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Assessment of lesbian, gay, bisexual, transgender, and questioning experiences within a large southeast training program

Bibliographic Data

ID15328259
AuthorsZachary Walker (0000-0001-8024-6999, University of Alabama at Birmingham, corresponding author), Zachary W Walker (University of Alabama at Birmingham), Mary Appah (0000-0001-6406-6269, University of Alabama at Birmingham), Inmaculada Aban (0000-0002-0563-1691, University of Alabama at Birmingham), Brenessa Lindeman (0000-0003-0818-6439, University of Alabama at Birmingham), Brenessa M Lindeman (University of Alabama at Birmingham), Latesha Elopre (0000-0002-3332-2300, University of Alabama at Birmingham), Alice R Goepfert (0000-0001-9624-8753, University of Alabama at Birmingham), Samantha V Hill (0000-0002-4103-9329, University of Alabama at Birmingham)
Year2022
Volume27
Issue1
Pages2093692-2093692
Publication date2022-06-30
Open AccessYes
TypeARTICLE
VenueMedical Education Online (JOURNAL)
Journal identifiersISSN: 1087-2981 • E-ISSN: 1087-2981
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/10872981.2022.2093692
PMID35773953
OpenAlexW4283740834
LanguageEN
Citations received3
References cited25

The USA has become increasingly diverse resulting in greater strides to improve workforce diversity and inclusivity. The objective of this study is to compare the experiences of trainees in Graduate Medical Education who identify as Lesbian, Gay, Bisexual, Transgender or Questioning (LGBTQ) to the experiences of non-LGBTQ trainees within the medical workplace. We conducted a cross-sectional, exploratory survey from 1 December 2020 to 14 January 2021 at a single, large teaching institution. We collected data anonymously and stored it in a REDCap database. We excluded surveys in which trainees did not respond to sexual orientation. We used contingency tables and Fisher's exact test to identify outcomes associated with sexual orientation and gender identity particularly with regard to professionalism, well-being, and satisfaction with training. We distributed the survey to 840 trainees. 730 trainees were included (23 (3.2%) LGBTQ and 707 (96%) Straight). LGBTQ trainees were more likely to experience offensive remarks based on race/ethnicity (p = 0.03) and sexual orientation (p = 0.01). Secondary analysis based on race found that Blacks and Other were more likely to report differences based on professionalism and satisfaction with their training program. There was no difference seen among LGBTQ trainees based on race. We found trainees who identified as LGBTQ were more likely to experience discrimination/microaggressions. Also, racial and ethnic groups that are underrepresented in medicine were more likely to encounter discrimination and dissatisfaction with their training. More efforts are needed in academics to promote safe and supportive LGBTQ and minority training experiences

Ethnic group · Family medicine · Lesbian · Medical education · Political science · Sexual minority · Sexual orientation · Transgender · Workforce · Clinical Psychology · Diversity and Career in Medicine · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sex and Gender in Healthcare · Social Psychology

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Citations per year1
Citation span2023 - 2024 (2)
Highly citedNo

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