Self-perceptions of medical students and educators regarding LGBTQ+ and sexual and gender minority (SGM) healthcare and SGM patients: cross-sectional survey.

IF 1.3 Q2 MEDICINE, GENERAL & INTERNAL

Journal of Osteopathic Medicine Pub Date : 2026-09-14 DOI:10.1515/jom-2025-0259

Sarah J Muder, Karan Malik, Megan Maguire, Christine Hutak, Min-Kyung Jung, Donna McMahon, Allison Walker, Luis Alvarado

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引用次数: 0

Abstract

Context: Providing adequate clinical training to care for patients of all demographics remains an important goal of medical education. Sexual and gender minority (SGM) patients are a population with consistently unmet clinical needs.

Objectives: The objective of this study is to assess baseline knowledge of SGM topics and perception toward treating SGM patients at a large osteopathic medical school.

Methods: A cross-sectional survey of faculty and osteopathic medical students at a large osteopathic medical school in the Northeast was administered. The survey contained 41 items regarding the comfort, knowledge, and preparedness to treat SGM patients. Data were collected from June 2021 to December 2021. The conventional cutoff to accept the null hypothesis was set at a p value of 0.05 for statistical hypothesis testing.

Results: The response rate was 24.3 %. Medical student respondents achieved higher knowledge scores than faculty respondents (p=0.04), and younger respondents achieved higher knowledge scores than older respondents (p=0.013). Heterosexual respondents reported lower aggregate comfort (p=0.002) in treating SGM patients, whereas nonheterosexual respondents reported higher aggregate comfort in treatment of SGM patients. Clinical faculty perceived the medical curriculum to be less inclusive in addressing SGM topics in clinical medicine than nonclinical faculty (p=0.001*), who overall felt that the medical curriculum was inclusive.

Conclusions: Among those surveyed, there were discrepancies in comfort treating SGM patients between heterosexual and nonheterosexual respondents, and younger respondents had increased knowledge on SGM health topics than older respondents. This research supports that osteopathic medical schools consider adopting the SGM medical education competencies published by the Association of American Medical Colleges (AAMC).

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医学生和教育工作者对LGBTQ+和性少数群体（SGM）医疗保健和SGM患者的自我认知：横断面调查

背景：提供足够的临床培训，以照顾所有人口统计的病人仍然是医学教育的一个重要目标。性和性别少数（SGM）患者是临床需求一直未得到满足的人群。目的：本研究的目的是评估一所大型骨科医学院对SGM主题的基本知识和对治疗SGM患者的看法。方法：对东北一所大型骨科医学院的教师和骨科医学院学生进行横断面调查。调查包含41个项目，涉及治疗SGM患者的舒适度、知识和准备情况。数据收集时间为2021年6月至2021年12月。对于统计假设检验，接受原假设的常规截止值设置为p值0.05。结果：有效率为24.3% %。医学生的知识得分高于教师（p=0.04），年轻被调查者的知识得分高于年长被调查者（p=0.013）。异性恋受访者在治疗SGM患者时报告的总体舒适度较低（p=0.002），而非异性恋受访者在治疗SGM患者时报告的总体舒适度较高。与非临床教师相比，临床教师认为医学课程在解决临床医学中SGM主题方面的包容性较低（p=0.001*），而非临床教师总体上认为医学课程具有包容性。结论：在被调查者中，异性恋者和非异性恋者对性生殖器切割患者的安慰治疗存在差异，年轻的被调查者比年长的被调查者对性生殖器切割健康话题的了解更多。本研究支持骨科医学院考虑采用美国医学院协会（AAMC）发布的SGM医学教育能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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