Sarah E Stumbar1, Nana Aisha Garba1, Marisyl de la Cruz2, Prasad Bhoite1, Matthew Holley3, Christine Adams4, Anna Virani1, Neelima Kale5. 1. Department of Humanities, Health, and Society, Herbert Wertheim College of Medicine, Florida International University, Miami, FL. 2. Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA. 3. Department of Family Medicine, Indiana University School of Medicine, Indianapolis, IN. 4. Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, FL. 5. University of Texas Southwestern Medical School Department of Family Medicine, Dallas, TX.
Abstract
INTRODUCTION: With growing efforts to provide comprehensive and inclusive sexual health care, family medicine clerkships are well positioned to educate learners about a spectrum of related topics. This study investigated the current state of sexual health instruction in family medicine clerkships, including specific factors impacting its delivery. METHODS: Questions about sexual health curricula were created and included as part of the 2020 Council of Academic Family Medicine's Educational Research Alliance survey of family medicine clerkship directors. The survey was distributed via email to 163 recipients between June 1, 2020 and June 25, 2020. RESULTS: One hundred five (64.42%) of 163 clerkship directors responded to the survey. Our results revealed that during family medicine clerkships, family planning, contraception, and pregnancy options counseling are covered significantly more often than topics related to sexual dysfunction and satisfaction and LGBTQ+ health. Most clerkship directors (91.5%) reported less than 5 hours of sexual health training in their curriculum. Those with more dedicated sexual health curricular hours were more likely to include simulation. Lack of time (41.7%) was the most frequently reported barrier to incorporating sexual health content into the clerkship. CONCLUSIONS: Coverage of sexual health topics during the family medicine clerkship is limited in scope and delivery. To support curricular development and integration, future studies should more thoroughly examine the factors influencing the inclusion of sexual health content in family medicine clerkships as well as the development of assessment methods to determine competency.
INTRODUCTION: With growing efforts to provide comprehensive and inclusive sexual health care, family medicine clerkships are well positioned to educate learners about a spectrum of related topics. This study investigated the current state of sexual health instruction in family medicine clerkships, including specific factors impacting its delivery. METHODS: Questions about sexual health curricula were created and included as part of the 2020 Council of Academic Family Medicine's Educational Research Alliance survey of family medicine clerkship directors. The survey was distributed via email to 163 recipients between June 1, 2020 and June 25, 2020. RESULTS: One hundred five (64.42%) of 163 clerkship directors responded to the survey. Our results revealed that during family medicine clerkships, family planning, contraception, and pregnancy options counseling are covered significantly more often than topics related to sexual dysfunction and satisfaction and LGBTQ+ health. Most clerkship directors (91.5%) reported less than 5 hours of sexual health training in their curriculum. Those with more dedicated sexual health curricular hours were more likely to include simulation. Lack of time (41.7%) was the most frequently reported barrier to incorporating sexual health content into the clerkship. CONCLUSIONS: Coverage of sexual health topics during the family medicine clerkship is limited in scope and delivery. To support curricular development and integration, future studies should more thoroughly examine the factors influencing the inclusion of sexual health content in family medicine clerkships as well as the development of assessment methods to determine competency.
Authors: Carey Roth Bayer; Kristen L Eckstrand; Gail Knudson; Jean Koehler; Scott Leibowitz; Perry Tsai; Jamie L Feldman Journal: J Sex Med Date: 2017-02-12 Impact factor: 3.802
Authors: Alan W Shindel; Kathryn A Ando; Christian J Nelson; Benjamin N Breyer; Tom F Lue; James F Smith Journal: Acad Med Date: 2010-08 Impact factor: 6.893
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
Authors: Juno Obedin-Maliver; Elizabeth S Goldsmith; Leslie Stewart; William White; Eric Tran; Stephanie Brenman; Maggie Wells; David M Fetterman; Gabriel Garcia; Mitchell R Lunn Journal: JAMA Date: 2011-09-07 Impact factor: 56.272