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Beyond Men, Women, or Both: A Comprehensive, LGBTQ-Inclusive, Implicit-Bias-Aware, Standardized-Patient-Based Sexual
Jacob J Mayfield1,2, Emily M Ball3,2, Kory A Tillery4
1Intern, Internal Medicine Residency Program, University of California, San Francisco, School of Medicine.
Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
Summary
This medical education module improves students' comfort in taking sexual histories from diverse patients, addressing LGBTQ+ health disparities. It equips future providers for inclusive and competent care.
Area of Science:
- Medical Education
- Health Disparities
- Sexual Health
Background:
- Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals face health disparities due to inadequate healthcare access and provider training.
- Implicit bias in healthcare settings can exacerbate these disparities.
- Sexual dysfunction can negatively impact emotional well-being, highlighting the need for comprehensive care.
Purpose of the Study:
- To prepare medical students for taking inclusive sexual histories from patients of all sexual orientations and gender identities.
- To address curricular deficiencies in LGBTQ+ healthcare education.
- To foster compassionate and competent care for LGBTQ+ patients.
Main Methods:
- A standardized-patient-based module for second- and early third-year medical students.
- Includes prework (video, readings, implicit bias activity), a large-group lecture, and small-group standardized patient encounters.
- Module duration is 3 hours, with standardized patient encounters lasting 40 minutes each.
Main Results:
- Qualitative student evaluations were positive.
- Post-participation surveys showed statistically significant improvement in students' comfort taking sexual histories, especially from patients with differing sexual orientations.
- The module has consistently received positive evaluations since its deployment.
Conclusions:
- This module helps address gaps in medical education regarding LGBTQ+ patient needs.
- It lays the foundation for a more competent healthcare workforce capable of addressing LGBTQ+ health disparities.
- Improved provider training is crucial for mitigating health inequities faced by LGBTQ+ individuals.
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