Korean J Med Educ.  2022 Dec;34(4):281-297. 10.3946/kjme.2022.237.

A qualitative study on the internal response of medical students during the transgender healthcare education: a focus on professional identity

Affiliations
  • 1Seoul National University Hospital, Seoul, Korea
  • 2Department of Human Systems Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 3Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea
  • 4Public Helathcare Center, Seoul National University Hospital, Seoul, Korea
  • 5Department of Obstetrics and Gynecology, National Medical Center, Seoul, Korea

Abstract

Purpose
This qualitative study examined the inner response of medical students who participated in a transgender healthcare education program. The factors that effected the inner response were investigated in order to suggest strategies for improving the effectiveness of the transgender healthcare education program.
Methods
The transgender healthcare education program consisted of 2 hours of lectures and 2 hours of clinical role-play over 3 weeks. Eight 4-year medical students in Seoul, South Korea, were selected considering gender, the route of admission to medical school, and religion. Each student was interviewed individually for approximately 30 minutes 3 times before, during, and after the educational program, and interviews were analyzed using thematic analysis.
Results
By attending the transgender healthcare education program, students have shown three types of inner response—confusion, acceptance, and negotiation. The students’ personal identities and professional identities influenced these responses. In particular, students’ existing professional identities motivated them to learn about transgender healthcare and played a key role in resolving the discomfort that occurred during the educational program. Through the transgender healthcare education, students were able to reduce prejudice against transgender people, understand the unique medical needs of the transgender population and increase their self-efficacy related to transgender health care.
Conclusion
The transgender healthcare education program allowed medical school students to acquire medical knowledge related to transgender patients and increase their cultural competence as future medical professionals. In addition, as the professional identity is critical in educating transgender healthcare, it should be considered thoroughly in order to effectively educate the medical students.

Keyword

Transgender persons; Health services for transgender persons; Undergraduate medical education; Health services accessibility
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