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

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  • Josef Madrigal
  • Sarah Rudasill
  • Zachary Tran
  • Jonathan Bergman
  • Peyman Benharash

Abstract

Introduction: 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. Methods: 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. Results: 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

Suggested Citation

  • Josef Madrigal & Sarah Rudasill & Zachary Tran & Jonathan Bergman & Peyman Benharash, 2021. "Sexual and gender minority identity in undergraduate medical education: Impact on experience and career trajectory," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-14, November.
    • Handle: RePEc:plo:pone00:0260387
    DOI: 10.1371/journal.pone.0260387
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    1. Silenzio, V.M.B. & Pena, J.B. & Duberstein, P.R. & Cerel, J. & Knox, K.L., 2007. "Sexual orientation and risk factors for suicidal ideation and suicide attempts among adolescents and young adults," American Journal of Public Health, American Public Health Association, vol. 97(11), pages 2017-2019.
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