Introduction.: Medical education in sexual health in the United States and Canada is lacking. Medical students and practicing physicians report being underprepared to adequately address their patients' sexual health needs. Recent studies have shown little instruction on sexual health in medical schools and little consensus around the type of material medical students should learn. To address and manage sexual health issues, medical students need improved education and training. Aim.: This meeting report aims to present findings from a summit on the current state of medical school education in sexual health and provides recommended strategies to better train physicians to address sexual health. Methods.: To catalyze improvements in sexual health education in medical schools, the summit brought together key U.S. and Canadian medical school educators, sexual health educators, and other experts. Attendees reviewed and discussed relevant data and potential recommendations in plenary sessions and then developed key recommendations in smaller breakout groups. Results.: Findings presented at the summit demonstrate that the United States and Canada have high rates of poor sexual health outcomes and that sexual health education in medical schools is variable and in some settings diminished. To address these issues, government, professional, and student organizations are working on efforts to promote sexual health. Several universities already have sexual health curricula in place. Evaluation mechanisms will be essential for developing and refining sexual health education. Conclusions.: To be effective, sexual health curricula need to be integrated longitudinally throughout medical training. Identifying faculty champions and supporting student efforts are strategies to increase sexual health education. Sexual health requires a multidisciplinary approach, and cross-sector interaction between various public and private entities can help facilitate change. Areas important to address include: core content and placement in the curriculum; interprofessional education and training for integrated care; evaluation mechanisms; faculty development and cooperative strategies. Initial recommendations were drafted for each.
Bibliographical noteFunding Information:
The authors gratefully acknowledge financial support for the summit from the University of Minnesota Medical School through the Joycelyn Elders Chair in Sexual Health Education at the Program in Human Sexuality, a Herz Grant, and the Office of Minority Affairs and Diversity. Special thanks to Jessie Ford who contributed greatly to the development of the meeting report, and Jenae Batt, Joe Gallego, Brigid Riley, and Duane Rost who contributed greatly to the coordination and documentation of the meeting. The authors also would like to acknowledge John Douglas and Robert Englander for their presentations and facilitation of discussions during the summit.
- Medical School Education
- Sexual Education
- Sexual Health