Addressing Patient Sexual Orientation in the Undergraduate Medical Education Curriculum
This study aims to estimate the number of hours dedicated to lesbian, gay, bisexual, and transgender content in one medical school’s undergraduate curriculum, compare it to the national average, and identify barriers to addressing this content.
Course and clerkship directors were asked to estimate how many hours they spent on lesbian, gay, bisexual, and transgender content, how many hours would be ideal, and what barriers they perceived to teaching this content.
Faculty members identified lack of instructional time, lack of relevance to their course content, and lack of professional development on this topic as major barriers. There was a significant negative correlation (rs=−0.47, p=0.047) between “number of hours dedicated” and “perceived barriers to teaching this content.”
Course and clerkship directors who perceive more barriers to teaching lesbian, gay, bisexual, and transgender content report dedicating less time to its instruction, but the barriers they perceive can largely be mitigated through faculty development.
KeywordsProfessional Development Academic Psychiatry Instructional Time American Medical College Clerkship Director
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- 1.Accreditation Council for Graduate Medical Education: Common Program Requirements: General Competencies, 2007. Available at http://www.acgme.org/outcome/comp/compHome.asp
- 2.LCME: Current LCME Accreditation Standards: Functions and Structure of a Medical School [revised June 2008]. 2008. Available at http://www.lcme.org/standard.htm
- 3.Xavier J, Hitchcock D, Hollinshead S, et al: An overview of US Trans Health Priorities: A Report by the Eliminating Disparities Working Group, August 2004 Update. National Coalition for LGBT Health, 2004. Available at http://www.transequality.org/PDFs/HealthPriorities.pdf
- 6.Townsend MH, Wallick MM, Cambre KM: Gay and lesbian issues in US psychiatry training as reported by residency training directors. Acad Psychiatry 1995; 19:213–218Google Scholar
- 8.Association of American Medical Colleges: Medical School Graduate Questionnaire Survey Results: All Schools Summary. Washington, DC, AAMC, 2008. Available at http://www.aamc.org/data/gq/allschoolsreports/2008_pe.pdf Google Scholar
- 9.American Medical Student Association (AMSA): Plus One Initiative. Available at http://www.amsa.org/AMSA/Homepage/About/Committees/GenderandSexuality/PlusOneInitiative.aspx
- 10.Stanford LGBT Medical Education Research Group: Changing the Face of Medical Education to Improve Care to Lesbian, Gay, Bisexual, & Transgender Patients. Available at http://med.stanford.edu/lgbt/