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Comprehensive Internal Medicine Residency Curriculum on Primary Care of Patients Who Identify as LGBT.
LGBT Health 2018 Aug/Sep; 5(6):375-380LH

Abstract

PURPOSE

Graduate medical education curricula that provide training on LGBT healthcare are limited. The purpose of this study was to create and evaluate an LGBT curriculum for internal medicine (IM) residents.

METHODS

The implicit association test (IAT) measuring implicit bias toward gay individuals was administered as part of a needs assessment. The curriculum was developed by a multidisciplinary team, with objectives derived from the Association of American Medical Colleges' curricular recommendations and the Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health. Surveys assessed residents' perceptions of the importance of primary care for LGBT patients, and their knowledge of and confidence in providing primary care to LGBT patients. Faculty also rated the usability of the curricular materials.

RESULTS

The IAT showed a slight preference for straight people compared with gay people, with an average "D score" of 0.27 ± 0.42. The importance of receiving education about the primary care of LGB patients was rated as high across the pre- to postsurveys. Knowledge improved with participation in the curriculum (average overall score: 42% pre- vs. 66% postsurvey, p < 0.0001). Participants' confidence in their ability to provide information to LGBT patients about resources for community engagement and to implement gender-neutral practices in their clinics increased significantly (p < 0.05).

CONCLUSION

This curriculum pilot demonstrated an improvement in IM residents' knowledge of and confidence in providing care to LGBT patients. Our results suggest that curricular materials can be developed by experts in LGBT health and utilized effectively by nonexpert faculty to increase residents' knowledge and confidence regarding LGBT healthcare.

Authors+Show Affiliations

1 Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.2 Western Psychiatric Institute and Clinic, Department of Psychiatry, University of Pittsburgh Medical Center , Pittsburgh, Pennsylvania.1 Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.3 Center for Research on Health Care Data Center, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.1 Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania. 3 Center for Research on Health Care Data Center, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.1 Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30141734

Citation

Ufomata, Eloho, et al. "Comprehensive Internal Medicine Residency Curriculum On Primary Care of Patients Who Identify as LGBT." LGBT Health, vol. 5, no. 6, 2018, pp. 375-380.
Ufomata E, Eckstrand KL, Hasley P, et al. Comprehensive Internal Medicine Residency Curriculum on Primary Care of Patients Who Identify as LGBT. LGBT Health. 2018;5(6):375-380.
Ufomata, E., Eckstrand, K. L., Hasley, P., Jeong, K., Rubio, D., & Spagnoletti, C. (2018). Comprehensive Internal Medicine Residency Curriculum on Primary Care of Patients Who Identify as LGBT. LGBT Health, 5(6), pp. 375-380. doi:10.1089/lgbt.2017.0173.
Ufomata E, et al. Comprehensive Internal Medicine Residency Curriculum On Primary Care of Patients Who Identify as LGBT. LGBT Health. 2018;5(6):375-380. PubMed PMID: 30141734.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comprehensive Internal Medicine Residency Curriculum on Primary Care of Patients Who Identify as LGBT. AU - Ufomata,Eloho, AU - Eckstrand,Kristen L, AU - Hasley,Peggy, AU - Jeong,Kwonho, AU - Rubio,Doris, AU - Spagnoletti,Carla, Y1 - 2018/08/24/ PY - 2018/8/25/pubmed PY - 2019/3/13/medline PY - 2018/8/25/entrez KW - LGBT health KW - cultural competency KW - curriculum/program evaluation KW - graduate medical education KW - primary care SP - 375 EP - 380 JF - LGBT health JO - LGBT Health VL - 5 IS - 6 N2 - PURPOSE: Graduate medical education curricula that provide training on LGBT healthcare are limited. The purpose of this study was to create and evaluate an LGBT curriculum for internal medicine (IM) residents. METHODS: The implicit association test (IAT) measuring implicit bias toward gay individuals was administered as part of a needs assessment. The curriculum was developed by a multidisciplinary team, with objectives derived from the Association of American Medical Colleges' curricular recommendations and the Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health. Surveys assessed residents' perceptions of the importance of primary care for LGBT patients, and their knowledge of and confidence in providing primary care to LGBT patients. Faculty also rated the usability of the curricular materials. RESULTS: The IAT showed a slight preference for straight people compared with gay people, with an average "D score" of 0.27 ± 0.42. The importance of receiving education about the primary care of LGB patients was rated as high across the pre- to postsurveys. Knowledge improved with participation in the curriculum (average overall score: 42% pre- vs. 66% postsurvey, p < 0.0001). Participants' confidence in their ability to provide information to LGBT patients about resources for community engagement and to implement gender-neutral practices in their clinics increased significantly (p < 0.05). CONCLUSION: This curriculum pilot demonstrated an improvement in IM residents' knowledge of and confidence in providing care to LGBT patients. Our results suggest that curricular materials can be developed by experts in LGBT health and utilized effectively by nonexpert faculty to increase residents' knowledge and confidence regarding LGBT healthcare. SN - 2325-8306 UR - https://www.unboundmedicine.com/medline/citation/30141734/Comprehensive_Internal_Medicine_Residency_Curriculum_on_Primary_Care_of_Patients_Who_Identify_as_LGBT_ L2 - https://www.liebertpub.com/doi/full/10.1089/lgbt.2017.0173?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -