Department of Psychiatry and Behavioral Sciences, Stanford Medicine , Stanford, California, USA.
School of Medicine, Yale University , New Haven, Connecticut, USA.
J Homosex. 2020 Dec 5;67(14):1999-2013. doi: 10.1080/00918369.2019.1621554. Epub 2019 Jul 18.
Sexual and gender minority (SGM) medical students and physicians are exposed to bias in professional contexts. One strategy for promoting SGM visibility and inclusion within medicine is the development of institutional OutLists, which are online, opt-in lists of SGM-identified individuals affiliated with an academic institution. We present the first quantitative evaluation of publicly accessible OutLists at medical institutions in the United States, Canada, and Europe. Nineteen OutLists were identified in the United States; no OutLists were identified in other countries. All OutLists in the United States were identified at allopathic institutions with no institutional religious affiliation. Clinicians in high-prestige specialties and more senior clinicians were underrepresented on OutLists. A state-level measure of SGM equality predicted presence of OutLists within the state (odds ratio 1.429, = .047) but was not associated with the total number of individuals on OutLists. Future research would benefit from incorporating qualitative methodologies to explore the effectiveness of OutLists and the individual experiences of participants in these lists.
性少数群体（SGM）医学生和医生在职业环境中会面临偏见。促进 SGM 在医学领域的可见度和包容性的一种策略是制定机构性少数群体名单（OutLists），这是一种在线、自愿加入的 SGM 认同个人与学术机构相关联的名单。我们首次对美国、加拿大和欧洲医疗机构中公开可访问的 OutLists 进行了定量评估。在美国确定了 19 个 OutLists；在其他国家没有发现 OutLists。美国所有的 OutLists 都是在没有机构宗教信仰的全科学机构中确定的。在声望较高的专业和更资深的临床医生中，OutLists 的代表性不足。州一级的 SGM 平等指标预测了该州是否存在 OutLists（优势比 1.429， =.047），但与 OutLists 上的总人数无关。未来的研究将受益于纳入定性方法，以探讨 OutLists 的有效性和参与者在这些名单中的个人经历。
