Gender inequalities in health and gender bias in medicine are interrelated challenges facing health care providers and educators. Women and girls are disadvantaged in accessing health care because of their low social status and unequal treatment in medical care. Gender bias has long been inherent in clinical practice, medical research, and education. This can be traced to the medical curriculum that shapes the perceptions, attitudes, and behavior of the future doctor. The author advocates medical curricula change to address gender inequalities in health and gender bias in medicine. She analyses the reasons for integration of gender competencies in the medical curriculum, discusses what gender competencies are, and reviews ways to in-build gender competencies and their assessment. Efforts to change and gender sensitize medical curricula in developed and developing countries are also reviewed. The review hopes to contribute to strategic medical curriculum reform, which would lead to gender-sensitive health services and equity in health.
Nechas E., Foley D.Unequal Treatment: What You Don’t Know About How Women Are Mistreated by the Medical Community. New York, NY: Simon & Schuster; 1994.
2.
Zelek B., Phillips SP, Lefebvre Y.Gender sensitivity in medical curricula. Can Med Assoc J. 1997; 156:1297-1300.
3.
Wong YLGender issues in medical and public health education. Asia Pac J Public Health. 2000; 12(suppl):S74-S77.
4.
Phillips SP, Ferguson KEDo students’ attitudes toward women change during medical school? Can Med Assoc J. 1999;160:357-361.
5.
Cain JM, Donoghue GD, Magrane DM, Rusch RBWhy is it so important to ensure that women’s health, gender-based competencies are woven into the fabric of undergraduate medical education? Am J Obstet Gynecol. 2002;187:S1-S3.
6.
Sen G., George A., Ostlin P.Engendering health equity: a review of research and policy. In: Sen G, George A, Ostlin P, eds. Engendering International Health: The Challenge of Equity. Cambridge, MA: Massachusetts Institute of Technology;2002:1-33.
7.
Autry AM, Meurer LN, Barnabei VM, et al. A longitudinal women’s health curriculum: a multi-method, multiperspective needs assessment. Am J Obstet Gynecol. 2002;187:S12-S14.
8.
Standing H.Gender equity and health sector reform. In: Commonwealth Secretariat, ed. Gender and Health Training Materials: How Does Being a Woman or a Man Affect Your Health?London, UK: Health Department, Commonwealth Secretariat ; 2001:71-81.
9.
World Health Organization.World report on violence and health: summary. http://www.who.int/ violence_injuryprevention/violence/world_report/en/summary_en.pdf. Published2002. Accessed April29, 2009.
10.
World Health Organization.Women of South-East Asia: A Health Profile. New Delhi, India: WHO Regional Office for South-East Asia; 2000. Regional Publication, Southeast Asia Regional Office (SEARO) Series No. 34.
11.
Norwegian Board of Health.Women’s Health in Norway. Oslo, Norway: Norwegian Board of Health; 1995.
12.
Sohn A., Chun SSGender differences in sexual behaviour and condom-related behaviours and attitudes among Korean youths. Asia Pac J Public Health. 2007;19:45-52.
13.
Doyal L., Pennell I.The Political Economy of Health. London, UK: Pluto Press;1979.
14.
Starr P.The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry. Cambridge, MA: Basic Books; 1982.
15.
Phillips SPThe social context of women’s health: goals and objectives for medical education. Can Med Assoc J. 1995;152:507-511.
16.
Phillips SPProblem-based learning in medicine: new curriculum, old stereotypes. Soc Sci Med. 1997;45:497-499.
17.
Hodgson EJ, Srinivas S.Interdisciplinary women’s health education: the perspective of two medical students. Am J Obstet Gynecol. 2002;187:S9-S10.
18.
Phillips SPEvaluating women’s health and gender. Am J Obstet Gynecol. 2002;187:S22-S24.
19.
Jesani A, Madhiwalla N, eds. Gender and Medical Education: Report of National Consultation and Background Material. Mumbai , India: Centre for Enquiry into Health and Allied Themes and Achutha Menon Centre for Health Sciences Studies; 2002.
20.
Manderson L, ed. Teaching Gender, Teaching Women’s Health: Case Studies in Medical and Health Science Education. London, UK: Haworth Medical Press; 2003.
21.
Phillips SPGender and health: Integrating gender into medical education. www.genderandhealth.ca. Published 2005.
22.
Erickson SS , Bachicha J., Bienstock J., et al. The process of translating women’s health care competencies into educational objectives. Am J Obstet Gynecol. 2002;187:S25-S27.
23.
Nunez AETransforming cultural competence into cross-cultural efficacy in women’s health education. Acad Med. 2000;75:1071-1079.
24.
Nicolette J. , Jacobs MBIntegration of women’s health into an internal medicine core curriculum for medical students. Acad Med. 2000;75:1061-1065.
25.
Brodkey AC, Shaw DLWomen’s health competencies in the undergraduate psychiatry curriculum: past and future. Am J Obstet Gynecol. 2002 ;187:S15-S18.
26.
Integrating Domestic/ Family Violence Issues in the Medical Curriculum [CD-ROM].Manila, Philippines: Cebu Doctors’ College of Medicine, De La Salle University Social Development Centre; 2002.
27.
Weiss LB, Levison SPTools for integrating women’s health into medical education: clinical cases and concept mapping. Acad Med. 2000;75:1081-1086.
28.
Engendering health [editorial]. 2003;1:20
29.
Narayan T.Gender and power issues in medical education. In: Jesani A, Madhiwalla N, eds. Gender and Medical Education: Report of National Consultation and Background Material. Mumbai, India: Centre for Enquiry into Health and Allied Themes and Achutha Menon Centre for Health Sciences Studies; 2002:29-41.
30.
Zaman R., Marvi K.Country report on teaching of health social science: Pakistan. Paper presented at: Sexuality and Reproductive Health and Fora on the Teaching of Health Social Sciences Conference, Asia and Pacific Regional Network on Gender; January 8-13, 1996; Cebu City, Philippines.
31.
Faculty of Medicine.Problem-Based Learning Within the New Integrated Curriculum. Kuala Lumpur, Malaysia: University of Malaya; 2002.
32.
Rashidah S., Roziah O.Country report on teaching of health social science: Malaysia. Paper presented at: Sexuality and Reproductive Health and Fora on the Teaching of Health Social Sciences Conference, Asia and Pacific Regional Network on Gender; January 8-13, 1996; Cebu City, Philippines.
33.
Rinto BA, Adams Hillard PJWomen’s health in the medical school curriculum: building support for the adoption of core competencies. Am J Obstet Gynecol. 2002;187:S28-S29.
34.
Wong YLIntegrating the gender perspective in medical and health education and research . In: Jesani A, Madhiwalla N, eds. Gender and Medical Education: Report of National Consultation and Background Material. Mumbai , India: Centre for Enquiry into Health and Allied Themes and Achutha Menon Centre for Health Sciences Studies; 2002:51-66.
35.
Commonwealth Secretariat.Gender and Health Training Materials: How Does Being a Woman or a Man Affect Your Health?London, UK: Health Department, Commonwealth Secretariat ; 2001.
