Finding the Perfect Doctor: Identifying Lesbian, Gay, Bisexual, and Transgender–Competent Physicians

Joshua Khalili · Lucinda B. Leung · Allison L. Diamant

186 citations0/0 files storedAmerican Journal of Public Health

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LGBTQ Health, Identity, and Policy Innovations in Medical Education Diversity and Career in Medicine

Abstract

OBJECTIVES: We assessed the existence of procedures and policies for identifying lesbian, gay, bisexual, and transgender (LGBT)-competent physicians at US academic faculty practices, and sought to identify physician training programs that enhance LGBT competency. METHODS: We invited all 138 Liaison Committee on Medical Education-accredited US academic faculty practices to participate in a survey in 2012. We systematically assessed their procedures and policies to identify LGBT-competent physicians and their LGBT-competency training. We also assessed geographic region, funding source, and an LGBT health center in the same state. We performed univariate, bivariate, and multivariate logistic regression analyses. RESULTS: The response rate was 50%. Few participants had existing procedures (9%) or policies (4%) to identify LGBT-competent physicians. Procedures included online directories with self-identified LGBT-competent physicians available to the public. Sixteen percent of participants reported having comprehensive LGBT-competency training, and 52% reported having no training. Of note, 80% of participants indicated interest to do more to address these issues. CONCLUSIONS: There exist both need and interest for US academic faculty practices to develop procedures, policies, and programs that improve access to LGBT-competent physicians and to train physicians to become LGBT-competent.

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References

2003Health Care Disparities 2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 2011Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education 2008Sexual and Gender Minority Health: What We Know and What Needs to Be Done 2002Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches 2000Lesbian, Gay, Bisexual, and Transgender Health: Findings and Concerns 2010Does Cultural Competency Training of Health Professionals Improve Patient Outcomes? A Systematic Review and Proposed Algorithm for Future Research

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