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Students further suggested improvements to the medical curriculum to meet their needs. Singapore is an English-speaking country located in Southeast Asia that, until November , retained male homosexual criminalisation inherited from British colonisation Gender-affirming care is reported to be challenging to access amid stigma and insufficient institutional and social support Uniquely, the two medical schools in this study have similarly structured curricula and studies between medical students from both schools are actively encouraged and funded.
We developed a new survey with more inclusive language and free-text components absent from previous surveys The entire survey was further piloted with six medical students to check for accuracy, flow, and understanding, and their suggestions were incorporated into the final version. Care was taken to include a mixture of more general and specific knowledge questions, as judged by the expert panel developing the items.
Attitudes and approval toward specific healthcare practices such as using gender-neutral pronouns, asking for consent before recording gender and sexual orientation, and providing affirming care were assessed on a 5-point Likert scale. Respondents were recruited via student newsletters and year-wide social media groups, inviting voluntary participation at a time selected to avoid survey fatigue and examination periods.
Respondents self-completed the online Verint survey on their own devices and in their own time. Consent was given on an introductory page. The complete survey is available as Supplement 1. At the time of the study, these medical schools were partnered with similar curricula [descriptions of curricula found on respective websites 31 , 32 ]. The SG medical school has teaching on delineating sex and gender. The UK medical school was implementing curriculum change at the time of the study, commencing with year 1 students who started in the academic year — It is difficult to know how individual educators addressed these learning outcomes.
