140 - Physical Medicine & Rehabilitation Residency Program Director Survey of Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Inclusion

Objectives: To discover the status of inclusion of LGBTQ+ healthcare and concerns in U.S. PM&R graduate medical education. We expected low levels of inclusion in both curricula and policies and low levels of access to improvement resources.

Design: A REDCap survey comprising 22 multiple-choice questions and 1 open-ended question regarding the amount/type of LGBTQ+ topics included in formal curricula and policies. Participants were ACGME-accredited PM&R Program Directors.

Results: Ninety-two directors were invited; 34 (37%) responded. Only 26.5% of programs include sexual minority (SM) content, 23.5% include transgender and non-binary (TGNB) content, and 17.6% include intersex content, while 73.5% have no formal curriculum. Over half of the directors (52.9%) do not have sources of information to improve their content while 32.4% have 1, 5.9% have 2, and 8.8% have 3 or more sources. However, the majority of respondents support formal curricula on SM (97%), TGNB (94%), and intersex (94%) topics.

Of the responding programs, 55.9% of directors reported protective policies in place for SM residents, 52.9% for TGNB residents, and 44.1% for intersex residents. Sources of information to improve protective policies are lacking for 44.1% of programs, whereas 41.2% have 1, 8.8% have 2, and 5.9% have 3 or more sources.

Conclusions: A minority of ACGME-accredited PM&R Program Directors who participated in our survey reported that they have formal curricula on LGBTQ+ topics and a majority do not have curricular improvement resources. However, a majority believe that residency should include curricula on LGBTQ+ topics. Many reported protective policies in place for LGBTQ+ residents and the majority have access to at least one policy improvement resource. Further work is needed to shape the content of curriculum and address barriers to inclusion in curricula and policies.