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Published in: Current Sexual Health Reports 4/2018

01-12-2018 | Sexual Orientation and Identity (E Coleman and J Vencill, Section Editors)

Improving Clinical Education and Training on Sexual and Gender Minority Health

Authors: Carl G. Streed Jr., John A. Davis

Published in: Current Sexual Health Reports | Issue 4/2018

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Abstract

Purpose of Review

Sexual and gender minority (SGM) populations, including lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, continue to experience significant health and healthcare disparities. One mechanism proposed to address these disparities is improving the education of healthcare professionals. This narrative review summarizes recent trends specifically in medical education related to LGBTQ/SGM populations and highlights examples of curricular innovations.

Recent Findings

Efforts are described in all levels of medical education. The predominant contributions to literature include documenting the current state of education and patient care, including further defining gaps. There are many reports of educational efforts in various institutions, with reports of outcomes mostly in the domain of activity acceptability and learner self-efficacy. Interventions have been developed by both faculty and learners with broad acceptability and perceived value.

Summary

Existing publications continue to point out needed research in LGBTQ/SGM medical education. We also identify areas for additional innovation efforts.
Literature
1.
go back to reference Meyer IH, Brown TN, Herman JL, Reisner SL, Bockting WO. Demographic characteristics and health status of transgender adults in select US regions: behavioral risk factor surveillance system, 2014. Am J Public Health. 2017;107(4):582–9.CrossRef Meyer IH, Brown TN, Herman JL, Reisner SL, Bockting WO. Demographic characteristics and health status of transgender adults in select US regions: behavioral risk factor surveillance system, 2014. Am J Public Health. 2017;107(4):582–9.CrossRef
4.
go back to reference Gonzales G, Przedworski J, Henning-Smith C. Comparison of health and health risk factors between lesbian, gay, and bisexual adults and heterosexual adults in the United States: results from the National Health Interview survey. JAMA Intern Med. 2016;176(9):1344–51.CrossRef Gonzales G, Przedworski J, Henning-Smith C. Comparison of health and health risk factors between lesbian, gay, and bisexual adults and heterosexual adults in the United States: results from the National Health Interview survey. JAMA Intern Med. 2016;176(9):1344–51.CrossRef
5.
go back to reference Diamant AL, Wold C. Sexual orientation and variation in physical and mental health status among women. J Women's Health (Larchmt). 2003;12(1):41–9.CrossRef Diamant AL, Wold C. Sexual orientation and variation in physical and mental health status among women. J Women's Health (Larchmt). 2003;12(1):41–9.CrossRef
6.
go back to reference Gonzales G, Henning-Smith C. Health disparities by sexual orientation: results and implications from the behavioral risk factor surveillance system. J Community Health. 2017;42:1163–72.CrossRef Gonzales G, Henning-Smith C. Health disparities by sexual orientation: results and implications from the behavioral risk factor surveillance system. J Community Health. 2017;42:1163–72.CrossRef
7.
go back to reference Wang J, Hausermann M, Vounatsou P, Aggleton P, Weiss MG. Health status, behavior, and care utilization in the Geneva Gay Men’s Health survey. Prev Med. 2007;44(1):70–5.CrossRef Wang J, Hausermann M, Vounatsou P, Aggleton P, Weiss MG. Health status, behavior, and care utilization in the Geneva Gay Men’s Health survey. Prev Med. 2007;44(1):70–5.CrossRef
8.
go back to reference Streed CG Jr, Harfouch O, Marvel F, Blumenthal RS, Martin SS, Mukherjee M. Cardiovascular disease among transgender adults receiving hormone therapy: a narrative review. Ann Intern Med. 2017;167(4):256–67.CrossRef Streed CG Jr, Harfouch O, Marvel F, Blumenthal RS, Martin SS, Mukherjee M. Cardiovascular disease among transgender adults receiving hormone therapy: a narrative review. Ann Intern Med. 2017;167(4):256–67.CrossRef
9.
go back to reference Getahun D, Nash R, Flanders WD, Baird TC, Becerra-Culqui TA, Cromwell L, et al. Cross-sex hormones and acute cardiovascular events in transgender persons: a cohort study. Ann Intern Med. 2018;169(4):205–13.CrossRef Getahun D, Nash R, Flanders WD, Baird TC, Becerra-Culqui TA, Cromwell L, et al. Cross-sex hormones and acute cardiovascular events in transgender persons: a cohort study. Ann Intern Med. 2018;169(4):205–13.CrossRef
10.
