title: Results of an Institutional LGBT Climate Survey at an Academic Medical Center.
abstract: The purpose of this study was to characterize the climate and culture experienced by lesbian, gay, bisexual, and transgender (LGBT) employees and students at one large academic medical center. An anonymous, online institutional climate survey was used to assess the attitudes and experiences of LGBT employees and students. There were 42 LGBT and 14 non-LGBT survey participants. Results revealed that a surprisingly large percentage of LGBT individuals experienced pressure to remain "closeted" and were harassed despite medical center policies of non-discrimination. Continuing training, inclusive policies and practices, and the development of mechanisms to address LGBT-specific harassment are necessary for improving institutional climate.
authors.affiliation: 1 Vanderbilt University School of Medicine , Nashville, Tennessee.
authors.forename: Sean D
authors.initials: SD
authors.lastname: Chester
authors.affiliation: 2 Department of Anesthesiology, Vanderbilt University Medical Center , Nashville, Tennessee.
authors.forename: Jesse M
authors.initials: JM
authors.lastname: Ehrenfeld
authors.affiliation: 3 Vanderbilt Program for LGBTI Health, Vanderbilt University School of Medicine Nashville, Tennessee.
authors.forename: Kristen L
authors.initials: KL
authors.lastname: Eckstrand
keywords: access to care; adulthood; biology and sexual/gender minority status; gender identity