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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