go back to reference Streed CG Jr. et al. Self-Reported Physical and Mental Health of Gender Nonconforming Transgender Adults in the United States. LGBT Health 2018;5(7): 443–448.CrossRef Streed CG Jr. et al. Self-Reported Physical and Mental Health of Gender Nonconforming Transgender Adults in the United States. LGBT Health 2018;5(7): 443–448.CrossRef
11.
go back to reference Streed CG Jr, McCarthy EP, Haas JS. Association between gender minority status and self-reported physical and mental health in the United States. JAMA Intern Med. 2017;177(8):1210–2.CrossRef Streed CG Jr, McCarthy EP, Haas JS. Association between gender minority status and self-reported physical and mental health in the United States. JAMA Intern Med. 2017;177(8):1210–2.CrossRef
12.
go back to reference Meyer IH. Minority stress and mental health in gay men. J Health Soc Behav. 1995;36(1):38–56.CrossRef Meyer IH. Minority stress and mental health in gay men. J Health Soc Behav. 1995;36(1):38–56.CrossRef
13.
go back to reference Meyer IH. Does an improved social environment for sexual and gender minorities have implications for a new minority stress research agenda? Psychol Sex Rev. 2016;7(1):81–90.PubMedPubMedCentral Meyer IH. Does an improved social environment for sexual and gender minorities have implications for a new minority stress research agenda? Psychol Sex Rev. 2016;7(1):81–90.PubMedPubMedCentral
15.
go back to reference McConnell EA, Janulis P, Phillips G 2nd, Truong R, Birkett M. Multiple minority stress and LGBT community resilience among sexual minority men. Psychol Sex Orientat Gend Divers. 2018;5(1):1–12.CrossRef McConnell EA, Janulis P, Phillips G 2nd, Truong R, Birkett M. Multiple minority stress and LGBT community resilience among sexual minority men. Psychol Sex Orientat Gend Divers. 2018;5(1):1–12.CrossRef
16.
go back to reference Frost DM, Lehavot K, Meyer IH. Minority stress and physical health among sexual minority individuals. J Behav Med. 2015;38(1):1–8.CrossRef Frost DM, Lehavot K, Meyer IH. Minority stress and physical health among sexual minority individuals. J Behav Med. 2015;38(1):1–8.CrossRef
17.
go back to reference Hatzenbuehler ML, Pachankis JE. Stigma and minority stress as social determinants of health among lesbian, gay, bisexual, and transgender youth: research evidence and clinical implications. Pediatr Clin N Am. 2016;63(6):985–97.CrossRef Hatzenbuehler ML, Pachankis JE. Stigma and minority stress as social determinants of health among lesbian, gay, bisexual, and transgender youth: research evidence and clinical implications. Pediatr Clin N Am. 2016;63(6):985–97.CrossRef
18.
go back to reference Keuroghlian AS, Ard KL, Makadon HJ. Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments. Sex Health. 2017;14(1):119–22.CrossRef Keuroghlian AS, Ard KL, Makadon HJ. Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments. Sex Health. 2017;14(1):119–22.CrossRef
19.
go back to reference Bauman KA, Hale FA. Bringing the homosexual patient out: teaching the doctor’s role. J Indian Med Assoc. 1986;84(1):30. Bauman KA, Hale FA. Bringing the homosexual patient out: teaching the doctor’s role. J Indian Med Assoc. 1986;84(1):30.
20.
go back to reference Royse D, Birge B. Homophobia and attitudes towards AIDS patients among medical, nursing, and paramedical students. Science. 1988;239(4840):603. Royse D, Birge B. Homophobia and attitudes towards AIDS patients among medical, nursing, and paramedical students. Science. 1988;239(4840):603.
