Caring for LGBTQ Patients Methods for Improving Residents’ Cultural Competence Chicago, IL, 36 th Forum for Behavioral Science in Family Medicine, September.

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Presentation transcript:

Caring for LGBTQ Patients Methods for Improving Residents’ Cultural Competence Chicago, IL, 36 th Forum for Behavioral Science in Family Medicine, September 18 th, 2015 Maliheh Nakhai, MD R3 Providence Oregon Family Medicine Residency Elizabeth Klein, MD Faculty, Providence Oregon Family Medicine Residency

Disclosures We (Dr Elizabeth Klein and Dr Maliheh Nakhai) do not have any disclosures to report

What you will learn: AAFP recommended curriculum guidelines for FM Residents Communication Health history Primary care counseling Patient-centered treatment Search: LGBT Curriculum Guidelines

Self assessment Strongly agree(1), agree(2), neutral(3), disagree(4), strongly disagree(5) A.I understand my LGBTQ patients’ specific needs B.My waiting room environment is LGBTQ-friendly C.I am aware of which of my patients are L, G, B, T, or Q D.I have resources available for the unique needs of LGBTQ patients E.I have experience with LGBTQ patients F.My staff is sensitive to the needs of LGBTQ patients

Word Cloud Lesbian Gay Bisexual Transgender

Cis/Trans

LGBTQ(IQ) What’s the definition of… Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Questioning

MSM What’s the definition of… Men who have sex with men

WSW What’s the definition of… Women who have sex with women

CASE Small Groups: 3-4 participants

Coming Out Stars

Risk Factors, Preventive Care

Physical Health Cancer

Physical Health Cancer Fitness

Physical Health Cancer Fitness Obesity

Physical Health Cancer Fitness Obesity Injury/violence

Physical Health Cancer Fitness Obesity Injury/violence Trans Concerns

Cardiovascular Health

Mental Health

Sexual Health Lesbian Gay Bisexual Trans

Transgender Terms M2F F2M Transition-related Hormones Surgery

Special issues for Youth Violence bullying homophobic victimization Substance abuse Depression Suicide and suicide attempts Homelessness Sex work Legal sanctions Heteronormative language/culture

Making your practice LGBT friendly Create a welcoming environment Visual environment non-discrimination statement Inclusive language Forms Interactions Educational handouts

Making your practice LGBT friendly Avoid assumptions AND unrelated probing Get the facts Be aware of Health Issues that may impact LGBT patients Show your commitment to providing care to all in our community Treat patients like people too!

Organizational assessment How LGBT-Friendly is your organization now? Have your providers been trained in care of LGBT patients? Are diverse LGBT patients represented on fliers? What other ways is it friendly? This year, how will you make your practice more LGBT friendly?

Resources-Internet Top Health Issues for LGBT Populations Information & Resource Kit GLMA.org The Fenway Institute: LGBThealtheducation.org Kaiser Family Foundation bulletin on LGBT health and access to care and coverage UCSF Transgender Center for Excellence: transhealth.ucsf.edu TransActive Sarabecker.com/t LGBTdata.com lesbianSTD.com OutForHealth.org/for-providers.html

Q&A

Self assessment Strongly agree(1), agree(2), neutral(3), disagree(4), strongly disagree(5) I understand my LGBTQ patients’ specific needs I have resources available for the unique needs of LGBTQ patients I feel more competent in my care of LGBTQ patients What suggestions do you have for our presentation?