Pediatric Residents’ Beliefs and Behaviors About Health Care for Sexual and Gender Minority Youth

Zelin, Nicole Sitkin; Encandela, John; Deusen, Timothy Van; Fenick, Ada M.; Qin, Li; Talwalkar, Jaideep S.

doi:10.1177/0009922819851264

Cited by 11 publications

(9 citation statements)

References 15 publications

(73 reference statements)

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“…Results indicated that 6% of current residents would be afraid of offending parents with discussions of sexuality and gender identity compared to 32% of residents feeling afraid of this topic in the past. 17 However, 45% of current residents said they may not know enough about sexual minority needs to have discussions about sexuality and gender identity, compared to 47% in previous studies. 17 This study is limited by a small sample size (n = 48) from a single institution, but is useful because it presents data from the past to present pediatric residents, allowing for a comparison of the progress pediatricians are making to enhance the knowledge about LGBTQ issues in the healthcare setting.…”

Section: Resultsmentioning

confidence: 70%

“…In addition to assessing the needs of LGBTQ adolescents in the primary care setting, it is also important to understand the experiences providers have relating to LGBTQ adolescents. From 1998 to 2019, Zelin et al 17 surveyed pediatric residents’ beliefs and behaviors about healthcare for sexual and gender minority youth. Results indicated that 6% of current residents would be afraid of offending parents with discussions of sexuality and gender identity compared to 32% of residents feeling afraid of this topic in the past.…”

Section: Resultsmentioning

confidence: 99%

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Perspectives of LGBTQ Youth and Pediatricians in the Primary Care Setting: A Systematic Review

Stern

2021

J Prim Care Community Health

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Objectives: Conduct a systematic review designed to determine needs and experiences of LGBTQ adolescents in the pediatric primary care setting and to the ability of primary care practitioners to provide the most inclusive care to LGBTQ adolescents. Methods: PubMed, CINAHL, and Embase searches using the following keywords: LGBTQ, Adolescents, Pediatrics, Sexual-Minority, Gender-Identity, and primary care, to identify peer-reviewed publications from 1998 to 2017 that focused on stigma in the healthcare setting related to LGBTQ youth and the knowledge of healthcare providers on enhancing care for their sexual and gender minority patients. Article inclusion criteria include: primary research studies conducted in a pediatric primary care describing LGBTQ patients, pediatric patients as described by the American Academy of Pediatrics (AAP), and written in the English language. Articles were excluded if they used inaccurate definitions for LGBTQ identity, inappropriate patient ages outside of those defined by the AAP, and studies not in a pediatric primary care setting. Results: Four articles were identified for the review. Of the included articles, the majority of LGBTQ adolescents experience stigma in the healthcare setting. A limited number of physicians providing care to LGBTQ adolescents felt equipped to care for their sexual-minority patients due to lack of education and resources. Conclusions: The education of physicians should include a more detailed approach to providing care to the LGBTQ population, particularly to those training to become pediatricians. A standard guide to treating LGBTQ adolescents could eliminate stigma in the healthcare setting.

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Section: Resultsmentioning

confidence: 70%

Section: Resultsmentioning

confidence: 99%

Perspectives of LGBTQ Youth and Pediatricians in the Primary Care Setting: A Systematic Review

Stern

2021

J Prim Care Community Health

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“…Similar findings were demonstrated in a study among pediatric residents. Almost half of the pediatric residents felt they lacked knowledge of SGM youth's needs to discuss these issues with youth (Zelin et al, 2019).…”

Section: Healthcare Professionals' and Volunteers' Experiences In Supporting Sgm Youthmentioning

confidence: 99%

Experiences and Needs of Sexual and Gender Minority Young Adults with a History of Suicidal Ideation Regarding Formal and Informal Mental Healthcare