21.
go back to reference D'Augelli AR. Lesbians’ and gay men’s experiences of discrimination and harassment in a university community. Am J Community Psychol. 1989;17(3):317–21.CrossRef D'Augelli AR. Lesbians’ and gay men’s experiences of discrimination and harassment in a university community. Am J Community Psychol. 1989;17(3):317–21.CrossRef
22.
go back to reference McGrory BJ, McDowell DM, Muskin PR. Medical students’ attitudes toward AIDS, homosexual, and intravenous drug-abusing patients: a re-evaluation in New York City. AIDS Educ Prev. 1990;2(1):47. McGrory BJ, McDowell DM, Muskin PR. Medical students’ attitudes toward AIDS, homosexual, and intravenous drug-abusing patients: a re-evaluation in New York City. AIDS Educ Prev. 1990;2(1):47.
23.
go back to reference Townsend MH, Wallick MM, Cambre KM. Support services for homosexual students at U.S. medical schools. Can J Psychiatry. 1991;36(7):548. Townsend MH, Wallick MM, Cambre KM. Support services for homosexual students at U.S. medical schools. Can J Psychiatry. 1991;36(7):548.
24.
go back to reference Wallick MM, Cambre KM, Townsend MH. How the topic of homosexuality is taught at U.S. medical schools. J Psychosom Res. 1992;36(7):76. Wallick MM, Cambre KM, Townsend MH. How the topic of homosexuality is taught at U.S. medical schools. J Psychosom Res. 1992;36(7):76.
26.
go back to reference Obedin-Maliver J, Goldsmith ES, Stewart L, White W, Tran E, Brenman S, et al. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. JAMA. 2011;306(9):971–7.CrossRef Obedin-Maliver J, Goldsmith ES, Stewart L, White W, Tran E, Brenman S, et al. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. JAMA. 2011;306(9):971–7.CrossRef
27.
go back to reference White W, Brenman S, Paradis E, Goldsmith ES, Lunn MR, Obedin-Maliver J, et al. Lesbian, gay, bisexual, and transgender patient care: medical students’ preparedness and comfort. Teach Learn Med. 2015;27(3):254–63.CrossRef White W, Brenman S, Paradis E, Goldsmith ES, Lunn MR, Obedin-Maliver J, et al. Lesbian, gay, bisexual, and transgender patient care: medical students’ preparedness and comfort. Teach Learn Med. 2015;27(3):254–63.CrossRef
28.
go back to reference Grieco CA, and Davis JA. LGBTQ+ Health – A Novel Curriculum for Undergraduate Students. Submitted. 2018. Grieco CA, and Davis JA. LGBTQ+ Health – A Novel Curriculum for Undergraduate Students. Submitted. 2018.
29.
go back to reference Garvey JC, Taylor JL, Rankin S. An examination of campus climate for LGBTQ community college students. Community Coll J Res Pract. 2015;52(2):190–203. Garvey JC, Taylor JL, Rankin S. An examination of campus climate for LGBTQ community college students. Community Coll J Res Pract. 2015;52(2):190–203.
30.
go back to reference Tam A. Medical school admissions: an LGBTQ perspective. Acad Med. 2017;92(6):730–1.CrossRef Tam A. Medical school admissions: an LGBTQ perspective. Acad Med. 2017;92(6):730–1.CrossRef
31.
go back to reference Cannon SM, Shukla V, Vanderbilt AA. Addressing the healthcare needs of older lesbian, gay, bisexual, and transgender patients in medical school curricula: a call to action. Med Educ Online. 2017;22(1):1320933.CrossRef Cannon SM, Shukla V, Vanderbilt AA. Addressing the healthcare needs of older lesbian, gay, bisexual, and transgender patients in medical school curricula: a call to action. Med Educ Online. 2017;22(1):1320933.CrossRef
34.
go back to reference Dubin SN, Nolan IT, Streed CG Jr, Greene RE, Radix AE, Morrison SD. Transgender health care: improving medical students’ and residents’ training and awareness. Adv Med Educ Pract. 2018;9:377–91.CrossRef Dubin SN, Nolan IT, Streed CG Jr, Greene RE, Radix AE, Morrison SD. Transgender health care: improving medical students’ and residents’ training and awareness. Adv Med Educ Pract. 2018;9:377–91.CrossRef
35.
go back to reference Parameshwaran V, Cockbain BC, Hillyard M, Price JR. Is the lack of specific lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) health care education in medical school a cause for concern? Evidence from a survey of knowledge and practice among UK medical students. J Homosex. 2017;64(3):367–81.CrossRef Parameshwaran V, Cockbain BC, Hillyard M, Price JR. Is the lack of specific lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) health care education in medical school a cause for concern? Evidence from a survey of knowledge and practice among UK medical students. J Homosex. 2017;64(3):367–81.CrossRef
36.
