U N I V E R S I T Ä T S M E D I Z I N B E R L I N Implementation of Sex and Gender Aspects in Medical Education Dr. Christine Kurmeyer Central Representative of Equal Opportunities Charité - Medical University Berlin Germany

Workshop Agenda Short Introduction of the Participants – Where do you come from? – What is the target of your participation? Input – Why does the Implementation of Gender Aspects improve the undergraduate Education in Medical Sciences? – Experiences of Work in Progress Small Working Groups – Where do you see the benefits of the implementation of sex and gender aspects in the Medical Curriculum? – Where are possible angles for an Implementation?

Workshop Agenda – Plenary Discussion – Small Working Groups Where do we start? Identification of the Stakeholders First Steps  Plenary Discussion

Implementation of sex and gender aspects into a medical curriculum Why is it important to do so? What do the others do? Where to begin? – Areas of necessary intervention concerning the role of sex and gender aspects – Restrictions and Obstacles How to proceed? What is the benefit?

Why is it important to do so? Women and Men are different! Different levels of difference concerning health – Sex = biological: chromosomes, hormonal profiles, internal and external sex organs – Gender = sociocultural process: behaviour, lifestyle, life experience Effect – Manifestation in Epidemiology and Pathophysiology of diseases – Approach to Health Care Systems Target – More efficient Health Care – Gender-based prevention measures

What do the others do? Implementation of sex and gender aspects into the undergraduate medical education – Radboud University in the Netherlands – Umea University Sweden – Canadian and American Universities – University of Nijmwegen – Charité - Medical University of Berlin Germany

Where to begin? Areas of necessary intervention concerning the role of sex and gender, i.e.: – Prevention – Diagnosis – Treatment – Compliance – Pharmacology – Interaction between doctor and patient …every aspect is connected to sex and gender in a way!

Where to begin? Need of Data! Implementation into medical Education Evaluation

Restrictions and Obstacles! ‚Feminism‘? – NO! It‘s always both, women and men! ‚Higher Costs by more animal work and the need of more patients in research‘ – BUT that will lead to more precise diagnosis, therapy and better compliance!

How to proceed? 8 Steps Approach 1 Systematic Research of sex and gender related facts 2 Convincing the stakeholders 3 Working on concepts with the lecturers 4 Counseling of individual faculty members 5 Support for formulating gender medicine-related parts of the course description and specific learning objectives 6 Monitoring the entry of these learning objectives into the process 7 Participation in exemplary courses 8 Evaluation of the concepts by the students

What is the benefit? Holistic Approach = more satisfactory for the patients Reflection on the doctor-patient-relation and the consequences More efficient Health Care Less costs in the Health Care System

Modular Curriculum 10. Sem 9. SemCIT 8. Sem 7. Sem 6. Sem 5. SemModels of Disease 4. SemOrgan Systems 3. SemCIT 2. SemCIT 1. SemCIT

Medical Fields 1.Cardiology 2.Pharmacology 3.Rheumatology/Immunology 4.Pneumonology 5.Nephrologiy 6.Neurolgy 7.Endocrinology 8.Gastroenterology 9.Oncology 10.Haematology