Evidence map›Paper›PMID 31470837›Full record

SynthesisBMC medical education2019

Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review.

Matthew Morris, Robert Lyle Cooper, Aramandla Ramesh, Mohammad Tabatabai, Thomas A Arcury, Marybeth Shinn, Wansoo Im, Paul Juarez, Patricia Matthews-Juarez

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 4 pooled it
36.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 4 syntheses or guidelines pooled it, 348 citations in OpenAlex.

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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Matthew MorrisDepartment of Family and Community Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN, 37208, USA. mmorris5@umc.edu.
Robert Lyle CooperDepartment of Family and Community Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN, 37208, USA.
Aramandla RameshDepartment of Biochemistry Cancer Biology Neuroscience & Pharmacology, Meharry Medical College, Nashville, TN, USA.
Mohammad TabatabaiSchool of Graduate Studies and Research, Meharry Medical College, Nashville, TN, USA.
Thomas A ArcuryDepartment of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Marybeth ShinnDepartment of Human and Organizational Development, Vanderbilt University, Nashville, TN, USA.
Wansoo ImDepartment of Family and Community Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN, 37208, USA.
Paul JuarezDepartment of Family and Community Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN, 37208, USA.
Patricia Matthews-JuarezDepartment of Family and Community Medicine, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN, 37208, USA.
Meharry Medical College · USVanderbilt University · USWake Forest University · US

Funding

HRSA HHS UH1HP30348
6 · The paper itself

Abstract

backgroundLesbian, gay, bisexual, transgender and questioning (LGBTQ) individuals experience higher rates of health disparities. These disparities may be driven, in part, by biases of medical providers encountered in health care settings. Little is known about how medical, nursing, or dental students are trained to identify and reduce the effects of their own biases toward LGBTQ individuals. Therefore, a systematic review was conducted to determine the effectiveness of programs to reduce health care student or provider bias towards these LGBTQ patients.

methodsThe authors performed searches of online databases (MEDLINE/PubMed, PsycINFO, Web of Science, Scopus, Ingenta, Science Direct, and Google Scholar) for original articles, published in English, between March 2005 and February 2017, describing intervention studies focused on reducing health care student or provider bias towards LGBTQ individuals. Data extracted included sample characteristics (i.e., medical, nursing, or dental students or providers), study design (i.e., pre-post intervention tests, qualitative), program format, program target (i.e., knowledge, comfort level, attitudes, implicit bias), and relevant outcomes. Study quality was assessed using a five-point scale.

resultsThe search identified 639 abstracts addressing bias among medical, nursing, and dental students or providers; from these abstracts, 60 articles were identified as medical education programs to reduce bias; of these articles, 13 described programs to reduce bias towards LGBTQ patients. Bias-focused educational interventions were effective at increasing knowledge of LGBTQ health care issues. Experiential learning interventions were effective at increasing comfort levels working with LGBTQ patients. Intergroup contact was effective at promoting more tolerant attitudes toward LGBTQ patients. Despite promising support for bias education in increasing knowledge and comfort levels among medical, nursing, and dental students or providers towards LGBTQ persons, this systematic review did not identify any interventions that assessed changes in implicit bias among students or providers.

conclusionsStrategies for assessing and mitigating implicit bias towards LGBTQ patients are discussed and recommendations for medical, nursing, and dental school curricula are presented.

Indexed as

Attitude of Health PersonnelPhysician-Patient RelationsSexual and Gender MinoritiesHomophobiaHumansPrejudiceStudents, DentalStudents, MedicalStudents, NursingCultural competenceImplicit biasLGBTQMedical education

Identifiers

PMID31470837
PMCPMC6716913
OpenAlexW2970002910

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.