Assessment of lesbian, gay, bisexual, transgender, and questioning experiences within a large southeast training program

Figures & data

Figure 1. Integration of PERMA theory of well-being with intersectionalities mapped to GME trainee survey sections.

* = Corresponding survey sections

Table 1. Baseline demographics.

Characteristics		N	LGBTQ N(%)	Straight N(%)	P value
Age	18–24	3	1(4.3)	2(0.3)
	25–34	722	20(87)	631(89.3)
	35+	87	2(8.7)	72(10.2)
	NA*	28	0(0)	2(0.3)	0.11
PGY level	PGY1	135	5(21.7)	115(16.3)
	PGY2	146	5(21.7)	132(18.7)
	PGY3	172	3(13)	148(20.9)
	PGY4	157	8(34.8)	126(17.8)
	PGY5	105	1(4.3)	98(13.9)
	PGY6	67	0(0)	61(8.6)
	PGY7 or higher	28	1(4.3)	24(3.4)
	NA*	30	0(0)	3(0.4)	0.21
ACGME Category	Dentistry	17	0(0)	11(1.6)
	Hospital-based	195	4(17.4)	176(24.9)
	Medical	427	11(47.8)	353(49.9)
	Surgical	201	8(34.8)	167(23.6)
	NA*	0	0(0)	0(0)	0.64
Gender	Male	462	11(47.8)	402(56.9)
	Female	342	10(43.5)	299(42.3)
	Transgender (male to female)	1	1(4.3)	0(0)
	Transgender (female to male)	1	1(4.3)	0(0)
	Non-binary	1	0(0)	0(0)
	Not listed	4	0(0)	3(0.4)
	NA*	29	0(0)	3(0.4)	<0.01
Race	White	523	12(52.5)	509(72)
	Black/African-American/African	32	4(17.4)	27(3.8)
	Asian	109	3(13)	103(14.6)
	Other	71	4(17.4)	64(9.1)
	NA*	105	0(0)	4(0.6)	0.01
Relationship status	Never married	297	12(52.2)	255(36.1)
	Married or Domestic partnership	492	11(47.8)	434(61.4)
	Widowed	1	0(0)	1(0.1)
	Divorced	13	0(0)	13(1.8)
	Separated	4	0(0)	3(0.4)
	NA*	33	0(0)	1(0.1)	0.41

LGBTQ = Lesbian, Gay, Bisexual, Transgender, and Questioning; NA = Not answered; PGY = postgraduate year; ACGME = Accreditation Council of General Medical Education

*Not included in the calculation of the p-value from the Fisher’s exact test.

Table 2. LGBTQ-specific questions.

Questions		N(%)
In terms of sexual orientation, what do you think of yourself as (please check all that apply)?	Straight	707(84.2)
	Gay	10(1.2)
	Lesbian	1(0.1)
	Bisexual	8(1)
	Ques	1(0.1)
	Asexual	0(0)
	Pansexual	3(0.4)
	NA	110(13.1)
What are your gender pronouns?	She/her	309(36.8)
	He/him	409(48.7)
	They/them	0(0)
	Not listed above	7(0.8)
	NA	115(13.7)
Is your department aware of your gender identity?	Yes	1(0.1)
	No	1(0.1)
	NA	838(99.8)
The institution has a welcoming LGBTQ+ environment.	Strongly Agree	233(27.7)
	Agree	318(37.9)
	Neutral	175(20.8)
	Disagree	6(0.7)
	Strongly Disagree	0(0)
	NA	108(12.9)
My department has a welcoming LGBTQ+ environment.	Strongly Agree	287(34.2)
	Agree	302(36)
	Neutral	138(16.4)
	Disagree	4(0.5)
	Strongly Disagree	0(0)
	NA	109(13.0)
Would you be willing to mentor someone who identifies as LGBTQ+?	Yes	1(0.1)
	No	3(0.4)
	NA	836(99.5)

LGBTQ = Lesbian, Gay, Bisexual, Transgender, and Questioning; NA = Not answered

Table 3. Analysis of responses to questions regarding professionalism, well-being, and satisfaction with training program between Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) and Straight trainees.

