- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07770607
Assessing the Level of Awareness Regarding the Unique Medical Needs of the LGBTQ+ Community Among Emergency Department Physicians, as Well as Their Attitudes Toward Taking Medical Histories, Examining, and Treating Patients From This Community.
August 13, 2026 updated by: Dr. Daniel Leshin Carmel, Barzilai Medical Center
Assessing the level of knowledge and awareness regarding the unique medical needs of the LGBTQ+ community among emergency department physicians by distribution of questionnaires to all emergency department physicians (pediatric, OB/GYN, and general-internal medicine and surgery).
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Emergency medical teams play a unique role in providing initial care to diverse populations, including marginalized or minority groups.
Implicit prejudice can influence the interactions of emergency personnel and contribute to a lack of trust in healthcare providers among some members of the LGBTQ+ community.
Previous studies have highlighted a lack of LGBTQ-focused education tailored to the specific needs of emergency department staff, with 83%-85% of such personnel reporting a deficiency in knowledge and practical tools.
This lack of training begins during medical school and persists as students advance to residency and internship.
Medical students, residents, and fellows have reported significantly lower levels of comfort in taking sexual histories and managing sexual health issues among the LGBTQ population.
Moll et al. surveyed 319 emergency medicine residents in the United States.
A significant minority of respondents felt that taking a medical history and performing physical examinations were more challenging with gay, lesbian, or bisexual patients (24.6%) and even more so with transgender patients (42.6%).
The majority of residents (63%) do not ask patients about their sexual orientation when they present with abdominal pain or genital complaints.
Reports of LGBT-phobic and discriminatory comments came from both fellow residents (16.6%) and faculty members (10%).
Additionally, 2.5% of respondents felt uncomfortable working alongside other physicians from the LGBTQ community, and 6% did not agree that LGBTQ patients deserve the same quality of care as others.
Training healthcare teams provides information and enhances skills, potentially leading to improved quality of care for LGBTQ individuals.
Intervention programs report short-term improvements in the knowledge, attitudes, and practices of healthcare students and professionals regarding sexual and LGBTQ-specific healthcare.
However, a unified conceptual model for training-covering duration, content, and methodology-has been, and remains, lacking.
We aim to Assessing the level of knowledge and awareness regarding the unique medical needs of the LGBTQ+ community among emergency department physicians by distribution of questionnaires to all emergency department physicians (pediatric, OB/GYN, and general-internal medicine and surgery).
Study Type
Interventional
Enrollment (Estimated)
500
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Daniel Leshin Carmel, MD
- Phone Number: +972525253037
- Email: danielles@bmc.gov.il
Study Locations
-
-
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Ashdod, Israel
- Assuta Ashdod Public Hospital
-
Contact:
- Caroline Ohayon, MD
- Phone Number: +972585812888
- Email: caroline_ohayon@hotmail.com
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Principal Investigator:
- Caroline Ohayon, MD
-
Ashkelon, Israel
- Barzilai Medical centre
-
Contact:
- Daniel Leshin Carmel, MD
- Phone Number: +972525253037
- Email: danielles@bmc.gov.il
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Contact:
- Pnina Nir
- Email: pninan@bmc.gov.il
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Beersheba, Israel
- Soroka Hospital
-
Contact:
- Eduard Gerber, MD
- Phone Number: +972548073223
- Email: drgerber.edi@gmail.com
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Principal Investigator:
- Eduard Gerber, MD
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- ER physicians
Exclusion Criteria:
- None
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: ER physicians
Distribution of questionnaires to all emergency department physicians (paediatric, OB/GYN, and general-internal medicine and surgery).
|
Distribution of questionnaires to all emergency department physicians (pediatric, OB/GYN, and general-internal medicine and surgery).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assessing awareness level
Time Frame: 30 days
|
Assessing the level of knowledge and awareness regarding the unique medical needs of the LGBTQ+ community among emergency department physicians by assessing the extent of physicians' knowledge regarding the unique medical needs of the LGBTQ+ community.
