex patients say doctors should know and do: a qualitative study. J Homosex. 2017; 64:1368–1389.
7.
Chisolm-StrakerM, WillgingC, DaulA, et al.Transgender and gender-nonconforming patients in the emergency department: what physicians know, think, and do. Ann Emerg Med. 2018; 71:183–188.
8.
LeachC, Layson-WolfC. Survey of community pharmacy residents' perceptions of transgender health management. J Am Pharm Assoc. 2016; 56:441–445.
9.
MaxwellE, SalchS, BolikoM, Anakwe-CharlesG. Discrepancies in lesbian, gay, bisexual, and transgender patient care and how pharmacists can support an evolved practice. Am J Pharm Educ. 2017; 81:6181.
10.
McPhailD, Rountree-JamesM, WhetterI. Addressing gaps in physician knowledge regarding transgender health and healthcare through medical education. Can Med Educ J. 2016; 7:e70.
11.
RondahlG. Students' Inadequate knowledge about lesbian, gay, bisexual and transgender persons. Int J Nurs Educ Scholarsh. 2009; 6:1–15.
12.
RuudM. Cultural humility in the care of individuals who are lesbian, gay, bisexual, transgender, or queer. Nurs Womens Health. 2018; 22:255–263.
13.
SaferJ. The large gaps in transgender medical knowledge among providers must be measured and addressed. Endocr Pract. 2016; 22:902.
14.
SnelgroveJ, JasudavisiusA, RoweB, et al.“Completely out-at-sea” with “two-gender medicine”: a qualitative analysis of physician-side barriers to providing healthcare for transgender patients. BMC Health Serv Res. 2012; 12:1–13.
15.
ScheimA, BauerG. Sex and gender diversity among transgender persons in Ontario, Canada: results from respondent-driven sampling survey. J Sex Res. 2015; 52:1–14.
16.
BraunH, Garcia-GrossmanI, Quiñones-RiveraA, DeutschM. Outcome and impact evaluation of a transgender health course for health profession students. LGBT Health. 2017; 4:55–61.
17.
FelsensteinD. Enhancing lesbian, gay, bisexual, and transgender cultural competence in a midwestern primary care clinic setting. J Nurses Prof Dev. 2018; 34:142–150.
18.
StroumsaD, ShiresDA, RichardsonCR, et al.Transphobia rather than education predicts provider knowledge of transgender health care. Med Educ. 2019; 53:398–407.
19.
SaferJ, PearceE. A simple curriculum content change increased medical student comfort with transgender medicine. Endocr Pract. 2013; 19:633–637.
20.
StrongK, FolseV. Assessing undergraduate nursing students' knowledge, attitudes, and cultural competence in caring for lesbian, gay, bisexual, and transgender patients. J Nurs Educ. 2014; 54:45–49.
21.
ThomasD, SaferJ. A simple intervention raised resident-physician willingness to assist transgender patients seeking hormone therapy. Endocr Pract. 2015; 21:1134–1142.
22.
FungR, GalliboisC, CoutinA, WrightS. Learning by chance: investigating gaps in transgender care education amongst family medicine, endocrinology, psychiatry and urology residents. Can Med Educ J. 2020; 11:e19–e28.
23.
UngerC. Care of the transgender patient: a survey of gynecologists' current knowledge and practice. J Womens Health. 2015; 24:114–118.
24.
CabanaMD, RandCS, PoweNR, et al.Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA. 1999; 282:1458–1465.
25.
Bourns A for Sherbourne Health and Rainbow Health Ontario. Guidelines for Gender-Affirming Primary Care with Trans and Non-binary Patients. 4th ed. Toronto, ON: Sherbourne Health, 2019.
MacKinnonKR, RossLE, Rojas GauldronD, NgSL. Teaching health professionals how to tailor gender-affirming medicine protocols: a design thinking project. Perspect Med Educ. 2020; 9:1–5.