		N	LGBTQ N(%)	Straight N(%)	P value
Professionalism
Been publicly humiliated?	Never	691	23(100)	624(88.3)
	Once	46	0(0)	44(6.2)
	Occasionally	43	0(0)	31(4.4)
	Frequently	5	0(0)	4(0.6)
	NA*	55	0(0)	4(0.6)	0.53
Been threatened with physical harm?	Never	763	23(100)	684(96.7)
	Once	12	0(0)	12(1.7)
	Occasionally	8	0(0)	6(0.8)
	Frequently*	0	0(0)	0(0)
	NA*	57	0(0)	5(0.7)	>0.99
Been physically harmed?	Never	778	23(100)	697(98.6)
	Once	6	0(0)	5(0.7)
	Occasionally*	0	0(0)	0(0)
	Frequently*	0	0(0)	0(0)
	NA*	56	0(0)	5(0.7)	>0.99
Been subjected to unwanted sexual advances?	Never	758	22(95.7)	680(96.2)
	Once	15	0(0)	13(1.8)
	Occasionally	11	1(4.3)	9(1.3)
	Frequently*	0	0(0)	0(0)
	NA*	56	0(0)	5(0.7)	0.32
Been subjected to offensive sexist remarks/names?	Never	712	21(91.3)	643(90.9)
	Once	26	0(0)	23(3.3)
	Occasionally	43	2(8.7)	34(4.8)
	Frequently	3	0(0)	2(0.3)
	NA*	56	0(0)	5(0.7)	0.47
Been denied opportunities for training or rewards based on gender?	Never	756	22(95.7)	681(96.3)
	Once	12	0(0)	11(1.6)
	Occasionally	13	1(4.3)	8(1.1)
	Frequently	3	0(0)	2(0.3)
	NA*	56	0(0)	5(0.7)	0.33
Been subjected racially or ethnically offensive remarks/names?	Never	718	19(82.6)	648(91.7)
	Once	30	0(0)	27(3.8)
	Occasionally	33	4(17.4)	25(3.5)
	Frequently	1	0(0)	1(0.1)
	NA*	58	0(0)	6(0.8)	0.03
Been denies opportunities for training or rewards based on race or ethnicity?	Never	766	22(95.7)	687(97.2)
	Once	7	0(0)	6(0.8)
	Occasionally	6	0(0)	6(0.8)
	Frequently	1	0(0)	1(0.1)
	NA*	60	1(4.3)	7(1.0)	>0.99
Been subjected to offensive remarks/names related to sexual orientation?	Never	775	21(91.3)	698(98.7)
	Once	4	1(4.3)	3(0.4)
	Occasionally	3	1(4.3)	1(0.1)
	Frequently	1	0(0)	0(0)
	NA*	57	0(0)	5(0.7)	0.01
Been denied opportunities for training or rewards based on sexual orientation?	Never	780	22(95.7)	700(99.0)
	Once	2	1(4.3)	1(0.1)
	Occasionally*	0	0(0)	0(0)
	Frequently*	0	0(0)	0(0)
	NA*	58	0(0)	6(0.8)	0.06
Shouting, use of belittling or abusive language	Never	632	21(91.3)	577(81.6)
	Once	63	1(4.3)	59(8.3)
	Occasionally	70	0(0)	62(8.8)
	Frequently	6	1(4.3)	4(0.6)
	NA*	69	0(0)	5(0.7)	0.10
Verbal, written, or physical personal attacks directed at others	Never	705	20(87.0)	649(91.8)
	Once	27	1(4.3)	22(3.1)
	Occasionally	36	2(8.7)	29(4.1)
	Frequently	4	0(0)	3(0.4)
	NA*	68	0(0)	4(0.6)	0.36
Public derogatory comments about quality of care by other professionals	Never	631	20(87)	582(82.3)
	Once	34	0(0)	32(4.5)
	Occasionally	104	3(13)	88(12.4)
	Frequently	4	0(0)	3(0.4)
	NA*	67	0(0)	2(0.3)	0.83
Inappropriate expressions of anger (e.g., throwing things, destruction of property)	Never	738	23(100)	673(95.2)
	Once	18	0(0)	17(2.4)
	Occasionally	11	0(0)	9(1.3)
	Frequently	2	0(0)	2(0.3)
	NA*	71	0(0)	6(0.8)	>0.99
Physical assault	Never	770	23(100)	702(99.3)
	Once	1	0(0)	1(0.1)
	Occasionally*	0	0(0)	0(0)
	Frequently*	0	0(0)	0(0)
	NA*	69	0(0)	4(0.6)	>0.99
Unwelcome or wanted physical advances of a sexual nature	Never	762	23(100)	694(98.2)
	Once	4	0(0)	4(0.6)
