Improving Communication with LGBTQ Patients: A Pilot Curriculum During the Psychiatry Clerkship

A Review of Patient Experiences and Provider Education to Improve Transgender Health Inequities in the USA

“…Another related intervention involved a single 90 min discussion-based seminar with third-year medical students and included different activities including didactic teaching, multiple-choice questions, clinic vignettes, and role-playing that involved scenarios in LGBTQ clinics. These were found to produce post-seminar improvements in students' comfort with LGBTQ patients, self-efficacy, and knowledge [69].…”

“…There has been much interventional work carried out with healthcare students, involving different methods, including workshops [67,68], discussion-based seminars [69], elective classes on LGBTQ health [70,71], simulation activities [72][73][74], and curriculum additions focusing on LGBT or transgender health [75][76][77][78][79][80][81], as well as online training programs [82][83][84] or structured cooperative learning exercises [85]. It is important to note that, out of these 19 studies, only two [83,84] employed a control condition, and only one of these [84] also employed randomization.…”

“…It is important to note that, out of these 19 studies, only two [83,84] employed a control condition, and only one of these [84] also employed randomization. The majority of the remaining studies [68,69,71,[75][76][77][78][79][80]82,85] employed a pre-and post-test design, where knowledge and/or attitudes were measured before and after the intervention. Several other studies only measured post-intervention impacts on knowledge and/or attitudes toward transgender people [72][73][74], and the remaining three studies reviewed used more informal designs without surveying participants following the intervention [67,70,81].…”

Getting involved in training the next generation of physicians: Examples of practicing psychologists in psychiatry and family medicine residency programs.

“…Furthermore, against a backdrop of the pursuit for biological precision in diagnosis and treatment, academic medicine has shown renewed interest in the psychosocial dimensions of the biopsychosocial model of illness and recovery. This shift has been most evident in an increased appreciation of the role of patient values and identities in health and well-being, as manifest in the expansion of LGBTQ-affirming healthcare (Fadus et al, 2020; Hoffman et al, 2009; Lim et al, 2014) and consideration of patient religion/spirituality in diagnosis and treatment (Ransome, 2020; VanderWeele et al, 2017). This development presents an opportunity for psychologists, as experts in the psychological, social, and spiritual domains of human functioning, to uniquely contribute to training the next generation of competent whole-person physicians.…”

Letter to the Editor: Identifying and Addressing Barriers to Transgender Healthcare: Where We Are and What We Need to Do About It

“…3 A model for integrated clinical training can be found at the Medical University of South Carolina, where clinical students participated in a weekly seminar during their psychiatry clerkship. 4 The objectives of these seminars were to recognize the importance of LGBTQ-specific education in a clinical setting, to build a foundation for LGBTQ + terminology and using inclusive language, and to discuss how insensitive communication can lead to adverse health outcomes. The seminars included didactic lectures, multiple choice questions, and clinical vignettes, and discussed topics such as mental health disorders and gender minority stress within the LGBTQ + community.…”