Queering medical education: systematically assessing LGBTQI health competency and implementing reform

Abstract

Lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) individuals face well-established health disparities. American medical schools have been inconsistent in their training in the care of LGBTQI-identified patient, and many have not formally assessed their curriculums for content related to the care of LGBTQI-identified patients. From 2015 to 2016, the authors systematically evaluated Georgetown University School of Medicine’s preclinical curriculum for its LGBTQI competency using video lecture capture, LGBTQI health competencies published by the American Association of Medical Colleges (AAMC) and learning objectives developed by Vanderbilt University. Based on the results of the curricular audit, the authors have created didactic content targeted at the identified curricular gaps that has been implemented throughout the preclinical curriculum at Georgetown. The curricular auditing process described here could be replicated at other medical schools, which would allow educators to develop targeted content to address unmet competencies. Abbreviations AAMC: Association of American Medical Colleges; LGBTQI: Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex

Curricular Approaches to Transgender Health in Physician Assistant Education

“…The AAMC has recommended using the Vanderbilt method for integration of LGBT health topics into medical education. 28 , 29 Based on our results and the Vanderbilt iterative change model, the next steps in approaching transgender health in PA education include developing a time-efficient curriculum that can be adopted by programs. Programs can complete a self-assessment, identify curricular gaps, and integrate modular curricula and deploy resources to minimize these gaps.…”

Attitudes of medical students towards men who have sex with men living with HIV: implications for social accountability

“…Medical students need didactic sessions to be incorporated into the curriculum so that their knowledge of how social determinants impact the health of MSM can be addressed alongside interventions and research efforts on increasing comfort and mitigating stigma. 31 , 33 , 43 …”

Atenção Primária à Saúde quebrando tabus

“…Os palestrantes lembraram da dificuldade de acesso da população transexual a serviços de saúde e a profissionais preparados para um atendimento integral e adequado a suas necessidades. 5 Ressaltaram a importância da abertura da APS a essa população e as possibilidades e potências da atuação do médico de família e comunidade nesse cuidado, inclusive trazendo experiências nacionais e evidências internacionais das possibilidades de assistência resolutiva nos serviços de APS. 9 Eles ainda levantaram a necessidade de adequações dos serviços para serem mais inclusivos, a importância da utilização do nome social, e a necessidade de se estar preparado para acolher as demandas de hormonização, consequências do uso de silicone industrial e sequelas da violência e transfobia.…”