	Occasionally	5	0(0)	5(0.7)
	Frequently*	0	0(0)	0(0)
	NA*	69	0(0)	4(0.6)	>0.99
Verbal abuse or joking based on gender	Never	712	21(91.3)	655(92.6)
	Once	20	0(0)	18(2.5)
	Occasionally	36	1(4.3)	28(4.0)
	Frequently	1	0(0)	1(0.1)
	NA*	71	1(4.3)	5(0.7)	0.78
Verbal abuse or joking based on race/ethnicity	Never	735	20(87.0)	673(95.2)
	Once	13	2(8.7)	11(1.6)
	Occasionally	21	1(4.3)	17(2.4)
	Frequently	1	0(0)	1(0.1)
	NA*	70	0(0)	5(0.7)	0.08
Verbal abuse or joking based on sexual orientation	Never	754	23(100)	688(97.3)
	Once	7	0(0)	7(1.0)
	Occasionally	9	0(0)	7(1.0)
	Frequently*	0	0(0)	0(0)
	NA*	70	0(0)	5(0.7)	>0.99
Well-Being
Have you felt emotionally drained from your work?	Yes	424	10(43.5)	310(55.9)
	No	331	13(56.5)	395(43.8)
	NA*	85	0(0)	2(0.3)	0.29
Have you worried that your work is hardening you emotionally?	Yes	329	8(34.8)	307(43.4)
	No	428	15(65.2)	400(56.6)
	NA*	83	0(0)	0(0)	0.52
Have you often been bothered by feeling down, depressed, or hopeless?	Yes	189	6(26.1)	175(24.8)
	No	565	17(73.9)	529(74.8)
	NA*	86	0(0)	3(0.4)	0.81
Have you fallen asleep while sitting inactive in a public place?	Yes	138	2(8.7)	132(18.7)
	No	618	21(91.3)	574(81.2)
	NA*	84	0(0)	1(0.1)	0.28
Have you felt that all things you had to do were piling up so high that you could not overcome them?	Yes	210	10(43.5)	192(27.2)
	No	545	13(56.5)	514(72.7)
	NA*	85	0(0)	1(0.1)	0.10
Have you been bothered by emotional problems (such as feeling anxious, depressed, or irritable)?	Yes	312	10(43.5)	294(41.6)
	No	442	13(56.5)	410(58.0)
	NA*	86	0(0)	3(0.4)	>0.99
Has your physical health interfered with your ability to do your daily work at home and/or away from home?	Yes	78	2(8.7)	72(10.2)
	No	676	21(91.3)	632(89.4)
	NA*	86	0(0)	3(0.4)	>0.99
During the past month, have you often been bothered by little interest or pleasure in doing things?	Yes	136	4(17.4)	124(17.5)
	No	619	19(82.6)	581(82.2)
	NA*	85	0(0)	2(0.3)	>0.99
The work I do is meaningful to me.	Very strongly disagree	17	1(4.3)	16(2.3)
	Strongly disagree	9	1(4.3)	7(1.0)
	Disagree	3	0(0)	3(0.4)
	Neutral	34	1(4.3)	31(4.4)
	Agree	194	7(30.4)	175(24.8)
	Strongly agree	298	7(30.4)	283(40.0)
	Very Strongly agree	201	6(26.1)	191(27.0)
	NA*	84	0(0)	1(0.1)	0.41
How important is your mental health and wellness to your program?	Very important	373	14(60.9)	350(49.5)
	Moderately important	214	4(17.4)	204(28.9)
	Somewhat important	113	4(17.4)	104(14.7)
	Less important	23	0(0)	20(2.8)
	Not important at all	15	1(4.3)	12(1.7)
	I’m not sure	18	0(0)	17(2.4)
	NA*	84	0(0)	0(0)	0.54
Satisfaction with Training Program
Are you satisfied with the quality of training you are receiving?	Yes	709	20(87)	677(95.8)
	No	32	3(13)	28(4.0)
	NA*	99	0(0)	2(0.3)	0.07
I would recommend my training program to others.	Strongly disagree	19	0(0)	17(2.4)
	Moderately disagree	10	0(0)	9(1.3)
	Slightly disagree	14	0(0)	14(2.0)
	Slightly agree	62	3(13.0)	58(8.2)
	Moderately agree	149	3(13.0)	143(20.2)
	Strongly agree	489	17(73.9)	466(65.9)
	NA*	97	0(0)	0(0)	0.83

