Research shows that a growing number of people in the United States are identifying as LGBTQ+. Therefore, it is more important than ever that clinicians are trained to be knowledgeable, inclusive, and culturally aware. Unfortunately, there is a lack of LGBTQ+ health education requirements in graduate medical education. As a result, fewer clinicians are prepared to care for this growing population. The shortage of knowledgeable clinicians contributes to LGBTQ+ health disparities and barriers to care. One strategy to combat these deficiencies in health care is for Family Medicine residency programs to create and carry out an LGBTQ+ health curriculum. This article will review LGBTQ+ health topics, identify efforts that Family Medicine residency programs can make, and summarize curriculum developments made by the St. Vincent's Family Medicine Residency Program.
ConronKJ.LGBT youth population in the United States.
Los Angeles:
The Williams Institute UCLA School of Law, 2020.
3.
Baptiste-RobertsKOranubaEWertsN, et al.
Addressing health care disparities among sexual minorities. Obstet Gynecol Clin North Am2017;
44: 71–80.
4.
OrtelliTA.Improving LGBTQ health and well-being. AJN Am J Nurs2020;
120: 1–4.
5.
Office of Disease Prevention and Health Promotion. Lesbian, gay, bisexual, and transgender health, www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health#:. ∼:text=LGBT health requires specific attention,more likely to attempt suicide.&text=LGBT youth are more likely to be homeless.&text=Lesbians are less l (2020, accessed 14 July 2021).
6.
McClainZHawkinsLAYehiaBR.Creating welcoming spaces for lesbian, gay, bisexual, and transgender (LGBT) patients: an evaluation of the health care environment. J Homosex2016;
63: 387–393.
7.
RaffertyJ.Committee on psychosocial aspects of child and family health, adolescence C on. Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents. Pediatr TA - TT2018;
142: 1–14.
8.
KleinEWNakhaiM.Caring for LGBTQ patients: methods for improving physician cultural competence. Int J Psychiatry Med2016;
51: 315–324.
9.
StreedCGDavisJA.Improving clinical education and training on sexual and gender minority health.Curr Sex Health Rep2018;
10: 273–280.
10.
BaldwinADodgeBSchickV, et al.
Health and identity-related interactions between lesbian, bisexual, queer and pansexual women and their healthcare providers. Cult Health Sex2017;
19: 1181–1196.
11.
JamesSEHermanJLRankinS, et al. The report of the 2015 U.S. transgender survey.
Washington:
National Center for Transgender Equality, 2016.
12.
LiszewskiWPeeblesJKYeungH, et al.
Persons of nonbinary gender – awareness, visibility, and health disparities. N Engl J Med2018;
379: 2391–2393.
Association of American Medical Colleges. Implementing curricular and institutional climate changes to improve health care for individuals who are LGBT, gender nonconforming, or born with DSD: A resource for medical educators. Washington: Association of American Medical Colleges,2014.
15.
American Academy of Family Physicians. Recommended curriculum guidelines for family medicine residents: Lesbian, gay, bisexual, transgender, queer/questioning, and asexual health. Leawood: American Academy of Family Physicians,2019.
