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Development and evaluation of a clinical simulation-based educational innovation on sexual orientation and gender identity in emergency medicine.

Authors :
Mohadeb J
Brueton-Campbell L
Doucet K
Reed A
Mitchell D
McColl T
Massarella C
Bigham B
Primiani N
Primavesi R
Kruse M
Souleymanov R
Klassen B
Brandt A
Dawson C
Gheorghica L
Prefontaine N
Crawford J
Kamabu S
Hrymak C
Leeies M
Source :
CJEM [CJEM] 2024 Jun; Vol. 26 (6), pp. 413-423. Date of Electronic Publication: 2024 May 04.
Publication Year :
2024

Abstract

Introduction: Sexual orientation and gender identity (SOGI)-diverse patients are marginalized and poorly cared for in the emergency department, yet well-designed educational interventions to meet this gap are lacking. We developed, implemented, and assessed a novel multi-modal SOGI curriculum on health and cultural humility for emergency medicine physician trainees.<br />Methods: We conducted a prospective, single-arm evaluation of our educational intervention. A convenience sample of emergency medicine resident physicians (nā€‰=ā€‰21) participated in the facilitated curriculum including didactic and clinical simulation components. Participants completed a pre- and post-curriculum evaluation that assessed clinical skills, preparedness, attitudinal awareness, and basic knowledge in caring for SOGI-diverse patients. The content of the module was based on a scoping literature review and national needs assessment of Canadian emergency physicians, educators, and trainees along with expert collaborator and input from patient/community partners. The curriculum included a facilitated pre-brief, didactic presentation, clinical simulation modules, and a structured de-brief. Participant clinical skills were evaluated before and after the educational intervention. Our primary outcome was change in clinical preparedness, attitudinal awareness, and basic knowledge in caring for SOGI-diverse patients pre- and post-intervention.<br />Results: Our patient-centered, targeted emergency medicine SOGI health and cultural humility training resulted in a significant improvement in resident self-rated clinical preparedness, attitudes, and knowledge in caring for SOGI-diverse patients. This training was valued by participants.<br />Conclusion: We have designed an effective, patient-centered curriculum in health and cultural humility for SOGI-diverse patients in EM. Other programs can consider using this model and developed resources in their jurisdictions to enhance provider capacities to care for this marginalized group.<br /> (© 2024. The Author(s), under exclusive licence to the Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU).)

Details

Language :
English
ISSN :
1481-8043
Volume :
26
Issue :
6
Database :
MEDLINE
Journal :
CJEM
Publication Type :
Academic Journal
Accession number :
38703266
Full Text :
https://doi.org/10.1007/s43678-024-00688-2