Evidence map›Paper›PMID 37710405›Full record

ArticleJournal of the American Geriatrics Society2024

Sexual and gender minority health-related content in geriatric fellowships.

Carl Henry Burton, Maria H van Zuilen, Angela Primbas, Megan E Young, Kristine Swartz, Jessica Colburn, Chandrika Kumar, Alexandra Klomhaus, Ryan Chippendale, Carl G Streed

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Carl Henry BurtonDivision of Geriatrics, David Geffen School of Medicine at University of California Los Angeles (UCLA), Los Angeles, California, USA.
Maria H van ZuilenDepartment of Medical Education, University of Miami Miller School of Medicine, Miami, Florida, USA.
Angela PrimbasDivision of Geriatrics, David Geffen School of Medicine at University of California Los Angeles (UCLA), Los Angeles, California, USA.
Megan E YoungSection of Geriatrics, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Kristine SwartzDepartment of Family and Community Medicine, Division of Geriatrics and Palliative Care Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Jessica ColburnDivision of Geriatric Medicine & Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Chandrika KumarDivision of Geriatric Medicine & Gerontology, Yale University School of Medicine, New Haven, Connecticut, USA.
Alexandra KlomhausDepartment of Medicine Statistics Core, David Geffen School of Medicine UCLA, Los Angeles, California, USA.
Ryan ChippendaleSection of Geriatrics, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.ORCID 0000-0003-2860-8221
Carl G StreedSection of General Internal Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
Building methods to assess and address cardiovascular health in transgender adultsK01HL151902 · NHLBI · BOSTON MEDICAL CENTER · PI Carl G Streed · 2021 to 2026
$863k
Doris Duke Charitable Foundation 2022061NCATS NIH HHS UL1 TR001881NCATS NIH HHS UL1TR001881NHLBI NIH HHS K01 HL151902NHLBI NIH HHS NHLBI 1K01HL151902-01A1
6 · The paper itself

Abstract

introductionDespite a growing number of older lesbian, gay, bisexual transgender, and queer (LGBTQ) adults in the United States, education on care for this vulnerable population has historically been inadequate across all levels of training. This research assessed the extent of LGBTQ education in geriatric medicine fellowship curricula across the United States.

methodsWe designed a survey to anonymously collect information from geriatric medicine fellowship programs on LGBTQ curricular content. Eligible participants included all 160 fellowship directors on record with the American Geriatrics Society. The survey addressed demographics of the fellowship program, current state of inclusion of LGBTQ content in didactic curricula and in clinical settings, and other available training opportunities.

resultsOut of those contacted, 80 (50%) completed the survey. Of the programs surveyed, 60 (75%) were housed in internal medicine, 19 (24%) were in family medicine, and one was in their own department. Forty-seven fellowships (59%) reported some formal didactic session (e.g., lecture or case based), with the majority of these programs (72%) featuring 1-2 h of formal instruction. Forty-five programs (56%) reported offering no formal clinical experiences. There was less than 50% coverage for all surveyed topics in the required curriculum (range 46% for discrimination to 9% for gender affirming care). Time and lack of expertise were cited as the main barriers to content inclusion.

conclusionsCurricular content regarding care for LGBTQ older adults is inadequate in geriatric medicine fellowships. Faculty development of current educators and providing standardized guidelines and curricula are steps toward addressing this deficit.

Indexed as

Fellowships and ScholarshipsSexual and Gender MinoritiesAgedCurriculumFemaleHumansSexual BehaviorSurveys and QuestionnairesUnited Statescurricular coveragegeriatric medicine fellowshipLGBTQ older adults

Identifiers

PMID37710405
PMCPMC11642707

What OpenQuestion holds

Textmetadata
LicenceTDM
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.