Sexuality Education in North American Medical Schools: Current Status and Future Directions (CME)

Journal of Sexual Medicine

Volumn 10, Issue 1, 2013, Pages 3-18

  Shindel, Alan W ^a   Parish, Sharon J ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

Medical Education; Medical School; Medical Students; Sexuality Education

Indexed keywords

ABORTION; ARTICLE; BISEXUALITY; CONTRACEPTION; CURRICULUM; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; LEGAL ASPECT; LESBIAN; MALE HOMOSEXUAL; MEDICAL SCHOOL; MEDICAL STUDENT; MINORITY GROUP; NORTH AMERICA; PEER REVIEW; PRIORITY JOURNAL; PUBLIC HEALTH SERVICE; RAPE; ROLE PLAYING; SEXUAL BEHAVIOR; SEXUAL DYSFUNCTION; SEXUAL EDUCATION; SEXUAL FUNCTION; SEXUAL HEALTH; SEXUALLY TRANSMITTED DISEASE; STUDENT ATTITUDE; TRANSSEXUALISM; UNWANTED PREGNANCY;

EID: 84872863461     PISSN: 17436095     EISSN: 17436109     Source Type: Journal    
DOI: 10.1111/j.1743-6109.2012.02987.x     Document Type: Article

References (68)

1. Pan American Health Organization WHO, World Association for Sexology. Promotion of Sexual Health: Recommendations for Action. 2000: 1-58.
2. Lindau ST, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. N Engl J Med 2007;357:762-74.
3. Sadovsky R, Nusbaum M. Sexual health inquiry and support is a primary care priority. J Sex Med 2006;3:3-11.
4. Resnik M. What is sexual medicine? Int J Impot Res 2005;17:464.
5. NIH Panel on Impotence. NIH consensus conference. Impotence. JAMA 1993;270:83-90.
6. Lief H, Berman EM, eds. Sexual interviewing through the patient's life cycle. Chicago, IL, USA: American Medical Association; 1981.
7. Parish SJ, Clayton AH. Sexual medicine education: Review and commentary. J Sex Med 2007;4:259-67; quiz 68.
8. Wittenberg A, Gerber J. Recommendations for improving sexual health curricula in medical schools: Results from a two-arm study collecting data from patients and medical students. J Sex Med 2009;6:362-8.
9. Parish SJ, Rubio-Aurioles E. Education in sexual medicine: Proceedings from the international consultation in sexual medicine, 2009. J Sex Med 2010;7:3305-14.
10. McCance KL, Moser R Jr, Smith KR. A survey of physicians' knowledge and application of AIDS prevention capabilities. Am J Prev Med 1991;7:141-5.
11. Sobecki JN, Curlin FA, Rasinski KA, Lindau ST. What we don't talk about when we don't talk about sex: Results of a national survey of US obstetrician/gynecologists. J Sex Med 2012;9:1285-94.
12. Rosen R, Kountz D, Post-Zwicker T, Leiblum S, Wiegel M. Sexual communication skills in residency training: The Robert Wood Johnson model. J Sex Med 2006;3:37-46.
13. Merrill JM, Laux LF, Thornby JI. Why doctors have difficulty with sex histories. South Med J 1990;83:613-7.
14. McGarvey E, Peterson C, Pinkerton R, Keller A, Clayton A. Medical students' perceptions of sexual health issues prior to a curriculum enhancement. Int J Impot Res 2003;15(suppl 5):S58-66.
15. Shindel AW, Ando KA, Nelson CJ, Breyer BN, Lue TF, Smith JF. Medical student sexuality: How sexual experience and sexuality training impact U.S. and Canadian medical students' comfort in dealing with patients' sexuality in clinical practice. Acad Med 2010;85:1321-30.
16. Steinauer J, LaRochelle F, Rowh M, Backus L, Sandahl Y, Foster A. First impressions: What are preclinical medical students in the US and Canada learning about sexual and reproductive health? Contraception 2009;80:74-80.
17. Burd ID, Nevadunsky N, Bachmann G. Impact of physician gender on sexual history taking in a multispecialty practice. J Sex Med 2006;3:194-200.
18. Athanasiadis L, Papaharitou S, Salpiggidis G, Tsimtsiou Z, Nakopoulou E, Kirana PS, Moisidis K, Hatzichristou D. Educating physicians to treat erectile dysfunction patients: Development and evaluation of a course on communication and management strategies. J Sex Med 2006;3:47-55.
19. Ferrara E, Pugnaire MP, Jonassen JA, O'Dell K, Clay M, Hatern D, Carlin M. Sexual health innovations in undergraduate medical education. Int J Impot Res 2003;15(suppl 5):S46-50.
