Emilijus Žilinskas, Sigita Lesinskienė
Suicide literacy and attitudes toward psychological help-seeking: a cross-sectional study of students
The Journal of international medical research
aim study identify barriers genderaffirming health care education providers perspectives patients providers qualitative study based grounded theory conducted participants included transgender gender diverse tgd patients seeking care well resident physicians attending physicians involved care patients seeking genderaffirming care semistructured interviews conducted zoom application telephone calls study conducted boston massachusetts usa november 2022 february 2023 nine attending physicians eight resident physicians fifteen patients interviewed attending physicians noted barriers include lack formal training medical school residency lack adequate opportunities faculty development appropriately train resident physicians lack opportunities trainees provide dedicated clinical care lack community engagement initiatives need additional training centered cultural sensitivity inclusivity resident physicians noted lack robust longitudinal didactic curriculum deficiency dedicated clinical time inadequacy interprofessional training major barriers training noted generally felt unprepared care tgd patients patients barriers included difficulty building trust medical providers knowledge skills addressed incorrect names pronouns lacking sense belonging patient well difficulty arranging care due lack centralized care system barriers genderaffirming education include lack adequate formal training lack professional development opportunities inadequacy multidisciplinary approach treatment education inadequacy cultural sensitivity training findings qualitative study based interviews may help facilitate addressing barriers creation routine lecturebased didactic opportunities providers investment faculty development creation genderaffirming clinics providing opportunities trainees provide longitudinal care tgd patients creation interdisciplinary training modules community engagement implementation multidisciplinary care model may help improve genderaffirming care longrun