# South Asian Society for Sexual Medicine School, Bangladesh: a multidisciplinary training initiative in an under-resourced country

## TL;DR

A training program in Bangladesh improved healthcare professionals' knowledge of sexual medicine, regardless of their background or experience.

## Contribution

The study evaluates the first structured sexual medicine training program in Bangladesh, showing significant knowledge improvement across multiple medical specialties.

## Key findings

- Participants showed a 12.7-unit increase in test scores after completing the training program.
- The improvement in knowledge was consistent across socio-demographic factors like gender, age, and experience.
- Psychiatrists, dermatologists, urologists, and gynecologists all benefited from the training.

## Abstract

The yearly courses conducted by the South Asian Society for Sexual Medicine (SASSM) in Bangladesh establish a collaborative training paradigm designed to increase healthcare professionals’ comfort with sexual medicine and develop skills for giving the best treatment possible to individuals with sexual health issues and dysfunctions.

The study assessed the impact of course completion on SASSM School Bangladesh participants.

A pretest–posttest of 116 (57%) SASSM participants was conducted, comprising data on knowledge acquisition following the 3-day program in 2017, 2018, 2019, and 2021. A paired t-test was applied to compare the difference between pretest and posttest performance. Logistic regression was conducted to assess the influence of socio-demographic variables.

The study demonstrates that the SASSM School Bangladesh program significantly improves participants’ knowledge of sexual medicine, with a 12.7-unit increase in test scores, irrespective of socio-demographic factors.

Majority (102, or 75% of those polled) of the participants were men. Psychiatrists were the most common respondents (39%), followed by dermatologists (32%), urologists (12%), and gynecologists (8%) who completed both surveys. There was a significant difference (P-value < .01) in mean pretest (49.6 ± 17.1) and posttest (62.3 ± 15.5) scores. The socio-demographic factors (gender, location, age, and experience) do not have any significant influence on gain of knowledge through the SASSM training program as the P-value of odds ratio or adjusted odds ratio from logistic regression is P > .05.

The study highlights the clinical importance of structured training in sexual medicine, ensuring that healthcare professionals across various specialties are better equipped to diagnose and manage sexual health issues effectively.

The study used a pretest–posttest design to measure actual knowledge improvement. Paired t-test and logistic regression were applied to ensure robust analysis. Diverse professionals from psychiatry, dermatology, urology, and gynecology participated in the study, making the findings relevant across specialties. This study evaluates the only structured sexual medicine training program in Bangladesh, contributing new insights into medical education.

However, the findings may not be generalizable beyond Bangladesh. The study could not assess whether knowledge retention and clinical practice improved over time. Participants voluntarily enrolled in the study, which can possibly represent a group already interested in sexual medicine. The study focused only on knowledge improvement, not on changes in clinical practice or patient outcomes.

Specialists of sexual medicine have a unique opportunity to learn and certify their knowledge through the SASSM program, the first of its kind in Bangladesh.