Abstract

Introduction

LGBTQ+ patients continue to face high levels of discrimination and disparities in healthcare environments partly due to a lack of accessible affirming healthcare providers. Providers in LGBTQ+ healthcare may have unrecognized gaps in their affirmation due to a lack of continual education and training after achieving a self-determined high standard. It is unclear how an LGBTQ+ training would affect self-reported clinical attributes of LGBTQ+ healthcare providers.

Method

Self-identified LGBTQ+ affirming providers (N = 131) received an online LGBTQ+ training. Participants completed a survey consisting of demographic questions and the seven-point Likert LGBT Development of Clinical Skills Scale (LGBT-DOCSS) immediately before, right after, and three months following the training.

Result

Providers had very high baseline LGBT-DOCSS scores prior to training. Clinical Preparedness and Basic Knowledge significantly increased immediately following training and improvements were sustained at three months.

Conclusion

Despite achieving high baselines of LGBTQ+ preparedness and knowledge, LGBTQ+ affirming providers can continue to learn and improve and likely need regular ongoing education and training to maintain high levels of affirmation in the rapidly evolving field of LGBTQ+ healthcare.

中文翻译：

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确认 LGBTQ+ 医疗保健提供者：一个动态的过程，需要持续的教育和培训

摘要

介绍

LGBTQ+ 患者在医疗保健环境中继续面临高度歧视和差异，部分原因是缺乏可获得的肯定性医疗保健提供者。由于在达到自我确定的高标准后缺乏持续教育和培训，LGBTQ+ 医疗保健提供者可能在他们的肯定中存在无法识别的差距。目前尚不清楚 LGBTQ+ 培训将如何影响 LGBTQ+ 医疗保健提供者自我报告的临床属性。

方法

自我认同的 LGBTQ+ 肯定提供者（N = 131）接受了在线 LGBTQ+ 培训。参与者在培训前、培训后和培训后三个月完成了一项调查，其中包括人口统计问题和七分制李克特 LGBT 临床技能发展量表 (LGBT-DOCSS)。

结果

在培训之前，提供者的基线 LGBT-DOCSS 分数非常高。临床准备和基础知识在培训后立即显着增加，并在三个月内持续改善。

结论

尽管在 LGBTQ+ 准备和知识方面取得了高基线，但 LGBTQ+ 肯定提供者可以继续学习和改进，并且可能需要定期进行教育和培训，以在快速发展的 LGBTQ+ 医疗保健领域保持高水平的肯定。