Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory

<h4>Introduction</h4> The wellbeing of sexual and gender minority (SGM) medical students and the impact of their experiences on career trajectory remain poorly understood. The present study aimed to characterize the incidence of mistreatment in SGM trainees as well as general perspective...

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Autores principales:	Josef Madrigal, Sarah Rudasill, Zachary Tran, Jonathan Bergman, Peyman Benharash
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/dd69212d4b4a44fd9dbb71893f888d7a
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spelling	oai:doaj.org-article:dd69212d4b4a44fd9dbb71893f888d7a2021-11-25T06:19:28ZSexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory1932-6203https://doaj.org/article/dd69212d4b4a44fd9dbb71893f888d7a2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604342/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4> The wellbeing of sexual and gender minority (SGM) medical students and the impact of their experiences on career trajectory remain poorly understood. The present study aimed to characterize the incidence of mistreatment in SGM trainees as well as general perspectives on the acceptance of SGM individuals across medical and surgical specialties. <h4>Methods</h4> This was a cross sectional survey study of all actively enrolled medical students within the six University of California campuses conducted in March 2021. An online, survey tool captured incidence of bullying, discrimination, and suicidal ideation as well as perceived acceptance of SGM identities across specialties measured by slider scale. Differences between SGM and non-SGM respondents were assessed with two-tailed and chi-square tests. Qualitative responses were evaluated utilizing a multi-stage, cutting-and-sorting technique. <h4>Results</h4> Of approximately 3,205 students eligible for participation, 383 submitted completed surveys, representing a response rate of 12.0%. Of these respondents, 26.9% (n = 103) identified as a sexual or gender minority. Overall, SGM trainees reported higher slider scale scores when asked about being bullied by other students (20.0 vs. 13.9, P = 0.012) and contemplating suicide (14.8 vs. 8.8, P = 0.005). Compared to all other specialties, general surgery and surgical subspecialties had the lowest mean slider scale score (52.8) in perceived acceptance of SGM identities (All P < 0.001). In qualitative responses, students frequently cited lack of diversity as contributing to this perception. Additionally, 67.0% of SGM students had concerns that disclosure of identity would affect their future career with 18.5% planning to not disclose during the residency application process. <h4>Conclusions</h4> Overall, SGM respondents reported higher incidences of bullying and suicidal ideation as well as increased self-censorship stemming from concerns regarding career advancement, most prominently in surgery. To address such barriers, institutions must actively promote diversity in sexual preference and gender identity regardless of specialty.Josef MadrigalSarah RudasillZachary TranJonathan BergmanPeyman BenharashPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Josef Madrigal Sarah Rudasill Zachary Tran Jonathan Bergman Peyman Benharash Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory
description	<h4>Introduction</h4> The wellbeing of sexual and gender minority (SGM) medical students and the impact of their experiences on career trajectory remain poorly understood. The present study aimed to characterize the incidence of mistreatment in SGM trainees as well as general perspectives on the acceptance of SGM individuals across medical and surgical specialties. <h4>Methods</h4> This was a cross sectional survey study of all actively enrolled medical students within the six University of California campuses conducted in March 2021. An online, survey tool captured incidence of bullying, discrimination, and suicidal ideation as well as perceived acceptance of SGM identities across specialties measured by slider scale. Differences between SGM and non-SGM respondents were assessed with two-tailed and chi-square tests. Qualitative responses were evaluated utilizing a multi-stage, cutting-and-sorting technique. <h4>Results</h4> Of approximately 3,205 students eligible for participation, 383 submitted completed surveys, representing a response rate of 12.0%. Of these respondents, 26.9% (n = 103) identified as a sexual or gender minority. Overall, SGM trainees reported higher slider scale scores when asked about being bullied by other students (20.0 vs. 13.9, P = 0.012) and contemplating suicide (14.8 vs. 8.8, P = 0.005). Compared to all other specialties, general surgery and surgical subspecialties had the lowest mean slider scale score (52.8) in perceived acceptance of SGM identities (All P < 0.001). In qualitative responses, students frequently cited lack of diversity as contributing to this perception. Additionally, 67.0% of SGM students had concerns that disclosure of identity would affect their future career with 18.5% planning to not disclose during the residency application process. <h4>Conclusions</h4> Overall, SGM respondents reported higher incidences of bullying and suicidal ideation as well as increased self-censorship stemming from concerns regarding career advancement, most prominently in surgery. To address such barriers, institutions must actively promote diversity in sexual preference and gender identity regardless of specialty.
format	article
author	Josef Madrigal Sarah Rudasill Zachary Tran Jonathan Bergman Peyman Benharash
author_facet	Josef Madrigal Sarah Rudasill Zachary Tran Jonathan Bergman Peyman Benharash
author_sort	Josef Madrigal
title	Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory
title_short	Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory
title_full	Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory
title_fullStr	Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory
title_full_unstemmed	Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory
title_sort	sexual and gender minority identity in undergraduate medical education: impact on experience and career trajectory
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/dd69212d4b4a44fd9dbb71893f888d7a
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Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory

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