Articlebronze2015

Sexual and Gender Minority Identity Disclosure During Undergraduate Medical Education

Matthew D. Mansh · Lea Gee-Tong · Mitchell R. Lunn · Juno Obedin‐Maliver · Leslie A. Stewart · Elizabeth S. Goldsmith +4 more

135 citations0/0 files storedAcademic Medicine

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LGBTQ Health, Identity, and Policy Gender, Sexuality, and Education Diversity and Career in Medicine

Abstract

PURPOSE: To assess identity disclosure among sexual and gender minority (SGM) students pursuing undergraduate medical training in the United States and Canada. METHOD: From 2009 to 2010, a survey was made available to all medical students enrolled in the 176 MD- and DO-granting medical schools in the United States and Canada. Respondents were asked about their sexual and gender identity, whether they were "out" (i.e., had publicly disclosed their identity), and, if they were not, their reasons for concealing their identity. The authors used a mixed-methods approach and analyzed quantitative and qualitative survey data. RESULTS: Of 5,812 completed responses (of 101,473 eligible respondents; response rate 5.7%), 920 (15.8%) students from 152 (of 176; 86.4%) institutions identified as SGMs. Of the 912 sexual minorities, 269 (29.5%) concealed their sexual identity in medical school. Factors associated with sexual identity concealment included sexual minority identity other than lesbian or gay, male gender, East Asian race, and medical school enrollment in the South or Central regions of North America. The most common reasons for concealing one's sexual identity were "nobody's business" (165/269; 61.3%), fear of discrimination in medical school (117/269; 43.5%), and social or cultural norms (110/269; 40.9%). Of the 35 gender minorities, 21 (60.0%) concealed their gender identity, citing fear of discrimination in medical school (9/21; 42.9%) and lack of support (9/21; 42.9%). CONCLUSIONS: SGM students continue to conceal their identity during undergraduate medical training. Medical institutions should adopt targeted policies and programs to better support these individuals.

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References

2010Suicide and Suicide Risk in Lesbian, Gay, Bisexual, and Transgender Populations: Review and Recommendations 1986Grounded Theory and Organizational Research 2011Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education 2011Pride and Prejudice: Employment Discrimination against Openly Gay Men in the United States 2009Social and psychological well-being in lesbians, gay men, and bisexuals: The effects of race, gender, age, and sexual identity.2013RETRACTED: Structural stigma and all-cause mortality in sexual minority populations 2011Lesbian, Gay, Bisexual, and Transgender (LGBT) Physicians' Experiences in the Workplace 2013Sexual Orientation and Disclosure in Relation to Psychiatric Symptoms, Diurnal Cortisol, and Allostatic Load

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2016Health and health care of rural sexual and gender minorities: A systematic review.2017Medical students’ perception of lesbian, gay, bisexual, and transgender (LGBT) discrimination in their learning environment and their self-reported comfort level for caring for LGBT patients: a survey study 2017Transgender-Related Education in Plastic Surgery and Urology Residency Programs 2021Transgender health in medical education

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