go back to reference Banwari G, Mistry K, Soni A, Parikh N, Gandhi H. Medical students and interns’ knowledge about and attitude towards homosexuality. J Postgrad Med. 2015;61(2):95–100.CrossRef Banwari G, Mistry K, Soni A, Parikh N, Gandhi H. Medical students and interns’ knowledge about and attitude towards homosexuality. J Postgrad Med. 2015;61(2):95–100.CrossRef
37.
go back to reference Sanchez AA, Southgate E, Rogers G, Duvivier RJ. Inclusion of lesbian, gay, bisexual, transgender, queer, and intersex health in Australian and New Zealand medical education. LGBT Health. 2017;4(4):295–303.CrossRef Sanchez AA, Southgate E, Rogers G, Duvivier RJ. Inclusion of lesbian, gay, bisexual, transgender, queer, and intersex health in Australian and New Zealand medical education. LGBT Health. 2017;4(4):295–303.CrossRef
38.
go back to reference Jacob J. Mayfield M, Ball EM, Tillery KA, Crandall C, Dexter J, Michael Winer J, Bosshardt ZM, Welch JH, Dolan E, Fancovic ER, Nañez AI, De May H, Finlay E, Lee SM, Streed Jr. CG, Ashraf K. Beyond men, women, or both: a comprehensive, LGBTQ-inclusive, implicit-bias-aware, standardized-patient-based sexual history taking curriculum. MedEdPORTAL. 2017;13:10634. https://doi.org/10.15766/mep_2374-8265.10634. Jacob J. Mayfield M, Ball EM, Tillery KA, Crandall C, Dexter J, Michael Winer J, Bosshardt ZM, Welch JH, Dolan E, Fancovic ER, Nañez AI, De May H, Finlay E, Lee SM, Streed Jr. CG, Ashraf K. Beyond men, women, or both: a comprehensive, LGBTQ-inclusive, implicit-bias-aware, standardized-patient-based sexual history taking curriculum. MedEdPORTAL. 2017;13:10634. https://​doi.​org/​10.​15766/​mep_​2374-8265.​10634.
45.
go back to reference Grosz AM, Gutierrez D, Lui AA, Chang JJ, Cole-Kelly K, Ng H. A student-led introduction to lesbian, gay, bisexual, and transgender health for first-year medical students. Fam Med. 2017;49(1):52–6.PubMed Grosz AM, Gutierrez D, Lui AA, Chang JJ, Cole-Kelly K, Ng H. A student-led introduction to lesbian, gay, bisexual, and transgender health for first-year medical students. Fam Med. 2017;49(1):52–6.PubMed
47.
go back to reference Ton, H., et al. Using a Retreat to Develop a 4-Year Sexual Orientation and Gender Identity Curriculum. Acad Psychiatry 2016;40(5): 796–801.CrossRef Ton, H., et al. Using a Retreat to Develop a 4-Year Sexual Orientation and Gender Identity Curriculum. Acad Psychiatry 2016;40(5): 796–801.CrossRef
48.
go back to reference Holthouser A, Sawning S, Leslie KF, Jones VF, Steinbock S, Noonan EJ, et al. eQuality: a process model to develop an integrated, comprehensive medical education curriculum for LGBT, gender nonconforming, and DSD Health. Med Sci Educ. 2017;27(2):371–83.CrossRef Holthouser A, Sawning S, Leslie KF, Jones VF, Steinbock S, Noonan EJ, et al. eQuality: a process model to develop an integrated, comprehensive medical education curriculum for LGBT, gender nonconforming, and DSD Health. Med Sci Educ. 2017;27(2):371–83.CrossRef
52.
go back to reference Sawning S, Steinbock S, Croley R, Combs R, Shaw A, Ganzel T. A first step in addressing medical education Curriculum gaps in lesbian-, gay-, bisexual-, and transgender-related content: The University of Louisville Lesbian, Gay, Bisexual, and Transgender Health Certificate Program. Educ Health (Abingdon). 2017;30(2):108–14.CrossRef Sawning S, Steinbock S, Croley R, Combs R, Shaw A, Ganzel T. A first step in addressing medical education Curriculum gaps in lesbian-, gay-, bisexual-, and transgender-related content: The University of Louisville Lesbian, Gay, Bisexual, and Transgender Health Certificate Program. Educ Health (Abingdon). 2017;30(2):108–14.CrossRef
54.
