Female sexual dysfunction in undergraduate medical education: a survey of U.S. medical students.

IF 2.6 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Sexual Medicine Pub Date : 2023-08-01 DOI:10.1093/sexmed/qfad049
Brian Goddard, Benjamin Brucker
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Abstract

Background: Physicians often report low levels of confidence in diagnosing and treating female sexual dysfunction (FSD), which may stem from inadequate education and exposure to the topic.

Aim: The study sought to determine the extent to which FSD is covered in undergraduate medical education and evaluate student comfort with the topic and familiarity with treatments.

Methods: We created a novel, 50-question survey to be administered online to any current U.S. medical student. Obstetrician-gynecologist clerkship directors at 146 U.S. medical schools were contacted and asked to invite any current student at their school to participate. A link to the electronic REDCap (Research Electronic Data Capture) survey was distributed to eligible students via the clerkship directors. The survey collected data regarding (1) coverage of FSD and male sexual dysfunction (MSD) in preclinical and clinical curricula, (2) student self-ratings of comfort in hypothetical scenarios in which a patient exhibits symptoms of FSD or MSD, and (3) student familiarity with treatments for FSD and MSD.

Outcomes: Outcomes included the proportion of students reporting that their school covered FSD/MSD in its preclinical/clinical curriculum, the mean comfort ratings for each of the FSD and MSD scenarios, and the proportion of students indicating knowledge of various FSD and MSD treatments.

Results: A smaller proportion of students (N = 236) reported receiving instruction in FSD (58.5%) compared with MSD (78.4%) in their preclinical curriculum (P < .001). Students' average self-ratings of comfort in the sexual dysfunction scenarios were significantly lower for patients with symptoms of FSD compared with MSD (P < .001). Students had higher average self-ratings of confidence in FSD scenarios if their intended specialty was obstetrician-gynecologist (P = .003), if their school included FSD in its clinical curriculum (P = .01), and if they had ever participated in the care of a patient with FSD (P = .006).

Clinical implications: There are important gaps in the coverage of FSD in undergraduate medical education that may be mitigated through improvements to curriculum and increased exposure to patients with FSD.

Strengths and limitations: This is the first study, to our knowledge, to directly survey medical students regarding their educational experience and comfort with FSD. Our study was limited by a small sample size, the use of a novel and nonvalidated questionnaire, and the potential for bias given our sampling method.

Conclusion: Medical schools must work toward improving instruction in FSD for their students to address these disparities and improve students' comfort with the topic.

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本科医学教育中的女性性功能障碍:对美国医学生的调查。
背景:医生经常报告在诊断和治疗女性性功能障碍(FSD)方面的信心水平较低,这可能源于对该主题的教育和接触不足。目的:本研究旨在确定FSD在本科医学教育中的覆盖程度,并评估学生对该主题的适应程度和对治疗方法的熟悉程度。方法:我们创建了一个新颖的50个问题的在线调查,对任何当前的美国医科学生进行管理。研究人员联系了146所美国医学院的妇产科医生助理主任,并要求他们邀请所有在校学生参加。电子REDCap(研究电子数据采集)调查的链接已通过助理主任分发给符合条件的学生。调查收集了以下方面的数据:(1)FSD和男性性功能障碍(MSD)在临床前和临床课程中的覆盖范围;(2)学生在出现FSD或MSD症状的假设情况下的舒适度自评;以及(3)学生对FSD和MSD治疗的熟悉程度。结果:结果包括报告其学校在其临床前/临床课程中涵盖消防处/MSD的学生比例,消防处和MSD每种情景的平均舒适评分,以及表示了解各种消防处和MSD治疗方法的学生比例。结果:在临床前课程中,接受FSD指导的学生(N = 236)的比例(58.5%)低于MSD (78.4%) (P .001)。有FSD症状的学生在性功能障碍情境下的平均舒适自我评分明显低于MSD患者(P .001)。如果他们的预期专业是妇产科医生(P = 0.003),如果他们的学校将FSD纳入其临床课程(P = 0.01),如果他们曾经参与过FSD患者的护理(P = 0.006),那么他们对FSD情景的平均自信评分更高。临床意义:在本科医学教育中,FSD的覆盖范围存在重大差距,可以通过改进课程和增加对FSD患者的接触来缓解这一差距。优势和局限性:据我们所知,这是第一次直接调查医学生的教育经历和对FSD的舒适度。我们的研究受限于样本量小,使用了一种新颖且未经验证的问卷,以及我们的抽样方法可能存在偏倚。结论:医学院必须努力改善学生在FSD方面的教学,以解决这些差异,并提高学生对这个话题的舒适度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sexual Medicine
Sexual Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.40
自引率
0.00%
发文量
103
审稿时长
22 weeks
期刊介绍: Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.
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