Project 1: Training for Health Care Providers in the Administration of Pre-Exposure Prophylaxis to Men and Transgender Women who have Sex with Men: A Systematic Review
Description: This project will examine the efficacy of PrEP and identify best practices in delivery, to MSM and TG persons in the United States.
Aim: To conduct a systematic review of best practices and employ meta-analyses where data is available to identify the elements of an evidence based PrEP cascade curricula for primary care doctors. To use the reviews and meta-analysis to identify best practice approaches for pre- and post-graduate trainees and practicing physicians at every point in the PrEP cascade.
Goals: We will use the findings from this review to:
1. Link the core components of effective PrEP screening, delivery, and adherence training to present AAMC and ACGME competencies.
2. Develop a model PrEP educational curriculum for training pre- and post-graduate trainees and primary care providers with PrEP screening, uptake, and adherence strategies for MSM and TP persons and other high risk populations.
Project 2: Physician Bias Education of Medical Students in providing culturally competent care for Lesbian, Gay, Bisexual and Transgender Patients (LGBT) Populations
Description: The research study describes the methodology for establishing an evidence-based curriculum designed to reduce the effects of physician implicit bias among medical students to improve the provision of health care services to LGBT populations.
Aim: To assess how medical school curriculum address the education of students in addressing implicit bias towards LGBT populations and how it affects the provision of health care services and contributes to health disparities.
1. Conduct a systematic review of the literature on physician implicit bias in working with LGBT populations.
2. Conduct a survey of 141 US medical schools on how they teach students to address implicit physician bias in working with LGBT populations.
3. Develop an evidence-based, physician, implicit bias reduction curriculum for working with LGBT populations for medical schools.
4. Disseminate the evidence-based physician, implicit bias reduction curriculum for working with LGBT populations to academic medicine audiences.
5. Medical students will reduce their level of implicit bias in providing health care services to LGBT populations.
6. LGBT populations will display improved overall measures of health and a reduction in health disparities.