{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:33:26Z","timestamp":1770302006408,"version":"3.49.0"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The LGBTQIA<jats:sup>+<\/jats:sup> community faces considerable health disparities. Developing and integrating LGBTQIA<jats:sup>+<\/jats:sup> competencies into healthcare provider training programs is one way to promote inclusive high\u2010quality care to potentially improve this community's health. Currently, there are no established LGBTQIA<jats:sup>+<\/jats:sup>\u2010specific competencies for genetic counseling graduate programs (GCPs), so training across GCPs likely varies. This qualitative focus group\u2010based study aimed to explore current topics related to genetic counseling (GC) for LGBTQIA<jats:sup>+<\/jats:sup> patients covered in North American GCPs, their learning objectives, and LGBTQIA<jats:sup>+<\/jats:sup>\u2010specific competencies that GC students (GCSs) should achieve by graduation. Eligible participants were program leaders at ACGC\u2010accredited GCPs and\/or faculty who taught LGBTQIA<jats:sup>+<\/jats:sup>\u2010related content in at least one GCP over the last 5\u2009years. A semistructured interview guide was used to conduct virtual focus groups that were recorded and transcribed. Transcripts were analyzed using reflexive thematic analysis and an inductive iterative approach that generated themes regarding what content is taught and what knowledge, attitudes, and skills GCSs should demonstrate as a result. Thirteen people participated, including nine LGBTQIA<jats:sup>+<\/jats:sup> people. They represented 12 GCPs (22% of current GCPs) across the United States and Canada. Focus groups ran 73\u201390 min. Transcript analysis identified six themes, framed as learning objectives (LOs), and 24 subobjectives. These included recognizing the breadth of the LGBTQIA<jats:sup>+<\/jats:sup> community and their lived experience with the healthcare system, demonstrating respect for and responding to patient identities to provide inclusive GC, employing strategies to mitigate social aspects that influence health care, and assessing personal biases and the impact of socialization. Participants used several teaching methods including didactic lectures, simulation, written activities, reflections, and fieldwork experiences. The six identified LOs may be a starting point for GCPs looking to develop or refine their LGBTQIA<jats:sup>+<\/jats:sup> curricula. Competency\u2010based education may enhance GCSs' abilities to provide inclusive GC to the LGBTQIA<jats:sup>+<\/jats:sup> community.<\/jats:p>","DOI":"10.1002\/jgc4.1909","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T05:55:09Z","timestamp":1718344509000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Identifying potential <scp>LGBTQIA<\/scp><sup>+<\/sup> competencies for genetic counseling student training"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1426-5567","authenticated-orcid":false,"given":"Grace","family":"Saunders","sequence":"first","affiliation":[{"name":"Munroe\u2010Meyer Institute University of Nebraska Medical Center  Omaha Nebraska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2160-0868","authenticated-orcid":false,"given":"Erin","family":"Carmany","sequence":"additional","affiliation":[{"name":"Center for Molecular Medicine and Genetics Wayne State University School of Medicine  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3372-0496","authenticated-orcid":false,"given":"Angela","family":"Trepanier","sequence":"additional","affiliation":[{"name":"Center for Molecular Medicine and Genetics Wayne State University School of Medicine  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Practice based competencies: ACGC","author":"Accreditation Council for Genetic Counseling (ACGC","year":"2019"},{"key":"e_1_2_12_3_1","unstructured":"Accreditation Council for Genetic Counseling (ACGC). 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