20. Ng CJ, McCarthy SA. Teaching medical students how to take a sexual history and discuss sexual health issues. Med J Malaysia 2002;57(suppl E):44-51.
21. Tsimtsiou Z, Hatzimouratidis K, Nakopoulou E, Kyrana E, Salpigidis G, Hatzichristou D. Predictors of physicians' involvement in addressing sexual health issues. J Sex Med 2006;3:583-8.
22. Bullard DG, Caplan H. Sexual problems. In: Feldman MD, Christensen JF, eds. Behavioral medicine in primary care: A practical guide. 2nd edition. Lange Medical Books/Mcgraw-Hill: Stamford, CT; 2002:274-92.
23. Shindel AW, Moser CA. Why are the paraphilias mental disorders? J Sex Med 2011;8:927-9.
24. Faulder GS, Riley SC, Stone N, Glasier A. Teaching sex education improves medical students' confidence in dealing with sexual health issues. Contraception 2004;70:135-9.
25. Labby D. Disturbances in the physician-patient relationship: Effects on sexual functioning. In: Lief HI, ed. Sexual problems in medical practice. American Medical Association: Chicago, IL; 1981:113-8.
26. Sandler B. The student and sex education. Lancet 1957;272:832-3.
27. Hartmann U, Burkart M. Erectile dysfunctions in patient-physician communication: Optimized strategies for addressing sexual issues and the benefit of using a patient questionnaire. J Sex Med 2007;4:38-46.
28. Politi MC, Clark MA, Armstrong G, McGarry KA, Sciamanna CN. Patient-provider communication about sexual health among unmarried middle-aged and older women. J Gen Intern Med 2009;24:511-6.
29. Sadovsky R, Alam W, Enecilla M, Cosiquien R, Tipu O, Etheridge-Otey J. Sexual problems among a specific population of minority women aged 40-80 years attending a primary care practice. J Sex Med 2006;3:795-803.
30. Nusbaum MR, Helton MR, Ray N. The changing nature of women's sexual health concerns through the midlife years. Maturitas 2004;49:283-91.
31. Laumann EO, Glasser DB, Neves RC, Moreira ED Jr. A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America. Int J Impot Res 2009;21:171-8.
32. Lief H, ed. Sexual education of the medical student: Implications for family planning. Baltimore, MD: Willam & Wilkins Co; 1970.
33. Eliot J, Houser CA. Medical education: Survey of status. In: Calderone MS, ed. Manual of family planning and contraceptive practice. Baltimore, MD: Williams Willkins Co; 1970:155-62.
34. Lief HI, Ebert RK. A survey of sex education in medical schools. New York: Spectrum Publications; 1976.
35. Lloyd JA, Steinberger E. Survey and analysis of educational efforts in reproductive biology and human sexuality in American medical schools. J Reprod Med 1980;24:17-21.
36. Solursh DS, Ernst JL, Lewis RW, Prisant LM, Mills TM, Solursh LP, Jarvis RG, Salazar WH. The human sexuality education of physicians in North American medical schools. Int J Impot Res 2003;15(suppl 5):S41-5.
37. Kingsberg SA, Malemud CJ, Novak T, Cole-Kelly K, Wile MZ, Spanos P, Nosek TM. A comprehensive approach to enhancing sexual health education in the Case Western Reserve University School of Medicine. Int J Impot Res 2003;15(suppl 5):S51-7.
38. Sack S, Drabant B, Perrin E. Communicating about sexuality: An initiative across the core clerkships. Acad Med 2002;77:1159-60.
39. Caro-Bruce E, Schoenfeld E, Nothnagle M, Taylor J. Addressing gaps in abortion education: A sexual health elective created by medical students. Med Teach 2006;28:244-7.
40. Council on Scientific Affairs, American Medical Association. Health care needs of gay men and lesbians in the United States. JAMA 1996;275:1354-9.
41. American Medical Association. Policy 160-991: Health care needs of gay men and lesbians in the U.S. AMA Policy Compendium Chicago: American Medical Association; 1995:148-9.
42. Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities; Board on the Health of Select Populations; Institute of Medicine. The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. 2011.
43. Wallick MM, Cambre KM, Townsend MH. How the topic of homosexuality is taught at U.S. medical schools. Acad Med 1992;67:601-3.
44. Obedin-Maliver J, Goldsmith ES, Stewart L, Shite W, Tran E, Brenman S, Wells M, Fetterman DM, Garcia G, Lunn MR. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. JAMA 2011;306:971-7.
