Strategies to Create a More Gender Identity Inclusive Learning Environment in Preclinical and Clinical Medical Education

Author:

Baecher-Lind Laura1ORCID,Sutton Jill M.2,Bhargava Rashmi3,Chen Katherine T.4,Fleming Angela5,Morgan Helen Kang6,Morosky Christopher M.7,Schaffir Jonathan8,Sonn Tammy9,Royce Celeste S.10,Stephenson-Famy Alyssa11,Madani Sims Shireen12,

Affiliation:

1. is professor and dean for educational affairs, Tufts University School of Medicine, Boston, Massachusetts.

2. is clinical associate professor and director of undergraduate education, Department of Obstetrics and Gynecology, East Carolina University (ECU) Brody School of Medicine, ECU Health Medical Center, Greenville, North Carolina.

3. is assistant professor and provincial undergraduate chair, Department of Obstetrics and Gynecology, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada.

4. is professor of obstetrics, gynecology, and reproductive science and of medical education and system vice-chair of obstetrics and gynecology education, Icahn School of Medicine at Mount Sinai, New York, New York.

5. is residency program director, Department of Obstetrics and Gynecology, Corewell Health, Farmington Hills, Michigan.

6. is professor, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan.

7. is associate professor and clerkship director, Department of Obstetrics and Gynecology, University of Connecticut School of Medicine, Farmington, Connecticut.

8. is professor and vice chair of education, Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, Ohio.

9. is professor and vice chair for education, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri.

10. is assistant professor, Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, and director of undergraduate medical education, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

11. is associate professor and associate residency program director, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington.

12. is professor and vice chair of education, Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, Florida.

Abstract

Recognition of the spectrum of gender identities has been a recent phenomenon in the medical profession. Over the past 20 years, medical literature related to gender identity diversity has increased several-fold, yet it more commonly addresses clinical care rather than aspects related to medical education. Medical educators continue to struggle with appropriate language and inclusive approaches when discussing gender-based aspects of medical education. Reproductive health education, including obstetrics and gynecology clerkships, is particularly vulnerable to missteps and anachronisms regarding gender identity. This article aims to provide preclinical and clinical medical educators with strategies to identify and predict situations where missteps related to gender identity inclusivity may occur in their curriculum or learning environment, and to develop approaches to improve gender identity inclusivity within medical education. The authors explore 3 areas that commonly pose challenges for medical educators: inclusive language and terminology, anatomy education, and reproductive genetics and genetic counseling. They hope the tools and strategies provided here will be useful to reproductive health medical educators across specialties to enable the realization of a more inclusive learning environment in reproductive health.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Education,General Medicine

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