The topics of ethics and professionalism in anatomy have only recently gained prominence within the discipline, reflecting trends in medical and health professions education and an increasing awareness of societal expectations around the use of the dead. Educators in anatomy have had limited access to specific resources and no established communities of practice to support their understanding and teaching of these subjects. This article traces the journey of three anatomy educators who addressed this gap by developing dedicated educational resources for use in anatomy teaching. The initiative began in 2020 with the creation of a suite of freely available resources designed to provide accessible, engaging content for educators. Next, the project expanded to include quarterly webinars to facilitate dialog and knowledge exchange, as well as in person sessions at anatomical conferences that have fostered professional networking and collaborations. Over time, what began as a resource-driven initiative evolved into a broader movement. By 2025, this journey has culminated in the establishment of an active community of practice and the adoption of the moniker "Bioethics Unicorns" that has come to represent the initiative. This article reflects on the stages of this journey, the development of the resources and community of practice, and provides advice for those wishing to develop educational initiatives for education in their own communities.
{"title":"From concept to community of practice in anatomical ethics and professionalism: 5 years of the \"Bioethics Unicorns\" education initiative.","authors":"Jon Cornwall, Sabine Hildebrandt, Thomas Champney","doi":"10.1002/ase.70197","DOIUrl":"https://doi.org/10.1002/ase.70197","url":null,"abstract":"<p><p>The topics of ethics and professionalism in anatomy have only recently gained prominence within the discipline, reflecting trends in medical and health professions education and an increasing awareness of societal expectations around the use of the dead. Educators in anatomy have had limited access to specific resources and no established communities of practice to support their understanding and teaching of these subjects. This article traces the journey of three anatomy educators who addressed this gap by developing dedicated educational resources for use in anatomy teaching. The initiative began in 2020 with the creation of a suite of freely available resources designed to provide accessible, engaging content for educators. Next, the project expanded to include quarterly webinars to facilitate dialog and knowledge exchange, as well as in person sessions at anatomical conferences that have fostered professional networking and collaborations. Over time, what began as a resource-driven initiative evolved into a broader movement. By 2025, this journey has culminated in the establishment of an active community of practice and the adoption of the moniker \"Bioethics Unicorns\" that has come to represent the initiative. This article reflects on the stages of this journey, the development of the resources and community of practice, and provides advice for those wishing to develop educational initiatives for education in their own communities.</p>","PeriodicalId":124,"journal":{"name":"Anatomical Sciences Education","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146148592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1152/advan.00213.2025
Alex M Champagne, Sabrina E Dunning, Maryam H Mahmoud, Elissa T Fisher, Sara N Shah, Heidi E Walsh
Participation in scientific meetings confers many benefits to undergraduate students and promotes their success and retention in science. However, the cost and time required to attend a scientific meeting is often prohibitive for students, and university funding is often restricted to students presenting research. Small regional scientific meetings offer an opportunity to promote non-presenting undergraduate attendance because of their reduced registration fees and travel time, but the benefits of attending regional scientific meetings have not been extensively studied. We recruited 45 non-presenting undergraduate students to attend the annual meeting of the Indiana Physiological Society and provided students with pre- and post-meeting surveys measuring self-perceptions of their professional abilities, sense of belonging in science, confidence in their degree program and career pathway, and reflections on the conference experience. Additionally, because non-presenting undergraduates made up nearly half of all meeting attendees, we surveyed other meeting attendees to assess the impact of these students on the meeting environment. After attending the meeting, students reported increased confidence talking to other scientists and presenting future research, a greater sense of belonging within the scientific community, more interest in pursuing research after graduation, and increased enthusiasm to attend future meetings. Other meeting attendees felt that the non-presenting undergraduates had a positive impact on the meeting and enhanced the environment for student presenters. Our results suggest that the attendance of non-presenting undergraduates at small regional scientific meetings provides mutual benefits to students, universities, and regional scientific societies.