go back to reference Sarah G, editor. The use of a dedicated content steward for the integration of LGBTQ+ health care topics into a medical school curriculum. New York, NY: Building the next generation of academic physicians (BNGAP); 2018. Sarah G, editor. The use of a dedicated content steward for the integration of LGBTQ+ health care topics into a medical school curriculum. New York, NY: Building the next generation of academic physicians (BNGAP); 2018.
55.
go back to reference Nama N, MacPherson P, Sampson M, McMillan HJ. Medical students’ perception of lesbian, gay, bisexual, and transgender (LGBT) discrimination in their learning environment and their self-reported comfort level for caring for LGBT patients: a survey study. Med Educ Online. 2017;22(1):1368850.CrossRef Nama N, MacPherson P, Sampson M, McMillan HJ. Medical students’ perception of lesbian, gay, bisexual, and transgender (LGBT) discrimination in their learning environment and their self-reported comfort level for caring for LGBT patients: a survey study. Med Educ Online. 2017;22(1):1368850.CrossRef
56.
go back to reference Phelan SM, Burke SE, Hardeman RR, White RO, Przedworski J, Dovidio JF, et al. Medical school factors associated with changes in implicit and explicit bias against gay and lesbian people among 3492 graduating medical students. J Gen Intern Med. 2017;32(11):1193–201.CrossRef Phelan SM, Burke SE, Hardeman RR, White RO, Przedworski J, Dovidio JF, et al. Medical school factors associated with changes in implicit and explicit bias against gay and lesbian people among 3492 graduating medical students. J Gen Intern Med. 2017;32(11):1193–201.CrossRef
59.
go back to reference Barber ME, Dresche J, Rosari V. The GAP online LGBT mental health curriculum. J Gay Lesbian Ment Health. 2012;16(1):41–8.CrossRef Barber ME, Dresche J, Rosari V. The GAP online LGBT mental health curriculum. J Gay Lesbian Ment Health. 2012;16(1):41–8.CrossRef
60.
go back to reference Kidd JD, Bockting W, Cabaniss DL, Blumenshine P. Special-“T” training: extended follow-up results from a residency-wide professionalism workshop on transgender health. Acad Psychiatry. 2016;40(5):802–6.CrossRef Kidd JD, Bockting W, Cabaniss DL, Blumenshine P. Special-“T” training: extended follow-up results from a residency-wide professionalism workshop on transgender health. Acad Psychiatry. 2016;40(5):802–6.CrossRef
61.
go back to reference Mokonogho J, Mittal S, Quitangon G. Treating the transgender homeless population: experiences during residency training. J Gay Lesbian Ment Health. 2010;14(4):346–54.CrossRef Mokonogho J, Mittal S, Quitangon G. Treating the transgender homeless population: experiences during residency training. J Gay Lesbian Ment Health. 2010;14(4):346–54.CrossRef
62.
go back to reference Thomas DD, Safer JD. A simple intervention raised resident-physician willingness to assist transgender patients seeking hormone therapy. Endocr Pract. 2015;21(10):1134–42.CrossRef Thomas DD, Safer JD. A simple intervention raised resident-physician willingness to assist transgender patients seeking hormone therapy. Endocr Pract. 2015;21(10):1134–42.CrossRef
63.
go back to reference McGarry KA, Clarke JG, Cyr MG, Landau C. Evaluating a lesbian and gay health care curriculum. Teach Learn Med. 2002;14(4):244–8.CrossRef McGarry KA, Clarke JG, Cyr MG, Landau C. Evaluating a lesbian and gay health care curriculum. Teach Learn Med. 2002;14(4):244–8.CrossRef
64.
go back to reference Klein EW, Nakhai M. Caring for LGBTQ patients: methods for improving physician cultural competence. Int J Psychiatry Med. 2016;51(4):315–24.CrossRef Klein EW, Nakhai M. Caring for LGBTQ patients: methods for improving physician cultural competence. Int J Psychiatry Med. 2016;51(4):315–24.CrossRef
65.
