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.
2026年8月13日 更新者: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).
研究概览
详细说明
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).
研究类型
介入性
注册 (估计的)
500
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习联系方式
- 姓名:Daniel Leshin Carmel, MD
- 电话号码:+972525253037
- 邮箱:danielles@bmc.gov.il
学习地点
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Ashdod、以色列
- Assuta Ashdod Public Hospital
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接触:
- Caroline Ohayon, MD
- 电话号码:+972585812888
- 邮箱:caroline_ohayon@hotmail.com
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首席研究员:
- Caroline Ohayon, MD
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Ashkelon、以色列
- Barzilai Medical centre
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接触:
- Daniel Leshin Carmel, MD
- 电话号码:+972525253037
- 邮箱:danielles@bmc.gov.il
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接触:
- Pnina Nir
- 邮箱:pninan@bmc.gov.il
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Beersheba、以色列
- Soroka Hospital
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接触:
- Eduard Gerber, MD
- 电话号码:+972548073223
- 邮箱:drgerber.edi@gmail.com
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首席研究员:
- Eduard Gerber, MD
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
是的
描述
Inclusion Criteria:
- ER physicians
Exclusion Criteria:
- None
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:卫生服务研究
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:ER physicians
Distribution of questionnaires to all emergency department physicians (paediatric, OB/GYN, and general-internal medicine and surgery).
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Distribution of questionnaires to all emergency department physicians (pediatric, OB/GYN, and general-internal medicine and surgery).
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Assessing awareness level
大体时间: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).
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30 days
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Assessing comfort level in anamneses and physical examination
大体时间: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
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员:Daniel Leshin Carmel, MD、Barziali Medical Center
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- 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.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年9月1日
初级完成 (估计的)
2026年11月30日
研究完成 (估计的)
2026年12月31日
研究注册日期
首次提交
2026年8月10日
首先提交符合 QC 标准的
2026年8月13日
首次发布 (实际的)
2026年8月18日
研究记录更新
最后更新发布 (实际的)
2026年8月18日
上次提交的符合 QC 标准的更新
2026年8月13日
最后验证
2026年8月1日
更多信息
与本研究相关的术语
关键字
其他研究编号
- BRZ-0072-26
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
不
IPD 计划说明
IPD will not be shared
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.