et al. 2021

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Introduction Little is known about whether sexual and gender minority (SGM) youth and young adults with suicidal ideation receive adequate mental healthcare in the Netherlands. The aim of this study was to examine healthcare experiences and needs of SGM young adults and how formal and informal mental healthcare can be improved to support SGM youth with suicidal ideation. Methods In 2018 and 2019, qualitative interviews were conducted among (1) SGM young adults with a history of suicidal ideation (n = 23, age 18 to 35), (2) parents of SGM youth with suicidal ideation (n = 16), and (3) professionals and volunteers who work with SGM youth (n = 14). Thematic analysis was used for coding and analyzing the interviews. Results Analyses yielded several themes for all groups of participants. Similar themes related to addressing suicidal ideation and SGM issues were found across the three participant groups. Participants perceived a lack of knowledge among professionals regarding SGM issues and perceived that suicidal ideation was sometimes inadequately addressed. Participants expressed the need for training and information on addressing SGM issues and suicidal ideation for parents and professionals. Conclusions Formal mental healthcare is not yet affirmative of SGM identities. Informal and formal healthcare should be improved to address sexual orientation, gender identity, and suicidal ideation. Policy Implications Findings underpin the need for improving skills and knowledge of mental healthcare professionals to better support SGM youth with suicidal ideation. Parents would benefit from accessible information on SGM-related themes and suicidal ideation.

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“…9 More recent surveys from non-EM residencies show that a substantial gap in actual versus preferred hours of LGBTQ+ education exists at the graduate medical education level. [10][11][12][13][14][15][16] The 2019 Model of the Clinical Practice of Emergency Medicine has added gender identity, sexual orientation, and transgender care to the core content adopted by the American Board of Emergency Medicine. 17 It is unclear if these developments have led EM residency programs to implement or expand LGBTQ+specific education in their curricula or if a gap in EM training remains.…”

Section: Introductionmentioning

confidence: 99%

“…Despite this, the majority of medical students in a 2017 study desired more education than they received on LGBTQ+ health, suggesting that the gap in LGBTQ+ education has not closed in undergraduate medical education 9 . More recent surveys from non‐EM residencies show that a substantial gap in actual versus preferred hours of LGBTQ+ education exists at the graduate medical education level 10‐16 . The 2019 Model of the Clinical Practice of Emergency Medicine has added gender identity, sexual orientation, and transgender care to the core content adopted by the American Board of Emergency Medicine 17 .…”

Section: Introductionmentioning

confidence: 99%

The prevalence of lesbian, gay, bisexual, and transgender health education and training in emergency medicine residency programs: Where are we now?

Moll

Vennard

Noto

et al. 2021

AEM Education and Training

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Background: Despite identified inequities and disparities in lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) health, past studies have shown little or no education at the medical school or residency level for emergency physicians. With increased focus on health inequities and disparities, we sought to reexamine the status of sexual and gender minority health education in U.S. emergency medicine (EM) residencies. Objectives: Our primary objective was to determine how many EM residencies offer education on LGBTQ+ health. Secondary objectives included the number of actual versus preferred hours of LGBTQ+ training, identification of barriers to providing education, and correlation of education with program demographics. Finally, we compared our current data with past results of our 2013 study. Methods: The initial survey that sought to examine LGBTQ+ training in 2013 was used and sent in 2020 via email to EM programs accredited by the American Council for Graduate Medical Education who had at least one full class of residents in 2019. Reminder emails and a reminder post on the Council of Residency Directors in Emergency Medicine listserv were used to increase participation. Results: A total of 229 programs were eligible, with a 49.3% response rate (113/229).The majority (75%) offered education content on LGBTQ+ health, for a median (IQR) of 2 (1-3) hours and a range of 0 to 22 hours. Respondents preferred more hours of education than offered (median desired hours = 4, IQR = 2-5 hours; p < 0.001). The largest barrier identified was lack of time in curriculum (63%). The majority of programs had known LGBTQ+ faculty and residents. Inclusion and amount of education hours positively correlated with presence of LGBTQ+ faculty or residents; university-and county-based programs were more likely to deliver education content than private groups (p = 0.03). Awareness of known LGBTQ+ residents but not faculty differed by region, but there was no significant difference in actual or preferred content by region. Conclusion:The majority of respondents offer education in sexual and gender minority health, although there remains a gap between actual and preferred hours. This is

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Pediatric Residents’ Beliefs and Behaviors About Health Care for Sexual and Gender Minority Youth

Cited by 11 publications

References 15 publications

Perspectives of LGBTQ Youth and Pediatricians in the Primary Care Setting: A Systematic Review

Perspectives of LGBTQ Youth and Pediatricians in the Primary Care Setting: A Systematic Review

Experiences and Needs of Sexual and Gender Minority Young Adults with a History of Suicidal Ideation Regarding Formal and Informal Mental Healthcare

The prevalence of lesbian, gay, bisexual, and transgender health education and training in emergency medicine residency programs: Where are we now?

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