{"title":"Mutual gains: Non-presenting undergraduate attendance at regional scientific meetings benefits students and scientific societies.","authors":"Alex M Champagne, Sabrina E Dunning, Maryam H Mahmoud, Elissa T Fisher, Sara N Shah, Heidi E Walsh","doi":"10.1152/advan.00213.2025","DOIUrl":"https://doi.org/10.1152/advan.00213.2025","url":null,"abstract":"<p><p>Participation in scientific meetings confers many benefits to undergraduate students and promotes their success and retention in science. However, the cost and time required to attend a scientific meeting is often prohibitive for students, and university funding is often restricted to students presenting research. Small regional scientific meetings offer an opportunity to promote non-presenting undergraduate attendance because of their reduced registration fees and travel time, but the benefits of attending regional scientific meetings have not been extensively studied. We recruited 45 non-presenting undergraduate students to attend the annual meeting of the Indiana Physiological Society and provided students with pre- and post-meeting surveys measuring self-perceptions of their professional abilities, sense of belonging in science, confidence in their degree program and career pathway, and reflections on the conference experience. Additionally, because non-presenting undergraduates made up nearly half of all meeting attendees, we surveyed other meeting attendees to assess the impact of these students on the meeting environment. After attending the meeting, students reported increased confidence talking to other scientists and presenting future research, a greater sense of belonging within the scientific community, more interest in pursuing research after graduation, and increased enthusiasm to attend future meetings. Other meeting attendees felt that the non-presenting undergraduates had a positive impact on the meeting and enhanced the environment for student presenters. Our results suggest that the attendance of non-presenting undergraduates at small regional scientific meetings provides mutual benefits to students, universities, and regional scientific societies.</p>","PeriodicalId":50852,"journal":{"name":"Advances in Physiology Education","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1177/00144029251413482
Bradley S. Witzel, Jonté A. Myers, Pamela J. Mims
Specially Designed Instruction (SDI) is a legal and educational mandate that ensures students with disabilities receive individualized, evidence-based interventions to enhance their academic and behavioral outcomes. However, SDI is inconsistently implemented due to varying state policies, limited educator guidance, and disparities in defining research or evidence-based practices (EBPs). This study examined how state laws define and regulate SDI as well as incorporate EBPs to ensure instructional fidelity. We systematically analyzed state laws and policies to identify similarities, gaps, and inconsistencies within definitions of SDI, EBPs, and recommended instructional strategies. Findings indicate the need for a standardized definition of SDI, more precise policy guidance as to the planning and delivery of EBPs, and enhanced educator training to improve student outcomes.
{"title":"How are States Guiding Educators’ Implementation of Specially Designed Instruction: A Policy Documentation Review","authors":"Bradley S. Witzel, Jonté A. Myers, Pamela J. Mims","doi":"10.1177/00144029251413482","DOIUrl":"https://doi.org/10.1177/00144029251413482","url":null,"abstract":"Specially Designed Instruction (SDI) is a legal and educational mandate that ensures students with disabilities receive individualized, evidence-based interventions to enhance their academic and behavioral outcomes. However, SDI is inconsistently implemented due to varying state policies, limited educator guidance, and disparities in defining research or evidence-based practices (EBPs). This study examined how state laws define and regulate SDI as well as incorporate EBPs to ensure instructional fidelity. We systematically analyzed state laws and policies to identify similarities, gaps, and inconsistencies within definitions of SDI, EBPs, and recommended instructional strategies. Findings indicate the need for a standardized definition of SDI, more precise policy guidance as to the planning and delivery of EBPs, and enhanced educator training to improve student outcomes.","PeriodicalId":48164,"journal":{"name":"Exceptional Children","volume":"24 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146146028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1177/00144029251410299
Daniel R. Espinas, Alexis Swanz, Allyson L. Hanson, Jessica A. R. Logan
We conducted a systematic review of missing data handling and reporting in a 1-year cross-section (2020) of group design special education intervention research. We identified 121 intervention studies. Of these 72 (60%) reported missing data at the case, variable, or item level. Few studies examined the mechanism underlying their missing data and most handled the missingness with either complete case analysis (listwise) or pairwise deletion. We discuss the implications of these findings and offer recommendations for improved reporting and handling methods.
