LGBTQ+ related social media and website communication before and after 2025 executive orders from the top 50 ranked US medical schools.

PURPOSE: We assessed changes in US medical schools' social media communication regarding LGBTQ+ topics and changes in website Diversity, Equity, and Inclusion (DEI) related content after the January 2025 anti-DEI executive orders. METHOD: Social media profiles from the top fifty medical schools as defined by the 2024 Blue Ridge Institute for Medical Research were reviewed from Feb-June 2024 and Feb-June 2025 and the number of posts featuring LGBTQ+ content was compared. Platforms included X and Instagram. Medical school websites were reviewed during pre- and post-executive orders timeframes and the presence of a DEI office or diversity statement was compared. We evaluated by linear regression whether results correlated with the medical school state's 2024 presidential voting record. RESULTS: The average number of LGBTQ+ related posts per medical school decreased from 3.10 to 0.88 (p < 0.001) from 2024 to 2025. The presence of a DEI office decreased from 94 to 46% from 2024 to 2025 (p < 0.001). Similarly, 94% of medical schools had a diversity statement posted on their website in 2024 compared to 50% in 2025 (p < 0.001). Medical schools located in states that voted for the Republican candidate in 2024 had fewer LGBTQ+ related posts in both time periods. CONCLUSION: We found a significant decrease in medical school LGBTQ+ social media content, publicized DEI offices, and published diversity statements after the anti-DEI executive orders of 2025. These changes may impact medical school climate for LGBTQ+ students and faculty and the impact of these changes requires further study.