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Medical Students' Ability to Care for Lesbian, Gay,Bisexual, and Transgendered Patients

机译：医学生对女同性恋，男同性恋，双性恋和变性患者的护理能力

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BACKGROUND AND OBJECTIVES: Our objective was to assess medical students' ability to care for lesbian,gay, bisexual, and transgender (LGBT) patients and to identify potential deficiencies in medical schoolcurricula pertaining to this care. METHODS: Between March 1 and April 15, 2004, third- and fourth-yearmedical students at a metropolitan medical school were sent an e-mail requesting participation in aconfidential on-line survey of 64 quantitative questions designed to assess their ability to care for LGBTpatients. RESULTS: A total of 248 of 320 (77.5%) students responded. Medical students with greater clinicalexposure to LGBT patients reported more frequent sexual history taking with LGBT patients, had morepositive attitude scores, and possessed higher knowledge scores than students with little or no clinicalexposure. Overall, on the 13-item attitude survey, the mean was 4.15 (5=most positive, SD=.55, range1.86–5.00), indicating a desire and willingness to provide health care to LGBT patients. The mean scoreon the 14-item knowledge test was 60% (SD=.12) correct. CONCLUSIONS: Medical students with increasedclinical exposure to LGBT patients tended to perform more comprehensive histories, hold more positiveattitudes toward LGBT patients, and possess greater knowledge of LGBT health care concerns thanstudents with little or no clinical exposure.
机译：背景与目的：我们的目标是评估医学生对女同性恋，同性恋，双性恋和变性者（LGBT）患者的护理能力，并确定与该护理有关的医学院课程中的潜在缺陷。方法：在2004年3月1日至4月15日期间，向都市医学院的三年级和四年级医学生发送了一封电子邮件，要求他们参加对64个定量问题的机密在线调查，这些问题旨在评估他们对LGBT患者的护理能力。结果：320名学生中有248名（77.5％）回答了。与LGBT患者相比，临床接触较多的医学生报告与LGBT患者发生性行为的频率更高，态度得分更高，知识得分也高于很少或没有临床接触的学生。总体而言，在13个项目的态度调查中，平均值为4.15（5 =最高阳性，SD = .55，范围1.86–5.00），表明对LGBT患者提供医疗保健的愿望和意愿。 14个项目的知识测验的平均分数正确率为60％（SD = .12）。结论：与没有或很少有临床接触的学生相比，对LGBT患者进行临床接触的医学生倾向于表现出更全面的历史，对LGBT患者抱有更多的积极态度，并且对LGBT卫生保健知识的了解更多。

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