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Queer Frontiers in Medicine: A Structural Competency Approach.

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Academic Medicine : Journal of the Association of American Medical Colleges
|February 23, 2017
PubMed
Summary
This summary is machine-generated.

The Association of American Medical Colleges (AAMC) recommends training physicians to care for diverse populations. This study proposes integrating structural competency into medical education to address systemic health disparities for LGBT, gender nonconforming, and DSD individuals.

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Area of Science:

  • Medical Education
  • Health Equity
  • Social Determinants of Health

Background:

  • The Association of American Medical Colleges (AAMC) developed competencies for training physicians to care for lesbian, gay, bisexual, transgender (LGBT), gender nonconforming (GNC), and individuals with differences in sex development (DSD).
  • Existing frameworks focus on individual and interpersonal abilities but often overlook systemic factors impacting health outcomes for these communities.
  • Societal forces like health insurance, implicit bias, and legal protections significantly influence health disparities.

Purpose of the Study:

  • To reconcile competing competency frameworks in medical education.
  • To propose structural competency as a feasible approach for teaching identity-based health competencies.
  • To support equitable healthcare for LGBT, GNC, and DSD individuals by integrating innovative teaching methods.

Main Methods:

  • Literature review and conceptual analysis of existing competency frameworks.
  • Integration of structural competency principles into medical education.
  • Development of innovative teaching materials and frameworks.

Main Results:

  • Structural competency offers a complementary approach to existing AAMC recommendations.
  • Reconciling competency frameworks can enhance medical education for diverse patient populations.
  • The proposed approach aims to address systemic barriers to equitable healthcare.

Conclusions:

  • Structural competency is essential for addressing health disparities in LGBT, GNC, and DSD communities.
  • Integrating structural competency into medical education can improve physician training.
  • This approach supports the provision of equitable and responsible healthcare for all individuals.