go back to reference Johnston CD, Shearer LS. Internal medicine resident attitudes, prior education, comfort, and knowledge regarding delivering comprehensive primary care to transgender patients. Transgender health. 2017;2(1):91–5.CrossRef Johnston CD, Shearer LS. Internal medicine resident attitudes, prior education, comfort, and knowledge regarding delivering comprehensive primary care to transgender patients. Transgender health. 2017;2(1):91–5.CrossRef
66.
go back to reference Honigberg MC, Eshel N, Luskin MR, Shaykevich S, Lipsitz SR, Katz JT. Curricular time, patient exposure, and comfort caring for lesbian, gay, bisexual, and transgender patients among recent medical graduates. LGBT Health. 2017;4(3):237–9.CrossRef Honigberg MC, Eshel N, Luskin MR, Shaykevich S, Lipsitz SR, Katz JT. Curricular time, patient exposure, and comfort caring for lesbian, gay, bisexual, and transgender patients among recent medical graduates. LGBT Health. 2017;4(3):237–9.CrossRef
67.
go back to reference Davidge-Pitts C, Nippoldt TB, Danoff A, Radziejewski L, Natt N. Transgender health in endocrinology: current status of endocrinology fellowship programs and practicing clinicians. J Clin Endocrinol Metab. 2017;102(4):1286–90.CrossRef Davidge-Pitts C, Nippoldt TB, Danoff A, Radziejewski L, Natt N. Transgender health in endocrinology: current status of endocrinology fellowship programs and practicing clinicians. J Clin Endocrinol Metab. 2017;102(4):1286–90.CrossRef
68.
go back to reference Moll J, Krieger P, Moreno-Walton L, Lee B, Slaven E, James T, et al. The prevalence of lesbian, gay, bisexual, and transgender health education and training in emergency medicine residency programs: what do we know? Acad Emerg Med. 2014;21(5):608–11.CrossRef Moll J, Krieger P, Moreno-Walton L, Lee B, Slaven E, James T, et al. The prevalence of lesbian, gay, bisexual, and transgender health education and training in emergency medicine residency programs: what do we know? Acad Emerg Med. 2014;21(5):608–11.CrossRef
69.
go back to reference Morrison SD, Dy GW, Chong HJ, Holt SK, Vedder NB, Sorensen MD, et al. Transgender-related education in plastic surgery and urology residency programs. J Grad Med Educ. 2017;9(2):178–83.CrossRef Morrison SD, Dy GW, Chong HJ, Holt SK, Vedder NB, Sorensen MD, et al. Transgender-related education in plastic surgery and urology residency programs. J Grad Med Educ. 2017;9(2):178–83.CrossRef
70.
go back to reference Morrison SD, Wilson SC, Smith JR. Are we adequately preparing our trainees to care for transgender patients? J Grad Med Educ. 2017;9(2):258.CrossRef Morrison SD, Wilson SC, Smith JR. Are we adequately preparing our trainees to care for transgender patients? J Grad Med Educ. 2017;9(2):258.CrossRef
71.
go back to reference Morrison SD, Chong HJ, Dy GW, Grant DW, Wilson SC, Brower JP, et al. Educational exposure to transgender patient care in plastic surgery training. Plast Reconstr Surg. 2016;138(4):944–53.CrossRef Morrison SD, Chong HJ, Dy GW, Grant DW, Wilson SC, Brower JP, et al. Educational exposure to transgender patient care in plastic surgery training. Plast Reconstr Surg. 2016;138(4):944–53.CrossRef
72.
go back to reference Dy GW, Osbun NC, Morrison SD, Grant DW, Merguerian PA. Exposure to and attitudes regarding transgender education among urology residents. J Sex Med. 2016;13(10):1466–72.CrossRef Dy GW, Osbun NC, Morrison SD, Grant DW, Merguerian PA. Exposure to and attitudes regarding transgender education among urology residents. J Sex Med. 2016;13(10):1466–72.CrossRef
73.
go back to reference McGarry KA, Clarke JG, Landau C, Cyr MG. Caring for vulnerable populations: curricula in U.S. internal medicine residencies. J Homosex. 2008;54(3):225–32.CrossRef McGarry KA, Clarke JG, Landau C, Cyr MG. Caring for vulnerable populations: curricula in U.S. internal medicine residencies. J Homosex. 2008;54(3):225–32.CrossRef
74.
go back to reference Criniti SM. Perspectives of sexuality education among medical residents. ProQuest Information & Learning: US; 2015. Criniti SM. Perspectives of sexuality education among medical residents. ProQuest Information & Learning: US; 2015.
