Perioperative Provider and Staff Competency in Providing Culturally Competent LGBTQ Healthcare in Pediatric Setting

Advances in Medical Education and Practice (12/31/19) Vol. 10, P. 1097 Walia, H.; Banoub, R.; Cambier, G.S.; et al.

New research sought to understand the effect of education and cultural competency training among pediatric perioperative staff, including anesthesia providers, on caring for children and adolescents identifying as lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ). Surveys performed before and after a two-part educational series helped evaluate this impact, with providers self-reporting their knowledge and comfort in six domains of caring for LGBTQ patients. Prior to training, the median ratings of knowledge and comfort were 3 or 4 out of 5 for each domain, and the pre-training median score on the 7-item test of LGBTQ cultural competency was 5. While the post-training knowledge and comfort self-ratings did not improve, the score on the objective knowledge test rose to a median of 6 from 7 possible points. According to the authors, "This finding suggests that future interventions to improve LGBTQ cultural competency among health care workers should not only assess knowledge but include different case studies in caring for patients who identify as LGBTQ, and target specific clinical scenarios where health care providers' understanding, ability to ask questions and build a rapport with LGBTQ patients in clinical settings can be observed and improved."

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