Purpose of ProjectThis quality improvement (QI) project aimed to increase LGBTQ+ cultural humility among healthcare providers and staff by addressing gaps in clinical preparedness, attitudinal awareness, and basic knowledge. The goal was to improve patient experiences and reduce health disparities.MethodologyA multidisciplinary team implemented an educational intervention with asynchronous video training, simulation-based exercises with virtual standardized patients, and AI-generated feedback, using the Plan-Do-Study-Act cycle. The LGBT-DOCSS tool was completed pre- and post-intervention to measure changes in cultural competency and shared qualitative feedback and demographic data. ResultsThirteen participants completed the intervention which showed a statistically significant decrease in self-assessed attitudes and total DOCSS scores (p = 0.015 and p < .001), suggesting participants may have overestimated their cultural competence. Improvements were observed in items related to clinical training and competence in caring for transgender and LGB patients. Discrepancies remained between self-assessments and standardized patient evaluations, especially regarding awareness of institutional barriers and health disparities.Implications for PracticeSimulation-based education with AI-enhanced feedback offers a scalable, psychologically safe, and effective method for improving LGBTQ+ cultural humility. Ongoing training is needed to address unconscious bias and institutional barriers. To support more equitable care for LGTBQ+ people, future iterations should tailor content to clinical and non-clinical roles, emphasize health disparities, and include structured opportunities for self-reflection.
Joshua Gregoire (Thu,) studied this question.