75.
go back to reference Greene RE, Hanley K, Cook TE, Gillespie C, Zabar S. Meeting the primary care needs of transgender patients through simulation. J Grad Med Educ. 2017;9(3):380–1.CrossRef Greene RE, Hanley K, Cook TE, Gillespie C, Zabar S. Meeting the primary care needs of transgender patients through simulation. J Grad Med Educ. 2017;9(3):380–1.CrossRef
77.
go back to reference Morrison SD., et al. Are Surgical Residents Prepared to Care for Transgender Patients? JAMA Surg 2018;153(1): 92–93.CrossRef Morrison SD., et al. Are Surgical Residents Prepared to Care for Transgender Patients? JAMA Surg 2018;153(1): 92–93.CrossRef
79.
go back to reference Criniti S, Andelloux M, Woodland MB, Montgomery OC, Urdaneta Hartman S. Commentary: The state of sexual health education in U.S. medicine. Am J Sex Educ. 2014;9:65–80.CrossRef Criniti S, Andelloux M, Woodland MB, Montgomery OC, Urdaneta Hartman S. Commentary: The state of sexual health education in U.S. medicine. Am J Sex Educ. 2014;9:65–80.CrossRef
80.
go back to reference Noonan EJ, Sawning S, Combs R, Weingartner LA, Martin LJ, Jones VF, et al. Engaging the transgender community to improve medical education and prioritize healthcare initiatives. Teach Learn Med. 2018;30(2):119–32.CrossRef Noonan EJ, Sawning S, Combs R, Weingartner LA, Martin LJ, Jones VF, et al. Engaging the transgender community to improve medical education and prioritize healthcare initiatives. Teach Learn Med. 2018;30(2):119–32.CrossRef
82.
go back to reference Holmboe ES. Realizing the promise of competency-based medical education. Acad Med. 2015;90(4):411–3.CrossRef Holmboe ES. Realizing the promise of competency-based medical education. Acad Med. 2015;90(4):411–3.CrossRef
83.
go back to reference Frye AW, Hemmer PA. Program evaluation models and related theories: AMEE guide no. 67. Med Teach. 2012;34(5):288.CrossRef Frye AW, Hemmer PA. Program evaluation models and related theories: AMEE guide no. 67. Med Teach. 2012;34(5):288.CrossRef
84.
go back to reference Kirkpatrick J, Kirkpatrick WK. Kirkpatrick’s four levels of training evaluation. Alexandria, VA: ATD Press; 2016. Kirkpatrick J, Kirkpatrick WK. Kirkpatrick’s four levels of training evaluation. Alexandria, VA: ATD Press; 2016.
85.
go back to reference Andrews JS, Bale JF Jr, Soep JB, Long M, Carraccio C, Englander R, et al. Education in pediatrics across the continuum (EPAC): first steps toward realizing the dream of competency-based education. Acad Med. 2018;93(3):414–20.CrossRef Andrews JS, Bale JF Jr, Soep JB, Long M, Carraccio C, Englander R, et al. Education in pediatrics across the continuum (EPAC): first steps toward realizing the dream of competency-based education. Acad Med. 2018;93(3):414–20.CrossRef
86.
go back to reference Carraccio C, Englander R, Gilhooly J, Mink R, Hofkosh D, Barone MA, et al. Building a framework of entrustable professional activities, supported by competencies and milestones, to bridge the educational continuum. Acad Med. 2017;92(3):324–30.CrossRef Carraccio C, Englander R, Gilhooly J, Mink R, Hofkosh D, Barone MA, et al. Building a framework of entrustable professional activities, supported by competencies and milestones, to bridge the educational continuum. Acad Med. 2017;92(3):324–30.CrossRef
Metadata
Title
Improving Clinical Education and Training on Sexual and Gender Minority Health
Authors
Carl G. Streed Jr.
John A. Davis
Publication date
01-12-2018
Publisher
Springer US
Published in
Current Sexual Health Reports / Issue 4/2018
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-018-0185-y

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