LGBTQ = Lesbian, Gay, Bisexual, Transgender, and Questioning; NA = Not answered

*Not included in the calculation of the p-value from the Fisher’s exact test.

Table 4. Analysis of responses to questions regarding professionalism, well-being, and satisfaction with training program based on race.

		N	White N(%)	Black N(%)	Asian N(%)	Other N(%)	P value
Professionalism
Been publicly humiliated?	Never	691	470(89.9)	31(96.9)	97(89.0)	56(78.9)
	Once	46	34(6.5)	0(0)	5(4.6)	5(7.0)
	Occasionally	43	15(2.9)	1(3.1)	4(3.7)	9(12.7)
	Frequently	5	1(0.2)	0(0)	2(1.8)	1(1.4)
	NA*	55	3(0.6)	0(0)	1(0.9)	0(0)	N/A
Been threatened with physical harm?	Never	763	507(96.9)	32(100)	105(96.3)	68(95.8)
	Once	12	8(1.5)	0(0)	3(2.8)	1(1.4)
	Occasionally	8	4(0.8)	0(0)	0(0)	2(2.8)
	Frequently*	0	0(0)	0(0)	0(0)	0(0)
	NA*	57	4(0.8)	0(0)	1(0.9)	0(0)	0.46
Been physically harmed?	Never	778	515(98.5)	32(100)	107(98.2)	71(100)
	Once	6	4(0.8)	0(0)	1(0.9)	0(0)
	Occasionally*	0	0(0)	0(0)	0(0)	0(0)
	Frequently*	0	0(0)	0(0)	0(0)	0(0)
	NA*	56	4(0.8)	0(0)	1(0.9)	0(0)	>0.99
Been subjected to unwanted sexual advances?	Never	758	504(96.4)	31(96.9)	105(96.3)	68(95.8)
	Once	15	9(1.7)	0(0)	2(1.8)	1(1.4)
	Occasionally	11	6(1.1)	1(3.1)	1(0.9)	2(2.8)
	Frequently*	0	0(0)	0(0)	0(0)	0(0)
	NA*	56	4(0.8)	0(0)	1(0.9)	0(0)	0.67
Been subjected to offensive sexist remarks/names?	Never	712	479(91.6)	30(93.8)	98(89.9)	62(87.3)
	Once	26	14(2.7)	1(3.1)	4(3.7)	3(4.2)
	Occasionally	43	25(4.8)	0(0)	6(5.5)	6(8.5)
	Frequently	3	2(0.4)	0(0)	0(0)	0(0)
	NA*	56	3(0.6)	1(3.1)	1(0.9)	0(0)	N/A
Been denied opportunities for training or rewards based on gender?	Never	756	507(96.9)	29(90.6)	105(96.3)	67(94.4)
	Once	12	8(1.5)	2(6.2)	0(0)	1(1.4)
	Occasionally	13	3(0.6)	1(3.1)	2(1.8)	3(4.2)
	Frequently	3	1(0.2)	0(0)	1(0.9)	0(0)
	NA*	56	4(0.8)	0(0)	1(0.9)	0(0)	0.02
Been subjected racially or ethnically offensive remarks/names?	Never	718	500(95.6)	29(90.6)	86(78.9)	59(83.1)
	Once	30	8(1.5)	1(3.1)	12(11.0)	5(7.0)
	Occasionally	33	10(1.9)	2(6.2)	9(8.3)	7(9.9)
	Frequently	1	0(0)	0(0)	1(0.9)	0(0)
	NA*	58	5(1.0)	0(0)	1(0.9)	0(0)	N/A