{"title":"Missing Data Reporting and Handling in Special Education Group Intervention Research","authors":"Daniel R. Espinas, Alexis Swanz, Allyson L. Hanson, Jessica A. R. Logan","doi":"10.1177/00144029251410299","DOIUrl":"https://doi.org/10.1177/00144029251410299","url":null,"abstract":"We conducted a systematic review of missing data handling and reporting in a 1-year cross-section (2020) of group design special education intervention research. We identified 121 intervention studies. Of these 72 (60%) reported missing data at the case, variable, or item level. Few studies examined the mechanism underlying their missing data and most handled the missingness with either complete case analysis (listwise) or pairwise deletion. We discuss the implications of these findings and offer recommendations for improved reporting and handling methods.","PeriodicalId":48164,"journal":{"name":"Exceptional Children","volume":"92 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146146029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1017/s0265051726100679
Anna Bull
In 2024, the Women and Equalities Select Committee in the UK Parliament published a report entitled Misogyny in Music . It included the recommendations that ‘music colleges, conservatoires and other educational settings need to do more to address the gendering of instruments, roles and genres and improve the visibility of and support for female role models’. While there is a dearth of policy levers available to implement this recommendation, this article critically analyses three existing policy/regulatory frameworks that could be used for its implementation in England. The article also highlights a significant limitation of the report – its exclusion of trans and non-binary musicians.
{"title":"Exploring implementation of the UK Misogyny in Music report’s recommendations to address gender inequalities in music education in England","authors":"Anna Bull","doi":"10.1017/s0265051726100679","DOIUrl":"https://doi.org/10.1017/s0265051726100679","url":null,"abstract":"In 2024, the Women and Equalities Select Committee in the UK Parliament published a report entitled <jats:italic>Misogyny in Music</jats:italic> . It included the recommendations that ‘music colleges, conservatoires and other educational settings need to do more to address the gendering of instruments, roles and genres and improve the visibility of and support for female role models’. While there is a dearth of policy levers available to implement this recommendation, this article critically analyses three existing policy/regulatory frameworks that could be used for its implementation in England. The article also highlights a significant limitation of the report – its exclusion of trans and non-binary musicians.","PeriodicalId":54192,"journal":{"name":"British Journal of Music Education","volume":"5 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146146000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alison L McKenzie, Joseph Anthony Reyes, Gary Gaufo
{"title":"Marian Diamond: Creator of an enriched environment for future neuroscience educators.","authors":"Alison L McKenzie, Joseph Anthony Reyes, Gary Gaufo","doi":"10.1002/ase.70199","DOIUrl":"https://doi.org/10.1002/ase.70199","url":null,"abstract":"","PeriodicalId":124,"journal":{"name":"Anatomical Sciences Education","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146148526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1016/j.tate.2026.105436
Yanjie Diao, Chao Cheng
This study examines how novice primary school teachers in China negotiate agency through emotional labor amid the dual bind of culture and institution. Drawing on interviews with 13 novice teachers, the analysis highlights two native terms from teachers’ everyday discourse: liangxin huo (“work of conscience”), reflecting moralized ideals of teaching, and ku chaishi (“bitter tasks”), expressing the strains of accountability regimes. Findings show that novices neither simply complied with nor resisted these pressures but engaged in subtle negotiations—recalibrating care, setting emotional boundaries, and reframing performance as professional competence. Such strategies reveal emotional labor as the management of feeling through which agency is both constrained and enabled, moving beyond a resistance–compliance binary. By situating novices’ experiences within the intersection of institutional accountability and cultural ideals, the study contributes to international debates on teacher emotions and professional socialization.
{"title":"Negotiating agency at the intersection of culture and accountability: Exploring the emotional labor of novice teachers in China","authors":"Yanjie Diao, Chao Cheng","doi":"10.1016/j.tate.2026.105436","DOIUrl":"10.1016/j.tate.2026.105436","url":null,"abstract":"<div><div>This study examines how novice primary school teachers in China negotiate agency through emotional labor amid the dual bind of culture and institution. Drawing on interviews with 13 novice teachers, the analysis highlights two native terms from teachers’ everyday discourse: <em>liangxin huo</em> (“work of conscience”), reflecting moralized ideals of teaching, and <em>ku chaishi</em> (“bitter tasks”), expressing the strains of accountability regimes. Findings show that novices neither simply complied with nor resisted these pressures but engaged in subtle negotiations—recalibrating care, setting emotional boundaries, and reframing performance as professional competence. Such strategies reveal emotional labor as the management of feeling through which agency is both constrained and enabled, moving beyond a resistance–compliance binary. By situating novices’ experiences within the intersection of institutional accountability and cultural ideals, the study contributes to international debates on teacher emotions and professional socialization.</div></div>","PeriodicalId":48430,"journal":{"name":"Teaching and Teacher Education","volume":"175 ","pages":"Article 105436"},"PeriodicalIF":3.9,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146147670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1152/advan.00274.2025
Laura Machin Galarza
Understanding immunology requires assimilating a considerable amount of theory. However, adapting the narrative of immunological processes from a human perspective and using accessible language can facilitate an authentic connection with the content, promoting creative teaching. From this viewpoint, an innovative format of micro-narratives is presented: the educational pitch-stories. These communication strategies can motivate while addressing complex topics in a short time. Those introduced here explain the activation, movement, and communication of cells through different manifestations of resilience: the creative resilience of neutrophils, physical resilience in cellular trafficking, and built resilience in the germinal center. This kind of trailer can organize and energize lectures, making the teaching-learning process a more motivating, engaging, meaningful, and flexible experience. From this perspective, new educational tools that combine creativity, shortness, and precision are suggested to guide students toward an understanding of the dynamics of immune responses.