Using adjusted questionnaire from previous trials (Moll et al 2018).
Range of score 7 (min) to 35 (max).
|
30 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assessing comfort level in anamneses and physical examination
Time Frame: 30 days
|
Assessing the sense of comfort of physicians to conduct a comprehensive sexual history when appropriate for the reason for the visit; assessing the sense of comfort regarding physical examinations involving the genital area among both the general and LGBTQ+ populations; and assessing physicians' comfort level in working alongside LGBTQ+ colleagues.
Using an adjusted questionnaire from previous trials (Moll et al 2018), with a range from 20 (min) to 100 (max).
|
30 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Daniel Leshin Carmel, MD, Barziali Medical Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Sekoni AO, Gale NK, Manga-Atangana B, Bhadhuri A, Jolly K. The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: a mixed-method systematic review. J Int AIDS Soc. 2017 Jul 19;20(1):21624. doi: 10.7448/IAS.20.1.21624.
- Moll J, Krieger P, Heron SL, Joyce C, Moreno-Walton L. Attitudes, Behavior, and Comfort of Emergency Medicine Residents in Caring for LGBT Patients: What Do We Know? AEM Educ Train. 2019 Jan 21;3(2):129-135. doi: 10.1002/aet2.10318. eCollection 2019 Apr.
- Sawning S, Steinbock S, Croley R, Combs R, Shaw A, Ganzel T. A first step in addressing medical education Curriculum gaps in lesbian-, gay-, bisexual-, and transgender-related content: The University of Louisville Lesbian, Gay, Bisexual, and Transgender Health Certificate Program. Educ Health (Abingdon). 2017 May-Aug;30(2):108-114. doi: 10.4103/efh.EfH_78_16.
- Kelleher ST, Barrett MJ, Durnin S, Fitzpatrick P, Higgins A, Hall D. Staff competence in caring for LGBTQ+ patients in the paediatric emergency department. Arch Dis Child. 2023 Jul;108(7):525-529. doi: 10.1136/archdischild-2022-325151. Epub 2023 Apr 24.
- Hayes V, Blondeau W, Bing-You RG. Assessment of Medical Student and Resident/Fellow Knowledge, Comfort, and Training With Sexual History Taking in LGBTQ Patients. Fam Med. 2015 May;47(5):383-7.
- McCann E, Brown M. The inclusion of LGBT+ health issues within undergraduate healthcare education and professional training programmes: A systematic review. Nurse Educ Today. 2018 May;64:204-214. doi: 10.1016/j.nedt.2018.02.028. Epub 2018 Feb 26.
- Lien K, Vujcic B, Ng V. Attitudes, behaviour, and comfort of Canadian emergency medicine residents and physicians in caring for 2SLGBTQI+ patients. CJEM. 2021 Sep;23(5):617-625. doi: 10.1007/s43678-021-00160-5. Epub 2021 Aug 7.
- Samuels EA, Tape C, Garber N, Bowman S, Choo EK. "Sometimes You Feel Like the Freak Show": A Qualitative Assessment of Emergency Care Experiences Among Transgender and Gender-Nonconforming Patients. Ann Emerg Med. 2018 Feb;71(2):170-182.e1. doi: 10.1016/j.annemergmed.2017.05.002. Epub 2017 Jul 14.
- Bristol S, Kostelec T, MacDonald R. Improving Emergency Health Care Workers' Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training. J Emerg Nurs. 2018 Nov;44(6):632-639. doi: 10.1016/j.jen.2018.03.013. Epub 2018 Apr 25.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
September 1, 2026
Primary Completion (Estimated)
November 30, 2026
Study Completion (Estimated)
December 31, 2026
Study Registration Dates
First Submitted
August 10, 2026
First Submitted That Met QC Criteria
August 13, 2026
First Posted (Actual)
August 18, 2026
Study Record Updates
Last Update Posted (Actual)
August 18, 2026
Last Update Submitted That Met QC Criteria
August 13, 2026
Last Verified
August 1, 2026
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- BRZ-0072-26
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
IPD will not be shared
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.