Table 3.

Thematic analysis of continuing medical education course evaluations.

Theme	Operational definition	Representative quotes
LGBTQ+a health as a distinct domain	LGBTQ+ health is a distinct body of knowledge and related skills that requires intentional training and provider competence.	“I plan to incorporate more inclusive language; I understand what the LGBTQ+ community really means and inviting them to receive quality primary health care with warmth so that feel comfortable.” “I intend on using gender affirming language in all of my clinical encounters and educate others on LGBTQ+ health so that there is more awareness and understanding of the disparity of health outcomes for LGBTQ+ patients.”
Inclusivity in practices	Routine clinical, nonclinical, and teaching practices must be inclusive of sexual and gender minority groups. Examples include the correct use of vocabulary, the design of inclusive clinical environments, and the practice of affirming care in clinical encounters.	“Incorporating appropriate language and use of pronouns in case studies, exams, and role play activities. Being more aware of gender issues during teaching, modeling behaviors and language for students.” “I will make adjustments to our student and faculty Allies trainings and, when training others, incorporate this material, including terminology and case scenarios, to more fully equip students and faculty at my institution with the skills and competencies necessary to treat LGBTQ+ patients more equitably.”
Teaching LGBTQ+ health strategies	LGBTQ+ health content can be included in most routine teaching activities throughout health profession schools. Modalities include the addition of new LGBTQ+ health content to courses, role modeling of the 5 P’s of sexual health and correct vocabulary use, and new item writing for tests.	“Small group discussions about the difference between health seeking in case of familial rejection for LGBTQ+ individuals as compared to the majority community can be highlighted.” “I would emphasize the 5Ps of sexual health and have the students role play about taking sexual history, identify difficult questions and guide them on how to handle these circumstances.”

^aLGBTQ+: lesbian, gay, bisexual, transgender, and queer.