{"title":"Making Immunology memorable: resilience-inspired pitch-stories to launch lectures.","authors":"Laura Machin Galarza","doi":"10.1152/advan.00274.2025","DOIUrl":"https://doi.org/10.1152/advan.00274.2025","url":null,"abstract":"<p><p>Understanding immunology requires assimilating a considerable amount of theory. However, adapting the narrative of immunological processes from a human perspective and using accessible language can facilitate an authentic connection with the content, promoting creative teaching. From this viewpoint, an innovative format of micro-narratives is presented: the educational pitch-stories. These communication strategies can motivate while addressing complex topics in a short time. Those introduced here explain the activation, movement, and communication of cells through different manifestations of resilience: the creative resilience of neutrophils, physical resilience in cellular trafficking, and built resilience in the germinal center. This kind of trailer can organize and energize lectures, making the teaching-learning process a more motivating, engaging, meaningful, and flexible experience. From this perspective, new educational tools that combine creativity, shortness, and precision are suggested to guide students toward an understanding of the dynamics of immune responses.</p>","PeriodicalId":50852,"journal":{"name":"Advances in Physiology Education","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-09DOI: 10.1177/00144029251411003
Bryan G. Cook, Jesse I. Fleming, Tess Fruchtman, Katie Kostin, Amy K. Wasersztein, Danielle A. Waterfield, Suzanne McClain, Nathan P. Welker, Bruna F. Gonçalves, Francis Corr, Olivia Wallace, Stephanie Tatel, Amanda Eiser Hess
Access to published, peer-reviewed articles in special education is important to researchers and practitioners alike. However, much of the published literature base lies behind paywalls, inaccessible to many potential consumers. Although researchers can make their published work openly accessible in multiple ways, there is limited information on (a) the prevalence of open-access publishing, (b) predictors of open-access publishing, and (c) the costs of and options for accessing paywalled articles in special education. To address these gaps in the literature, we conducted a bibliometric analysis examining articles published in 2022 in 43 special education journals ( n = 1,678). In all, 55% of articles were openly accessible; results of a series of two-level logistic regression models indicated that funding for research, non-U.S. corresponding authors, and journal impact factor were positively associated with open-access publishing; and the average cost to access a paywalled article was approximately $36. Implications for equity, scientific progress, and the research-to-practice gap are discussed.
