LGBTQ+ Health Care Training for OB/GYN Residents Using a Simulation-Based Learning Experience

Lesbian, gay, bisexual, transgender, queer, and persons with other gender identities (LGBTQ+) report difficulties in accessing and receiving health care, extending into OB/GYN care, with patients frequently being seen in this setting for nuanced, sensitive concerns. Up to 90% of OB/GYN residents desire more education on caring for the LGBTQ+ community. We explored the impact of a simulation-based learning experience (SBLE) designed around effective communication and the health care needs of LGBTQ+ patients on OB/GYN residents' confidence and knowledge when caring for this community.

Between 2024 and 2025, 12 third- and fourth-year OB/GYN residents participated in a 3-hour SBLE covering 4 LGBTQ+ topics delivered by trained standardized patients with lived experiences within the LGBTQ+ community. Participants' confidence and knowledge were assessed pre-SBLE, immediately post-SBLE, and 4-6 months post-SBLE, utilizing a 7-item Likert scale self-report of confidence adapted from a previously published study and an internally validated 8-item multiple-choice knowledge assessment. Paired sample t tests and 1-way repeated measures ANOVAs were used to analyze the data.

There was a mean 20% improvement in the immediate confidence assessment (P < .001) and a mean 13% improvement in the immediate knowledge assessment (P = .01). Only confidence gains were maintained over the 4-6 month follow-up.

Participation in SBLEs on LGBTQ+-related health care topics can improve OB/GYN residents' confidence and knowledge in caring for this community. Continued education may be indicated to address knowledge decay over time.