Medical students' knowledge and comfort in participating in cancer prevention for LGBTQ plus patients

Background: The majority of US medical schools have a required curriculum related to the care of LGBTQ+ people, which varies in length and content across schools. All medical specialties and sub-specialties have a component of need for cancer care; either in prevention, treatment, or care planning. As such, it is imperative that medical trainees receive relevant training in the care of LGBTQ+ populations, a community experiencing significant cancer health disparities. Assessing trainees9 knowledge and confidence in providing care is an important aspect of preparing the next generation of physicians. Methods: This abstract reports on survey results from 3 US medical schools (New York University, University of Miami, University of Texas San Antonio) assessing the knowledge, attitudes and comfort in providing care for LGBTQ+ people. The survey was comprised of 54 Likert response (1=strongly disagree; 7=strongly agree) choice questions on: attitudes (30), knowledge (10), student demographics (13) and desire for additional LGBTQ+ education (1). Results were analyzed using descriptive and quantitative analyses. Results: A total of 360 medical students completed the survey and analyses revealed the majority of students had positive attitudes towards caring for LGBTQ+ patients, but lacked comfort in providing care for transgender/non binary patients (TNB) in general (p=0.05); specific cancer prevention care for TNB (p< 0.01); reproductive care for TNB (p< 0.01) and sexual heath (p=0.01). There was a significant correlation between high knowledge scores and comfort in asking a patient9s pronouns (p<0.01). More than 80% felt comfortable discussing cancer prevention care with LGB patients and 75% believed it was important to know the sexual orientation of patient to provide the best care. Eighty percent agreed there should be mandatory LGBTQ+ education in medical school. As in our prior studies, total knowledge scores did not correlate with attitudes. Conclusions: Medical students feel comfortable and willing to provide cancer prevention care for LGB patients but may need more education and training in the unique needs of TNB patients. Medical schools should consider specific education in cancer prevention and treatment for TNB populations. Citation Format: Gwendolyn P. Quinn, Christina Tamargo, Devin Murphy, Megan Sutter, Lydia Fein, Fabio Ferrari, Amani Sampson, Mia Charifosn, Matthew B. Schabath. Medical students9 knowledge and comfort in participating in cancer prevention for LGBTQ+ patients [abstract]. In: Proceedings of the AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2021 Oct 6-8. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr PO-063.