Fernando Nestor Facio1,2,3, Maria Fernanda W Facio4. 1. Department of Urology, Medical School of São José do Rio Preto (FAMERP), Sao Jose do Rio Preto, SP, Brazil. 2. Head of Men's Health, Outpatient Clinic of Hospital de Base, São Jose Rio Preto, SP, Brazil. 3. Sexual Medicine, Johns Hopkins University, Baltimore, USA. 4. Medical School FACERES, São Jose Rio Preto, SP, Brazil.
Most medical students are interested in education about sexual medicine in the practice and they believe that sexual medicine should be included in medical school curricula (1). Due to the growing need for medical care for problems related to human sexuality, it has been-recommended that sexual medicine can be considered in medical courses. Based on these suggestions, sexual medicine should be taught using a multidisciplinary approach throughout the course. Furthermore, medical care providers have lacked qualification and understanding about sexual medicine and patients have criticized physicians because they rarely address sexuality issues (1,2).Recently, medical students in Brazil reported that the quality of sexual medicine instruction is insufficient with more than half of the students feeling that they do not have enough knowledge about human sexuality for their future positions as medical care providers (2).Hence, the time allocated to teaching sex education in undergraduate medical courses is often unsatisfactory to prepare doctors for their roles in treating sexual health problems which results in substantial dissatisfaction among medical students (3).This lack of preparation may be reflected in the daily clinical practice (3). One study shows that more than 90% of patients expect the doctor to initiate discussions on sexual health issues (4).This proves to be an important and fertile field to be developed in order to improve the expertise of professionals by the incorporation of discussions about sexual health in their medical training. In addition to medical education on pathological sexuality, future educational targets should include more discussions on healthy sexuality and its sociocultural significance. In this way, students’ wishes would be met and health care providers in all areas would be able to provide impartial, holistic and sensitive treatment of sexual problems.Sexual medicine has grown considerably as a specialty over the last 20 years, however regulatory aspects of training, assessment and certification are currently incipient and, in many respects, lagging behind scientific and clinical knowledge on the issue (5).There is interest in developing norms for the training of health professionals aimed at offering knowledge and facilitating learning, thereby enriching curricula and improving standards of care provided by physicians and health professionals involved in sexual medicine in undergraduate sexual medicine programs throughout the world (5).
Authors: Eli Coleman; Joycelyn Elders; David Satcher; Alan Shindel; Sharon Parish; Gretchen Kenagy; Carey Roth Bayer; Gail Knudson; Sheryl Kingsberg; Anita Clayton; Mitchell R Lunn; Elizabeth Goldsmith; Perry Tsai; Alexis Light Journal: J Sex Med Date: 2013-04 Impact factor: 3.802