Journal of women's health
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Journal of women's health · Dec 2019
ReviewWomen's Health Curricula in Internal Medicine Residency Programs: A Scoping Review.
Background: Despite national efforts to expand women's health education, internal medicine (IM) residents remain unprepared to provide comprehensive care to women. The objectives of this scoping review are to provide an overview of published women's health curricula in IM residency programs and to identify potential areas for improvement. Materials and Methods: Studies were identified using PubMed, Embase, Cochrane Library, Scopus, Education Resources Information Center (ERIC), Web of Science, and MedEdPORTAL. Inclusion criteria included the following: (1) women's health as defined by the authors (2) description of a curriculum (3) designed for IM residents (4) based in North America, and (5) published between 1998 and 2018. ⋯ There were a limited number of published articles describing women's health curricula. Although content varied, the curricula were effective in improving attitudes, knowledge, and/or behavior with regard to women's health topics. We encourage IM residency programs to develop and disseminate women's health curricula to inform future improvements and advancements in women's health education.
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Journal of women's health · Dec 2019
ReviewIncorporating Sex and Gender into Culturally Competent Simulation in Medical Education.
Background and Objectives: Simulation provides a vehicle to introduce sex and gender competent training into the education of medical trainees. Materials and Methods: Using the previously validated Texas Tech University Health Sciences Center Sex and Gender Specific Health PubMed Advanced Search Tool, we reviewed the existing sex- and gender-based medical simulation education literature. A single article specifically addressed the incorporation of sex- and gender-based medicine in the development of simulation-based training. The Society for Academic Emergency Medicine Sex and Gender Interest Group then collaboratively developed recommendations for the incorporation of these concepts into simulation training. Results: Collaboratively developed recommendations were as follows. ⋯ Attitude-based competencies include an understanding of tendencies toward bias in patient assessment and care, which can be addressed in the self-reflection component of a simulation debrief. Skill-based competencies include communication skills, assessing the social context in which a patient is pursuing medical care, and recognition of gender-based cultural models of health and disease. Successful implementation includes specific faculty development, administrative and financial resources, gender-specific simulation equipment and selection of standardized patients, and scenarios that address sex- and gender-based medical care. Conclusion: The adoption of sex and gender competent simulation has the potential to significantly impact medical training and the provision of empathetic and humanistic care while reducing sex- and gender-based health care disparities.
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Journal of women's health · Dec 2019
Leading and Sustaining Curricular Change: Workshop Proceedings from the 2018 Sex and Gender Health Education Summit.
The education of health science professionals must balance the incorporation of new and essential content against the current curriculum density. Scientific evidence documenting the impact of sex and gender on health outcomes establishes the need for incorporation of these topics into the health science curriculum. An interprofessional workshop was designed to provide participants with the knowledge and skills to effectively champion curricular change. ⋯ After the workshop, 95% participants reported an increased ability to advocate for the inclusion of sex and gender topics in the curriculum. The most important aspect of the workshop was the providing of resources related to the teaching of sex and gender topics. We conclude that a workshop format balancing didactic information and role-playing scenarios is an effective tool for empowering faculty to introduce changes in health sciences curricula in areas that may be new to faculty or health science school leadership, such as the impact and role of sex and gender on health outcomes.
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Journal of women's health · Dec 2019
Integrating Sex and Gender into an Interprofessional Curriculum: Workshop Proceedings from the 2018 Sex and Gender Health Education Summit.
Background: In the last 3 years, the National Institutes of Health (NIH) declared advancement of understanding the role sex as a biological variable has in research a priority. The burden now falls on educators and clinicians to translate into clinical practice the ensuing body of evidence for sex as a biological variable that clearly shows the effect of sex/gender on disease diagnosis and management. The 2018 Sex and Gender Health Education Summit (SGHE) organized an interdisciplinary and interprofessional workshop to (1) analyze common clinical scenarios highlighting the nuances of sex- and gender-based medicine (SGBM) in presentation, diagnosis, or management of illness; (2) utilize valid educational and assessment tools for a multiprofessional audience; and (3) brainstorm standardized learning objectives that integrate both. ⋯ Recurrent themes included case-based learning, use of sex-neutral cases, simulation, and standardized patient scenarios for educational modalities; and self-assessment, peer assessment, and review of clinical documentation as used assessment tools. Materials created for the workshop included teaching SGBM case scenarios, methods of assessment, and sample standardized objectives. Conclusion: The SGHE Summit provided an interdisciplinary forum to create educational tools and materials for SABV instruction that may be applied to a diverse audience.
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Journal of women's health · Dec 2019
The Impact of an Institutional Grant Program on the Economic, Social, and Cultural Capital of Women Researchers.
Introduction: Early funding can have significant impact on a researcher's career. However, funding is not equal for men and women. Not only do female researchers apply for fewer grants than men, but they also experience a lower success rate when they do. ⋯ However, the program evaluation also identified effects on awardees' confidence as researchers and connection to a community. Conclusion: Outcomes are interpreted through the framework of Bourdieu's three forms of capital, including economic, social, and cultural capital. Viewed through this framework, they provide a critical infrastructure to the development and success of early career female investigators. This work offers other institutions a framework to consider when establishing intramural funding and support programs for their early career investigators.