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Table 2 LGBT-DOCSSa score means

From: How much is needed? Patient exposure and curricular education on medical students’ LGBT cultural competency

Clinical Preparedness

M (SD)

Attitudinal Awareness

M (SD)

Basic Knowledge

M (SD)

I would feel unprepared talking with a LGBT client/patient about issues related to their sexual orientation and/or gender identity.b

4.65 (1.55)

I think being transgender is a mental disorder.b

6.24 (1.34)

I am aware of institutional barriers that may inhibit transgender people from using health care services.

5.49 (1.29)

I have received adequate clinical training and supervision to work with transgender clients/patients.

3.07 (1.55)

A same sex relationship between two men or two women is not as strong and committed as one between a man and a woman.b

6.72 (0.90)

I am aware of institutional barriers that may inhibit LGB people from using health care services.

5.39 (1.30)

I have received adequate clinical training and supervision to work with LGB clients/patients.

3.66 (1.69)

LGB individuals must be discreet about their sexual orientation around children.b

6.31 (1.20)

I am aware of research indicating that LGB individuals experience disproportionate levels of health and mental health problems compared to heterosexual individuals.

5.97 (1.24)

I have experience working with LGB clients/patients.

4.02 (1.85)

When it comes to transgender individuals, I believe they are morally deviant.b

6.65 (0.98)

I am aware of research indicating that transgender individuals experience disproportionate levels of health and mental problems compared to cisgender individuals.

6.07 (1.22)

I feel competent to assess a person who is LGB in a therapeutic setting.

4.37 (1.68)

The lifestyle of a LGB individual is unnatural or immoral.b

6.52 (1.23)

  

I feel competent to assess a person who is transgender in a therapeutic setting.

3.80 (1.64)

People who dress opposite to their biological sex have a perversion.b

6.64 (0.94)

  

I have experience working with transgender clients/patients.

3.19 (1.91)

I would be morally uncomfortable working with a LGBT client/patient.b

6.72 (0.85)

  

Total

3.82 (1.25)

 

6.54 (0.86)

 

5.73 (1.01)

  1. Abbreviations: LGBT lesbian, gay, bisexual, and transgender; DOCSS Development of Clinical Skills Scale; LGB lesbian, gay, and bisexual
  2. aScores are averages on 7-point Likert scales (1 = strongly disagree, 4 = somewhat agree/disagree, 7 = strongly agree); for the Overall LGBT-DOCSS: M = 5.30, SD = 0.72
  3. bScores are not original; they are reverse scored per scoring instructions