Table 2 Knowledge questions

1

Both sexual orientation and gender identity are terms that can be used to define a person’s sexual attraction to others.

2

It is important to ask your patients about both their sexual orientation and gender identity to provide them with specific resources that meet their needs.

3

To avoid confusion when treating a transgender patient, it is best to document by their biological sex pronouns in the consult notes even if they self-identify as something different.

4

All patients have similar experiences in the clinic waiting room regardless of sexual orientation and gender identity.

5

Reading material in the clinic waiting room can shape LGBT patients’ expectations about how they will be treated in the clinic.

6

Clinicians who are not LGBT can still wear a rainbow lapel pin to signal acceptance of LGBT patients.

7

LGBT people are just as likely as straight and cisgender people to have a biological family member as their primary source of social support during their cancer care.

8

If hormone therapy is not directly contra-indicated, transgender patients should continue their hormone therapy during cancer treatment, as long as they understand the risks are unknown and that they may need additional monitoring.

9

End-of-life considerations may be more complex for LGBT people, as LGBT people may be more likely to have a partner or spouse who does not have legal custody of their children.

10

It is important to build rapport with patients to indicate you are open to discuss questions not covered by standard education materials developed for heterosexual patients.

11

Standard educational materials regarding sexual side effects for cancer treatment are always easily applicable to LGBT patients.

12

It is more important to discuss body image issues with transgender cancer survivors than with lesbian, gay, and bisexual patients.