Mapping the Impact of Anti-LGBT Legislation on Graduate Surgical Education

Aron Egelko, Natalie Florescu, Jacob Siegel, Anastasiia Tomkins, Cherie Erkmen

Research output: Contribution to journalArticlepeer-review

Abstract

Background: LGBTQ medical students and surgery residents face myriad structural barriers. The American Civil Liberties Union (ACLU) reports 492 pieces of state-level legislation targeting Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) people in the past year. These bills including bans on medical care, “don't say gay” bills, exclusion from anti-discrimination protections, and more. These bills may limit where medical students pursue surgical training Study Design: The Movement Advancement Project and the ACLU legislative databases were consulted to determine whether states (plus Puerto Rico and the District of Columbia) currently had or were actively considering anti-LGBTQ legislation. This information was then mapped against data from the 2023 National Residency Match Program. US News rankings of top surgical training programs were utilized as well. Results: There were 2803 general surgical training spots, of which 1597 (57%) were located in states which currently have anti-LGBTQ legislation in place. 245 (9%) of training spots are in states which do not have such legislation but are currently considering anti-LGBTQ legislation. Of the top 20 residency programs, 11 (55%) were in states with anti-LGBTQ legislation. In affiliated specialties, 50 (54%), 118 (57%), and 24 (49%) surgical training positions for integrated vascular, plastic, and thoracic surgery, respectively, are in states that currently have anti-LGBTQ legislation in place.

Original languageEnglish
Article number103372
Pages (from-to)103372
JournalJournal of Surgical Education
Volume82
Issue number2
Early online dateNov 24 2024
DOIs
StatePublished - Feb 2025

Keywords

  • Fellowship
  • LGBTQ
  • Education
  • Residency
  • Equity
  • United States
  • Humans
  • Male
  • General Surgery/education
  • Education, Medical, Graduate/legislation & jurisprudence
  • Internship and Residency/legislation & jurisprudence
  • Sexual and Gender Minorities/legislation & jurisprudence
  • Female

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