45. Sanchez NF, Rabatin J, Sanchez JP, Hubbard S, Kalet A. Medical students' ability to care for lesbian, gay, bisexual, and transgendered patients. Fam Med 2006;38:21-7.
46. Kelley L, Chou CL, Dibble SL, Robertson PA. A critical intervention in lesbian, gay, bisexual, and transgender health: Knowledge and attitude outcomes among second-year medical students. Teach Learn Med 2008;20:248-53.
47. Malhotra S, Khurshid A, Hendricks KA, Mann JR. Medical school sexual health curriculum and training in the United States. J Natl Med Assoc 2008;100:1097-106.
48. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: Prevalence and predictors. JAMA 1999;281:537-44.
49. Leeper H, Chang E, Cotter G, MacIntosh P, Scott F, Apantaku L, Broutman L, Lazaraus C. A student-designed and student-led sexual-history-taking module for second-year medical students. Teach Learn Med 2007;19:293-301.
50. Calderone M, ed. Sex education and education for sexuality: The physician's role. Hagerstown, MD: Harper and Row Publishers; 1974.
51. Nicolosi A, Laumann EO, Glasser DB, Moreira ED Jr, Paik A, Gingell C. Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors. Urology 2004;64:991-7.
52. Haist SA, Griffith IC, Hoellein AR, Talente G, Montgomery T, Wilson JF. Improving students' sexual history inquiry and HIV counseling with an interactive workshop using standardized patients. J Gen Intern Med 2004;19:549-53.
53. McKelvey RS, Webb JA, Baldassar LV, Robinson SM, Riley G. Sex knowledge and sexual attitudes among medical and nursing students. Aust N Z J Psychiatry 1999;33:260-6.
54. Lief H, ed. Sexual knowledge, attitudes, and behavior of medical students: Implications for medical practice. Hagerstown, MD, USA: Harper and Row; 1974.
55. Haist SA, Lineberry MJ, Griffith CH, Hoellein AR, Talente GM, Wilson JF. Sexual history inquiry and HIV counseling: Improving clinical skills and medical knowledge through an interactive workshop utilizing standardized patients. Adv Health Sci Educ Theory Pract 2008;13:427-34.
56. Espey E, Ogburn T, Chavez A, Qualls C, Leyba M. Abortion education in medical schools: A national survey. Am J Obstet Gynecol 2005;192:640-3.
57. Espey E, Ogburn T, Leeman L, Nguyen T, Gill G. Abortion education in the medical curriculum: A survey of student attitudes. Contraception 2008;77:205-8.
58. Davis D, O'Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA 1999;282:867-74.
59. Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. Qual Saf Health Care 2006;15:433-6.
60. O'Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard-Jensen J, Kristoffersen DT, Forsetlund L, Bainbridge D, Freemantle N, Davis DA, Haynes RB, Harvey EL. Educational outreach visits: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2007;(4):CD000409.
61. Forsetlund L, Bjorndal A, Rashidian A, Jamvedt G, O'Brien MA, Wolf D, Davis D, Odgaard-Jensen J, Oxman AD. Continuing education meetings and workshops: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2009;(2):CD003030.
62. Haslegrave M, Olatunbosun O. Incorporating sexual and reproductive health care in the medical curriculum in developing countries. Reprod Health Matters 2003;11:49-58.
63. Wagner G. Sexual medicine in the medical curriculum. Int J Androl 2005;28(suppl 2):7-8.
64. Dixon-Woods M, Regan J, Robertson N, Young B, Cordle C, Tobin M. Teaching and learning about human sexuality in undergraduate medical education. Med Educ 2002;36:432-40.
65. Eardley I. A curriculum for sexual medicine? J Sex Med 2009;6:1195-8.
66. Engel IM, Resnick PJ, Levine SB. The use of programmed patients and videotape in teaching medical students to take a sexual history. J Med Educ 1976;51:425-27.
67. Hammond C, Hawkins DR. Teaching sexual, marital, and contraceptive counseling. In: Abse DW, Nash EM, Louden LMR, eds. Marital and sexual counseling in medical practice. Hagerstown, MD: Harper and Row; 1974:462-73.
68. ISSWSH Felloswhip Committee. ISSWSH Fellowship. 2012. Available at: http://www.isswsh.org/pdf/ISSWSH_Fellowship_Document_%204_15_2011.pdf (accessed June 28, 2012).