{"title":"Open-Access Publishing in Special Education Journals: A Multi-Level Bibliometric Analysis","authors":"Bryan G. Cook, Jesse I. Fleming, Tess Fruchtman, Katie Kostin, Amy K. Wasersztein, Danielle A. Waterfield, Suzanne McClain, Nathan P. Welker, Bruna F. Gonçalves, Francis Corr, Olivia Wallace, Stephanie Tatel, Amanda Eiser Hess","doi":"10.1177/00144029251411003","DOIUrl":"https://doi.org/10.1177/00144029251411003","url":null,"abstract":"Access to published, peer-reviewed articles in special education is important to researchers and practitioners alike. However, much of the published literature base lies behind paywalls, inaccessible to many potential consumers. Although researchers can make their published work openly accessible in multiple ways, there is limited information on (a) the prevalence of open-access publishing, (b) predictors of open-access publishing, and (c) the costs of and options for accessing paywalled articles in special education. To address these gaps in the literature, we conducted a bibliometric analysis examining articles published in 2022 in 43 special education journals ( <jats:italic toggle=\"yes\">n</jats:italic> = 1,678). In all, 55% of articles were openly accessible; results of a series of two-level logistic regression models indicated that funding for research, non-U.S. corresponding authors, and journal impact factor were positively associated with open-access publishing; and the average cost to access a paywalled article was approximately $36. Implications for equity, scientific progress, and the research-to-practice gap are discussed.","PeriodicalId":48164,"journal":{"name":"Exceptional Children","volume":"247 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146146027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-08DOI: 10.1080/10401334.2026.2626313
Alex Misiaszek, Abigail Konopasky, Frances Lim-Liberty
Transgender and gender nonconforming (TGNC) individuals in the United States have faced escalating legislative hostility for more than a decade, with a marked acceleration following the legalization of marriage equality in 2015. Federal executive actions and state-level policies enacted in early 2025 represent an unprecedented escalation of this trend, sharply restricting access to gender-affirming care, legal recognition, and diversity, equity, inclusion, and belonging (DEIB) protections. Collectively, these actions constitute a policy-driven public health disaster with profound and potentially life-threatening consequences for TGNC communities. In this perspective, we reframe the current political climate as a policy disaster analogous to natural disasters, arguing that it demands an urgent, coordinated response from health professions educators and institutions. Drawing on disaster scholarship describing the disproportionate harms faced by LGBTQ+ communities during natural disasters, we propose a three-tiered framework for response grounded in cultural humility and critical resistance: (1) integration of structural competency, cultural humility, and advocacy training across undergraduate, graduate, and continuing medical education to prepare clinicians as frontline responders; (2) institutional efforts to address power imbalances and maintain healthcare access for TGNC individuals who are uninsured, undocumented, or living in hostile policy environments; and (3) development of mutually beneficial partnerships with TGNC-led community organizations that often deliver higher-trust and more adaptive care than traditional systems. Through narrative and critical analysis, we argue that medical education must move beyond neutrality to actively resist structural violence. In the absence of state protection, academic medical institutions have both the ethical responsibility and practical capacity to serve as a critical line of defense, mobilizing education, infrastructure, and community partnership to safeguard TGNC health during this unfolding policy disaster.
{"title":"The Curriculum of Resistance: Medical Education as a Critical Line of Defense Against Policy Disaster for Transgender and Gender Nonconforming Individuals.","authors":"Alex Misiaszek, Abigail Konopasky, Frances Lim-Liberty","doi":"10.1080/10401334.2026.2626313","DOIUrl":"https://doi.org/10.1080/10401334.2026.2626313","url":null,"abstract":"<p><p>Transgender and gender nonconforming (TGNC) individuals in the United States have faced escalating legislative hostility for more than a decade, with a marked acceleration following the legalization of marriage equality in 2015. Federal executive actions and state-level policies enacted in early 2025 represent an unprecedented escalation of this trend, sharply restricting access to gender-affirming care, legal recognition, and diversity, equity, inclusion, and belonging (DEIB) protections. Collectively, these actions constitute a policy-driven public health disaster with profound and potentially life-threatening consequences for TGNC communities. In this perspective, we reframe the current political climate as a policy disaster analogous to natural disasters, arguing that it demands an urgent, coordinated response from health professions educators and institutions. Drawing on disaster scholarship describing the disproportionate harms faced by LGBTQ+ communities during natural disasters, we propose a three-tiered framework for response grounded in cultural humility and critical resistance: (1) integration of structural competency, cultural humility, and advocacy training across undergraduate, graduate, and continuing medical education to prepare clinicians as frontline responders; (2) institutional efforts to address power imbalances and maintain healthcare access for TGNC individuals who are uninsured, undocumented, or living in hostile policy environments; and (3) development of mutually beneficial partnerships with TGNC-led community organizations that often deliver higher-trust and more adaptive care than traditional systems. Through narrative and critical analysis, we argue that medical education must move beyond neutrality to actively resist structural violence. In the absence of state protection, academic medical institutions have both the ethical responsibility and practical capacity to serve as a critical line of defense, mobilizing education, infrastructure, and community partnership to safeguard TGNC health during this unfolding policy disaster.</p>","PeriodicalId":51183,"journal":{"name":"Teaching and Learning in Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.8,"publicationDate":"2026-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}