LGBTQIA+ Survey

Dear CSMS Member,

The LGBTQ+ Ad Hoc Committee of CSMS would like to gather information from CSMS members about understanding of and comfort with treating LGBTQ+ patients. We would greatly appreciate your completing this brief survey. Responses will be anonymous unless you choose to share your information. Thank you for helping to improve healthcare for the LGBTQ+ population by completing this survey.

Brian Keyes, MD

Michael Virata, MD

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* 1. Year graduated from medical school

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* 2. What is your specialty/subspecialty?

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* 3. Do you have any patients who identify as LGBTQ+?

Yes

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* 4. Do office forms (during intake) allow patients to self-identify their sexual orientation/gender identity?

Yes

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* 5. My office is a safe place for patients who identify as LGBTQ+.

Disagree

Agree

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. Does your office have written policies that prohibit discrimination in relation to gender identity and sexual orientation?

Yes

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* 7. Do you know of any colleagues in your office who identify as LGBTQ+?

Yes

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* 8. How comfortable are you discussing health issues related to your patients’ sexual behavior?

Very Uncomfortable

Very Comfortable

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 9. How comfortable are you discussing health issues related to your patients’ sexual orientation and gender identity?

Very Uncomfortable

Very Comfortable

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 10. How comfortable are you in general in caring for LGBTQ+ patients?

Very Uncomfortable

Very Comfortable

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 11. If you are not comfortable caring for LGBTQ+ patients, do you refer them to another physician in your practice or outside your practice?

Yes

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* 12. Do you feel like you have adequate knowledge about LGBTQ+ health issues?

Yes

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* 13. Are you aware of resources for LGBTQ+ health?

Yes

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* 14. What resources for LGBTQ+ health do you most frequently use? (list names of resources)

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* 15. Would you be interested in CME programs addressing LGBTQ+ health?

Yes

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* 16. If yes, what specific topics would be most helpful to you?

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* 17. Would you like to be identified as being interested in treating the LGBTQ+ population? If so, please provide your name and contact information.

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* 18. Are you part of the LGBTQ+ population? Would you like to be identified that way for patient referrals? If so, please provide your contact information.