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Clinicians signal the need to improve competency in the care of patients who identify as LGBTQ+
  1. Theresa Ryan Schultz1,2
  1. 1 Division of Emergency Medicine and Trauma and Division of Nursing, Children's National Hospital, Washington, DC, USA
  2. 2 The George Washington University, School of Medicine and Health Sciences, Washington, DC, USA
  1. Correspondence to Dr Theresa Ryan Schultz, Children's National Hospital, Washington, DC, 20010-2916, USA; trschultz{at}

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Commentary on: Kelleher ST, Barrett MJ, Durnin S, Fitzpatrick P, Higgins A, Hall D. Staff competence in caring for LGBTQ+ patients in the paediatric emergency department. Arch Dis Child. 2023 Jul;108(7):525–529. doi: 10.1136/archdischild-2022-325151. Epub 2023 Apr 24.

Implications for practice and research

  • Emergency department staff self-identified the need for training in the care of youth who identify as LGBTQ+ to close a gap in knowledge and clinical preparedness.

  • Intervention studies, using evidence-based science, are needed to improve competency and advance health equity for LGBTQ+ youth.


Individuals who identify as LGBTQ+ report discrimination in healthcare settings.1 Clinicians describe a lack of formal education in LGBTQ+ care needs.2 Adolescence is complex; adolescents who identify as LGBTQ+ are among our most vulnerable. International statistics illuminate that these youth are at exponentially higher risk for suicide.3 This study by Kelleher and colleagues assesses …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.