Developing an Inclusive and Welcoming LGBTQ Clinic

Nisly, Nicole; Imborek, Katherine L; Miller, Michelle L.; Dole, Nancy; Priest, Jacob B.; Sandler, Leonard; Krasowski, Matthew D.; Hightower, Maia

doi:10.1097/grf.0000000000000405

Cited by 15 publications

(19 citation statements)

References 12 publications

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“…Staff and providers should be cognizant of making assumptions or having expectations regarding the gender presentation of the patient (Potter et al, 2015). Clinic office staff involved in patient registration should respectfully inquire about the patient's asserted name and pronouns and consistently use those titles to address the patient throughout the health-care encounter (Light & Obedin-Maliver, 2019;Nisly et al, 2018). Clinic intake forms need to provide space for the patient to specify gender identity (CERCP, 2017;Potter et al, 2015) rather than forcing a binary choice between male and female.…”

Section: Clinic Environmentmentioning

confidence: 99%

Bridging Barriers to Cervical Cancer Screening in Transgender Men: A Scoping Review

et al. 2020

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Estimates of high-risk human papillomavirus (HPV) infection and susceptibility to HPV-related cancer in transgender men (TM) are comparable to prevalence rates found in cisgender women. Regular and thorough screening for cervical cancer is equally as crucial for TM as for cisgender women; however, despite continued risk for cervical cancer in TM and associated recommendations for screening, studies indicate disparities in rates of cervical cancer screening (CCS) in TM compared to cisgender women. The current scoping review explores TM’s knowledge and experiences of CCS and barriers to screening uptake in this population. A range of barriers were identified including the need for health-care services to provide care for TM within the context of a nonbinary approach to gender identity and health. Findings synthesized from relevant research studies ( n = 15; published 2008–2019) are presented, and recommendations are drawn from these findings to inform primary health-care providers’ clinical practice and care of TM.

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Section: Clinic Environmentmentioning

confidence: 99%

Bridging Barriers to Cervical Cancer Screening in Transgender Men: A Scoping Review

et al. 2020

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“…This may even include identifying ''champions'' at each institution that can provide training or mentoring within small groups. 23 The goal is to facilitate and connect transgender friendly providers with those patients in need and form connections between physicians interested in providing inclusive care to the transgender community.…”

Section: Discussionmentioning

confidence: 99%

Transgender Surgery: Perspectives Across Levels of Training in Medical and Surgical Specialties

et al. 2020

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Purpose: Approximately 1.4 million adults identify as transgender in the United States. Transgender patients face societal, legal, and medical discrimination that can lead to health disparities. The objective of this study was to evaluate knowledge and perceptions of transgender health care across various levels of medical training and specialties. Methods: Between April 1, 2019 and May 1, 2019, an anonymous survey was distributed to residents and attendings, in both medical and surgical specialties, at a university-affiliated hospital. Participants were recruited into the study with survey distribution by email to residency program directors, residents, and residency-affiliated attendings. Results: There was a response rate of 29.5% (118/400). Across all respondents, 34.7%, 31.4%, and 39% knew where to refer transgender patients for hormone replacement, psychotherapy, or surgery, respectively. Only 37.9% of residents and 46.2% of attendings reported that they were confident of providing care for a transgender patient (p = 0.130). In addition, less than one-third of surgical respondents reported sufficient knowledge to describe transgender surgery. The most common reasons affecting comfort level when caring for transgender patients were lack of exposure (53.4%) and lack of formal education (47.6%), with other reasons being personal, moral, and religious reasons (11%, 8.5%, and 6.8%, respectively). Conclusion: Despite literature demonstrating the effectiveness of formal didactics and education in transgender health, there remain disparities in the knowledge and comfort of residents and attendings across all specialties. To deliver competent health care to transgender patients, efforts must focus on improving the availability of system-wide resources and educational opportunities for all specialties.

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“…Most importantly, FM residents should be trained to directly and comfortably discuss matters related to sexual orientation, gender identity, and LGBTQþ health. 18 The St. Vincent's approach. St. Vincent's Family Medicine Center located in Jacksonville, Florida is a ministry of Ascension Health Care, the United States' largest Catholic health system.…”

Section: Teaching Fm Residents To Provide Patient-centered Carementioning

confidence: 99%

“…Training clinic staff, faculty, and residents about LGBTQ+ health and inclusion can help create a safe clinical environment, but it can also promote patient-centered care. 18 The clinical space should be welcoming and the intake paperwork and electronic health record (EHR) should be inclusive. 19,20 To develop a more trusting, informed, and collaborative relationship with the patients, clinicians are encouraged to take a nonjudgmental, open, and understanding approach.…”

Section: The Role Of Fmrpsmentioning

confidence: 99%

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Combating LGBTQ+ health disparities by instituting a family medicine curriculum

Ruedas

Wall

Wainwright

2021

Int J Psychiatry Med

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Research shows that a growing number of people in the United States are identifying as LGBTQ+. Therefore, it is more important than ever that clinicians are trained to be knowledgeable, inclusive, and culturally aware. Unfortunately, there is a lack of LGBTQ+ health education requirements in graduate medical education. As a result, fewer clinicians are prepared to care for this growing population. The shortage of knowledgeable clinicians contributes to LGBTQ+ health disparities and barriers to care. One strategy to combat these deficiencies in health care is for Family Medicine residency programs to create and carry out an LGBTQ+ health curriculum. This article will review LGBTQ+ health topics, identify efforts that Family Medicine residency programs can make, and summarize curriculum developments made by the St. Vincent's Family Medicine Residency Program.

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Developing an Inclusive and Welcoming LGBTQ Clinic

Cited by 15 publications

References 12 publications

Bridging Barriers to Cervical Cancer Screening in Transgender Men: A Scoping Review

Bridging Barriers to Cervical Cancer Screening in Transgender Men: A Scoping Review

Transgender Surgery: Perspectives Across Levels of Training in Medical and Surgical Specialties

Combating LGBTQ+ health disparities by instituting a family medicine curriculum

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