Been denies opportunities for training or rewards based on race or ethnicity?	Never	766	515(98.5)	29(90.6)	104(95.4)	66(93.0)
	Once	7	3(0.6)	0(0)	1(0.9)	2(2.8)
	Occasionally	6	0(0)	1(3.1)	2(1.8)	3(4.2)
	Frequently	1	0(0)	0(0)	1(0.9)	0(0)
	NA*	60	5(1.0)	2(6.2)	1(0.9)	0(0)	<0.01
Been subjected to offensive remarks/names related to sexual orientation?	Never	775	517(98.9)	31(96.9)	107(98.2)	70(98.6)
	Once	4	2(0.4)	0(0)	0(0)	1(1.4)
	Occasionally	3	1(0.2)	0(0)	1(0.9)	0(0)
	Frequently	1	0(0)	0(0)	0(0)	0(0)
	NA*	57	3(0.6)	1(3.1)	1(0.9)	0(0)	0.42
Been denied opportunities for training or rewards based on sexual orientation?	Never	780	518(99.0)	31(96.9)	107(98.2)	71(100)
	Once	2	1(0.2)	0(0)	1(0.9)	0(0)
	Occasionally*	0	0(0)	0(0)	0(0)	0(0)
	Frequently*	0	0(0)	0(0)	0(0)	0(0)
	NA*	58	4(0.8)	1(3.1)	1(0.9)	0(0)	0.49
Shouting, use of belittling or abusive language	Never	632	429(82.0)	29(90.6)	90(82.6)	56(78.9)
	Once	63	46(8.8)	2(6.2)	8(7.3)	4(5.6)
	Occasionally	70	44(8.4)	1(3.1)	8(7.3)	7(9.9)
	Frequently	6	1(0.2)	0(0)	2(1.8)	2(2.8)
	NA*	69	3(0.6)	0(0)	1(0.9)	2(2.8)	N/A
Verbal, written, or physical personal attacks directed at others	Never	705	485(92.7)	29(90.6)	99(90.8)	62(87.3)
	Once	27	16(3.1)	2(6.2)	4(3.7)	1(1.4)
	Occasionally	36	20(3.8)	1(3.1)	4(3.7)	5(7.0)
	Frequently	4	0(0)	0(0)	1(0.9)	2(2.8)
	NA*	68	2(0.4)	0(0)	1(0.9)	1(1.4)	N/A
Public derogatory comments about quality of care by other professionals	Never	631	433(82.8)	29(90.6)	90(82.6)	56(78.9)
	Once	34	20(3.8)	0(0)	7(6.4)	5(7.0)
	Occasionally	104	68(13.0)	3(9.4)	10(9.2)	8(11.3)
	Frequently	4	1(0.2)	0(0)	1(0.9)	1(1.4)
	NA*	67	1(0.2)	0(0)	1(0.9)	1(1.4)	N/A
Inappropriate expressions of anger (e.g., throwing things, destruction of property)	Never	738	501(95.8)	31(96.9)	103(94.5)	66(93.0)
	Once	18	11(2.1)	1(3.1)	2(1.8)	2(2.8)
	Occasionally	11	6(1.1)	0(0)	2(1.8)	1(1.4)
	Frequently	2	0(0)	0(0)	1(0.9)	1(1.4)
	NA*	71	5(1.0)	0(0)	1(0.9)	1(1.4)	0.32
Physical assault	Never	770	521(99.6)	31(96.9)	108(99.1)	69(97.2)
	Once	1	0(0)	0(0)	0(0)	1(1.4)
	Occasionally*	0	0(0)	0(0)	0(0)	0(0)
	Frequently*	0	0(0)	0(0)	0(0)	0(0)
	NA*	69	2(0.4)	1(3.1)	1(0.9)	1(1.4)	0.14
