Topic | Residents in year 1 (n = 6) | Residents in year 2 (n = 3) | Nurses and medical assistants (n = 7) |
---|---|---|---|
Examination proficiency | |||
 Have performed pelvic exams many times | 3 | 1 | – |
 Unsure if able to find abnormalities/diagnose in pelvic exams | 4 | 1 | – |
 Does not get to perform breast exams often | 5 | 2 | – |
 Does not get to perform male genital exams often | 6 | 3 | – |
 Patient(s) seemed uncomfortable during male genital exam | 2 | 1 | – |
 Can properly feel the prostate during digital rectal exam | 4 | 3 | – |
Gender concordance/discordance | |||
 No issues with gender concordance | 4 | 2 | 7 |
 No issues with gender discordance | 1 | 1 | 2 |
 Prefers gender match | 2 | 1 | 3 |
 Female patients tend to request female physicians | 1 | 1 | 5 |
 Difficult to talk about sexual health when gender discordant | 4 | 1 | 3 |
 Able to ask appropriate questions regardless of concordance | 1 | – | 3 |
Women’s and men’s health | |||
 Discusses sexual health and vaccinations with female patients | 3 | 1 | 3 |
 Recommends contraception for female patients | 3 | – | 2 |
 Recommends pap smears for female patients | 3 | 2 | – |
 Recommends smoking cessation outpatient services for male patients | – | 2 | 3 |
 Cannot think of any issues specific to men’s health | 1 | – | 3 |
 Should improve on screening male patients for erectile dysfunction | 2 | 2 | – |
SPI training | |||
 It was a great experience | 3 | 2 | – |
 Allows for learning that would not otherwise be possible in Japan | 2 | 2 | – |
 Would prefer more practice either at University of Michigan or in Japan | 4 | 1 | – |
 Would be difficult to have in Japan | 2 | – | 4 |
 Would be difficult to find people willing to become SPIs | 2 | 1 | 1 |
 Would like to have an SPI program in Japan | 5 | 3 | 3 |