Sexual health preparedness among medical students
DOI:
https://doi.org/10.26641/2307-0404.2023.4.294193Abstract
It has been found that many medical students and early career physicians express feelings of being unprepared and undereducated on topics relating to patient sexual health. Based on previous reports on the topic, the quality and quantity of sexual health education in medical school has been minimally improved over the last several years. Aim of the work is to identify possible deficiencies in sexual health preparation within current medical education curriculum among United States allopathic, osteopathic, and Caribbean medical programs. Medical students (n=100) from three different medical program types, including United States allopathic (n=31), United States osteopathic (n=23), and Caribbean allopathic program (n=46), and years of study (1-4), were recruited informally and participated in a 15-question survey regarding their perceptions and experience of sexual health education, training, and preparation at their respective medical school. After obtaining informed consent, students completed this survey through a private form and the data was compared to students of different years, different programs, and different intended specialties. With a sample size of 100 students from three different medical school programs, it was clear that most schools provide some level of sexual health education to students, however, in most cases, the education received was overall perceived as less than adequate by the students. Additionally, it was seen that almost every student indicated a need for their respective institution to provide additional training in both basic sciences as well as in their clinical education to feel more confident in their ability to discuss sexual health priorities with their patients. Current practices in medical education continue to fail to meet student expectations. To create more competent and confident physicians to adequately assist patients in their sexual health needs, more positive curriculum changes need to be made in order to establish a new, higher standard for quality of sexual health care. Small changes at the pre-clinical and clinical level can improve overall student preparedness and confidence when discussing sexual health with patients.
References
Komlenac N, Siller H, Hochleitner M. Medical students indicate the need for increased sexuality education at an Austrian Medical University. Sex Med. 2019;7(3):318-25. doi: https://doi.org/10.1016/j.esxm.2019.04.002
Beebe S, Payne N, Posid T, Diab D, Horning P, Scimeca A, et al. The lack of sexual health education in medical training leaves students and residents feeling unprepared. J Sex Med. 2021;18(12):1998-2004. doi: https://doi.org/10.1016/j.jsxm.2021.09.011
Mahabamunuge J, Morel K, Budrow J, Tounkel I, Hart C, Briskin C, et al. Increasing medical student con-fidence in gender and sexual health through a student-initiated lecture series. J Adv Med Educ Prof. 2021;9(4):189-96. doi: https://doi.org/10.30476/JAMP.2021.90099.1398
Mains-Mason JB, Ufomata E, Peebles JK, Dhar CP, Sequeira G, Miller R, et al. Knowledge retention and clinical skills acquisition in sexual and gender minority health curricula: a systematic review. Acad Med. 2022;97(12):1847-53. doi: https://doi.org/10.1097/ACM.0000000000004768
Goh PH, Phuah LA, Hidayat W, Mathew C, Elias A, Jambunathan PK, et al. Comfort in sexual health com-munication among medical students: evaluating the efficacy of an online reflective workshop. Sex Educ. 2023;1-17. doi: https://doi.org/10.1080/14681811.2023.2244447
Warner C, Carlson S, Crichlow R, Ross MW. Sexual health knowledge of U.S. medical students: a national survey. J Sex Med. 2018;15(8):1093-102. doi: https://doi.org/10.1016/j.jsxm.2018.05.019
French V, Steinauer J. Sexual and reproductive health teaching in undergraduate medical education: a narrative review. Int J Gynaecol Obstet. 2023;163(1):23-30. doi: https://doi.org/10.1002/ijgo.14759
Duh E, Medina SP, Coppersmith N, Adjei N, Roberts MB, Magee S. Sex ed by Brown Med: a student-run curriculum and its impact on sexual health knowledge. Fam Med. 2017;49(10):785-8. PMID: 29190404
Zhao J, Li Y, Wang X, Wang Z, Yu S, Li T. Assessment of knowledge, attitude, and practice of sexual health among students in a Chinese medical college: a cross-sectional study. Sex Med. 2023;11(2):qfad015. doi: https://doi.org/10.1093/sexmed/qfad015
Olímpio LM, Spessoto LCF, Fácio Jr FN. Sexual health education among undergraduate students of medicine. Trans Androl Urol. 2020;9(2):510-5. doi: https://doi.org/10.21037/tau.2020.02.13
Ross MW, Bayer CR, Shindel A, Coleman E. Evaluating the impact of a medical school cohort sexual health course on knowledge, counseling skills and sexual attitude change. BMC Med Edu. 2021;21(1):37. doi: https://doi.org/10.1186/s12909-020-02482-x
Shindel AW, Baazeem A, Eardley I, Coleman E. Sexual health in undergraduate medical education: existing and future needs and platforms. J Sex Med. 2016;13(7):1013-26. doi: https://doi.org/10.1016/j.jsxm.2016.04.069
Okten C, Gezgin Yazici H. Validity and reliability of the Turkish version of the COVID-19-Impact on Quality of Life Scale. Galician Med J. 2022;29(2):E202224. doi: https://doi.org/10.21802/gmj.2022.2.4
Criniti S, Andelloux M, Woodland MB, Montgomery OC, Hartmann SU. The state of sexual health educa¬tion in U.S. medicine. Am J Sex Educ. 2014;9(1):65-80. doi: https://doi.org/10.1080/15546128.2013.854007
Henrich JB, Viscoli CM, Abraham GD. Medical students’ assessment of education and training in women’s health and in sex and gender differences. J Womens Health (Larchmt). 2008;17(5):815-27. doi: https://doi.org/10.1089/jwh.2007.0589
Friedlander R, Mou S, Shearer L. Diversity in reproductive health and human sexuality: assessing attitudes comfort and knowledge in learners before and after pilot curriculum. Fam Med. 2021;53(5):362-5. doi: https://doi.org/10.22454/FamMed.2021.456130
McGarvey E, Peterson C, Pinkerton R, Keller A, Clayton A. Medical students’ perceptions of sexual health issues prior to a curriculum enhancement. Int J Impot Res. 2003;15(S5):S58-66. doi: https://doi.org/10.1038/sj.ijir.3901074
Bourne SJF, Lee CM, Taliaferro E, Zhang AY, Dalomb NF, Panton C, et al. Impact of teaching sexual health education on medical students. Fam Med. 2020;52(7):518-22. doi: https://doi.org/10.22454/FamMed.2020.939791
Gordon EG. A medical education recommendation for improving sexual health and humanism and profes-sionalism. Sex Med Rev. 2021;9(1):23-35. doi: https://doi.org/10.1016/j.sxmr.2020.10.002
Aburto-Arciniega MB, Escamilla-Santiago RA, Díaz-Olavarrieta CA, Fajardo-Dolci G, Urrutia-Aguilar MaE, Arce-Cedeño A, et al. Sexual health educational intervention in medical students. Gac Med Mex. 2023;156(2):164-170. doi: https://doi.org/10.24875/GMM.M20000354
Saab R, Habib PA, Hamdan M, El Hayek R, Daher D, El Hage Hassan M, et al. Assessing the knowledge, attitudes, and practices of graduating medical students to¬wards sexual health in Lebanon. Int J Gynaecol Obstet. 2022;161(1):51-6. doi: https://doi.org/10.1002/ijgo.14601
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