Unwelcome or wanted physical advances of a sexual nature	Never	762	516(98.7)	31(96.9)	106(97.2)	68(95.8)
	Once	4	2(0.4)	0(0)	1(0.9)	1(1.4)
	Occasionally	5	2(0.4)	1(3.1)	1(0.9)	1(1.4)
	Frequently*	0	0(0)	0(0)	0(0)	0(0)
	NA*	69	3(0.6)	0(0)	1(0.9)	1(1.4)	0.14
Verbal abuse or joking based on gender	Never	712	488(93.3)	29(90.6)	103(94.5)	60(84.5)
	Once	20	12(2.3)	1(3.1)	3(2.8)	3(4.2)
	Occasionally	36	20(3.8)	2(6.2)	1(0.9)	5(7.0)
	Frequently	1	0(0)	0(0)	1(0.9)	0(0)
	NA*	71	3(0.6)	0(0)	1(0.9)	3(4.2)	0.21
Verbal abuse or joking based on race/ethnicity	Never	735	505(96.6)	29(90.6)	101(92.7)	63(88.7)
	Once	13	5(1.0)	1(3.1)	5(4.6)	2(2.8)
	Occasionally	21	10(1.9)	2(6.2)	1(0.9)	4(5.6)
	Frequently	1	0(0)	0(0)	1(0.9)	0(0)
	NA*	70	3(0.6)	0(0)	1(0.9)	2(2.8)	0.01
Verbal abuse or joking based on sexual orientation	Never	754	511(97.7)	32(100)	105(96.3)	68(95.8)
	Once	7	4(0.8)	0(0)	3(2.8)	0(0)
	Occasionally	9	5(1.0)	0(0)	0(0)	1(1.4)
	Frequently*	0	0(0)	0(0)	0(0)	0(0)
	NA*	70	3(0.6)	0(0)	1(0.9)	2(2.8)	0.41
Well-Being
Have you felt emotionally drained from your work?	Yes	424	306(58.5)	15(46.9)	52(47.7)	37(52.1)
	No	331	216(41.3)	17(53.1)	56(51.4)	34(47.9)
	NA*	85	1(0.2)	0(0)	1(0.9)	0(0)	0.13
Have you worried that your work is hardening you emotionally?	Yes	329	238(45.5)	10(31.2)	41(37.6)	31(43.7)
	No	428	285(54.5)	22(68.8)	68(62.4)	40(56.3)
	NA*	83	0(0)	0(0)	0(0)	0(0)	0.23
Have you often been bothered by feeling down, depressed, or hopeless?	Yes	189	127(24.3)	9(28.1)	28(25.7)	19(26.8)
	No	565	395(75.5)	23(71.9)	80(73.4)	51(71.8)
	NA*	86	1(0.2)	0(0)	1(0.9)	1(1.4)	0.88
Have you fallen asleep while sitting inactive in a public place?	Yes	138	94(18)	5(15.6)	17(15.6)	17(23.9)
	No	618	429(82)	27(84.4)	91(83.5)	54(76.1)
	NA*	84	0(0)	0(0)	1(0.9)	0(0)	0.55
Have you felt that all things you had to do were piling up so high that you could not overcome them?	Yes	210	147(28.1)	10(31.2)	31(28.4)	18(25.4)
	No	545	376(71.9)	22(68.8)	77(70.6)	52(73.2)
	NA*	85	0(0)	0(0)	1(0.9)	1(1.4)	0.94
Have you been bothered by emotional problems (such as feeling anxious, depressed, or irritable)?	Yes	312	214(40.9)	13(40.6)	45(41.3)	34(47.9)
