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Introduction:
Medical education, particularly in the realm of anatomy, is undergoing an essential transformation to ensure it reflects and meets the diverse needs of society. As the demand for female genital cosmetic surgery increases and more individuals transition into their preferred ger identity, it becomes imperative that medical graduates are well-equipped with accurate knowledge on normal variations in female genitalia. examines how current anatomy textbooks fl to adequately address this aspect.
:
A comprehensive review was conducted encompassing 78 anatomy textbooks across various editions dating back to 1828 and up until the most recent publications of 2021. Four contemporary texts were scrutinized, alongside four historical books known for their influence on medical education. The focus was primarily on illustrations and descriptions related to vulva anatomy - encompassing aspects such as vaginal opening, inner and outer labia, and clitoris.
Findings:
The review revealed a disconcerting lack of representation of normal genital diversity in existing textbooks used by Australian medical schools. None of the analyzed books provided comprehensive information about variations in appearance, size or asymmetry found within female genital structures. Most notably, only one textbook offered an image depicting the vulva; this was predominantly in black and white form as a line drawing.
A significant gap was identified when it comes to visual representations that illustrate normal differences such as labial protrusion - where inner labia ext beyond outer labia - which is commonly observed among diverse populations. Surprisingly, despite including these images in their content, many textbooks fled to mention or discuss the presence of natural variability in genital anatomy.
A recent edition of Gray’s Anatomy acknowledged specific anatomical variations like labia that are rare or more prevalent in certn life stages infants and post-menopause. However, this limited perspective does not encompass the wide spectrum found within normal female genital diversity.
Implications:
The inadequate depiction of normal genital variation in medical textbooks has significant implications for healthcare professionals who may underestimate or misinterpret a patient's condition due to a lack of understanding on what constitutes 'normal.' This can impact patient care negatively and potentially lead to unnecessary surgeries, as illustrated by the rising demand for female genital cosmetic surgery.
Future Directions:
To address this gap, ongoing research is being conducted with 31 anatomists across Australia to gn insights into how genital anatomy is incorporated in medical curriculum design. The ultimate goal enhance teaching materials that provide a more inclusive and comprehensive representation of normal anatomical variations, thereby better preparing future healthcare professionals for diverse patient populations.
:
As the field of medicine continues to evolve with growing societal needs, it becomes paramount that educational resources such as anatomy textbooks adapt accordingly. Ensuring that medical graduates receive accurate information on the wide range of normal genital appearances will not only improve clinical care but also foster a more inclusive environment in healthcare services.
Acknowledgement:
We recognize and pay tribute to the traditional custodians of this land, acknowledging their vital role in shaping contemporary society. We pay respect to Elders past, present and emerging, celebrating Indigenous knowledge as an integral part of our educational landscape.
Citation:
Hayes JA Temple-Smith MJ 2022. New context, new content: Rethinking genital anatomy in textbooks. Anatomical Sciences Education 155, pp943-956. DOI: 10.1002ase.2173.
Contact:
For inquiries or further information on this research topic, please contact the research team using the provided detls.
Thank you for considering our findings. We hope that this study encourages a dialogue leading to more inclusive and comprehensive medical education resources in the future.
The University of Melbourne Australian University: PRV12150
CRICOS number: 00116K
ABN: 84 002 705 224
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Underrepresentation of Female Genital Diversity Medical Textbook Anatomical Gaps Normal Variations in Genital Anatomy Inclusive Education for Healthcare Professionals Evolving Standards in Medical Curriculum Comprehensive Representation in Educational Materials