Special-“T” Training: Extended Follow-up Results from a Residency-Wide Professionalism Workshop on Transgender Health

Objective Transgender people face unique challenges when accessing health care, including stigma and discrimination. Most residency programs devote little time to this marginalized population. Methods The authors developed a 90-min workshop to enhance residents’ ability to empathize with and profess...

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Bibliographic Details
Published in:Academic psychiatry 2016-10, Vol.40 (5), p.802-806
Main Authors: Kidd, Jeremy D., Bockting, Walter, Cabaniss, Deborah L., Blumenshine, Philip
Format: Article
Language:English
Subjects:
Adolescents
Clinical Competence
Didacticism
Education, Medical, Graduate - methods
Empathy
Females
Follow-Up Studies
Gender Discrimination
Gender identity
Gender Issues
Graduate Medical Education
Healthcare Disparities
Humans
In Brief Report
Internship and Residency
Medical Education
Medicine
Medicine & Public Health
Minority Groups
Modeling (Psychology)
Motivation
Negative Attitudes
Patients
Personality Problems
Prejudice - prevention & control
Professionalism
Professionalism - education
Psychiatry
Psychiatry - education
Psychotherapy
Resistance (Psychology)
Sex Role
Sexual Identity
Sexual orientation
Social Stigma
Suicides & suicide attempts
Transgender Persons
Vignettes
Volunteers
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Summary:Objective Transgender people face unique challenges when accessing health care, including stigma and discrimination. Most residency programs devote little time to this marginalized population. Methods The authors developed a 90-min workshop to enhance residents’ ability to empathize with and professionally treat transgender patients. Attendees completed pre-, post, and 90-day follow-up surveys to assess perceived empathy, knowledge, comfort, interview skill, and motivation for future learning. Results Twenty-two residents (64.7 %) completed pre- and post-workshop surveys; 90.9 % of these completed the 90-day follow-up. Compared to baseline, there were statistically significant post-workshop increases in perceived empathy, knowledge, comfort, and motivation for future learning. However on 90-day follow-up, there were no statistically significant differences across any of the five domains, compared to baseline. Conclusions This workshop produced significant short-term increases in resident professionalism toward transgender patients. However, extended follow-up results highlight the limitations of one-time interventions and call for recurrent programming to yield durable improvements.
ISSN:1042-9670
1545-7230
DOI:10.1007/s40596-016-0570-7