	No	442	306(58.5)	19(59.4)	64(58.7)	37(52.1)
	NA*	86	3(0.6)	0(0)	0(0)	0(0)	0.75
Has your physical health interfered with your ability to do your daily work at home and/or away from home?	Yes	78	48(9.2)	5(15.6)	11(10.1)	10(14.1)
	No	676	473(90.4)	27(84.4)	98(89.9)	60(84.5)
	NA*	86	2(0.4)	0(0)	0(0)	1(1.4)	0.34
During the past month, have you often been bothered by little interest or pleasure in doing things?	Yes	136	94(18.0)	7(21.9)	15(13.8)	14(19.7)
	No	619	428(81.8)	25(78.1)	94(86.4)	56(78.9)
	NA*	85	1(0.2)	0(0)	0(0)	1(1.4)	0.57
The work I do is meaningful to me.	Very strongly disagree	17	9(1.7)	1(3.1)	5(4.6)	2(2.8)
	Strongly disagree	9	5(1.0)	1(3.1)	2(1.8)	0(0)
	Disagree	3	2(0.4)	0(0)	0(0)	1(1.4)
	Neutral	34	22(4.2)	0(0)	6(5.5)	5(7.0)
	Agree	194	141(27.0)	4(12.5)	27(24.8)	14(19.7)
	Strongly Agree	298	209(40.0)	15(46.9)	44(40.4)	23(32.4)
	Very Strongly Agree	201	135(25.8)	11(34.4)	24(22.0)	26(36.6)
	NA*	84	0(0)	0(0)	1(0.9)	0(0)	N/A
How important is your mental health and wellness to your program?	Very important	373	258(49.3)	18(56.2)	50(45.9)	39(54.9)
	Moderately important	214	160(30.6)	7(21.9)	30(27.5)	13(18.3)
	Somewhat important	113	77(14.7)	5(15.6)	18(16.5)	8(11.3)
	Less important	23	12(2.3)	0(0)	3(2.8)	6(8.5)
	Not important at all	15	5(1.0)	1(3.1)	4(3.7)	4(5.6)
	I’m not sure	18	11(2.1)	1(3.1)	4(3.7)	1(1.4)
	NA*	84	0(0)	0(0)	0(0)	0(0)	N/A
Satisfaction with Training Program
Are you satisfied with the quality of training you are receiving?	Yes	709	507(96.9)	30(93.8)	104(95.4)	60(84.5)
	No	32	14(2.7)	2(6.2)	5(4.6)	11(15.5)
	NA*	99	2(0.4)	0(0)	0(0)	0(0)	<0.01
I would recommend my training program to others.	Strongly disagree	19	9(1.7)	0(0)	7(6.4)	2(2.8)
	Moderately disagree	10	4(0.8)	3(9.4)	2(1.8)	1(1.4)
	Slightly disagree	14	8(1.5)	1(3.1)	1(0.9)	4(5.6)
	Slightly agree	62	34(6.5)	3(9.4)	12(11.0)	11(15.5)
	Moderately agree	149	103(19.7)	4(12.5)	26(23.6)	15(21.1)
	Strongly agree	489	365(69.8)	21(65.6)	61(56.0)	38(53.5)
	NA*	97	0(0)	0(0)	0(0)	0(0)	N/A

NA = Not answered

*Not included in the calculation of the p-value from the Fisher’s exact test.