Lesbian, Gay, Bisexual, and Transgender Health and Medical Education

JAMA The Journal of the American Medical Association (Impact Factor: 35.29). 12/2011; 306(21):2326; author reply 2326-7. DOI: 10.1001/jama.2011.1782
Source: PubMed
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    ABSTRACT: The Centers for Disease Control and Prevention (CDC) recommends annual sexually transmitted infection (STI) screening in men who have sex with men (MSM) that is unique to this patient population. The goal of this study is to establish whether U.S. Air Force (USAF) providers are familiar with these guidelines and determine if USAF providers offer these tests appropriately. A survey designed to determine primary care provider knowledge and practices in MSM health care was disseminated via e-mail to 124 primary care providers at 3 separate USAF medical facilities in Northern California from September 15 to 30, 2011. There was a 46% response rate. 15% of respondents correctly identified all CDC-recommended STI screens. 42% stated that they did not know the CDC screening guidelines. 51% did not screen male patients for MSM activity in the past year. 81% of respondents had not offered the full complement of MSM STI screening in the past year. The majority of USAF primary care providers surveyed were not familiar with CDC-recommended annual screening tests for STIs in MSM, and they did not screen for MSM activity or offer MSM STI screening tests regularly. Further studies across the Department of Defense are needed to corroborate the findings of this study.
    02/2013; 178(2):e248-54. DOI:10.7205/MILMED-D-12-00331
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    ABSTRACT: Transgender individuals face challenges dealing with health care providers. For reasons that are poorly understood, the prevalence of gender dysphoria (GD) in veterans is higher than in the general population. LGBT (lesbian, gay, bisexual, transgender) health issues, particularly those of the trans-gender community, are inadequately covered in recent med-ical publications and most training programs, and previous negative experiences in health care settings have created barriers for appropriate care of transgender veterans resulting in decreased preventive services, continuity of care, and life expectancy. Future research must focus on the unique needs of transgender veterans so that health care providers have greater understanding and are better prepared to render appropriate care. The Department of Veterans Affairs (VA) is committed to providing sensitive, evidenced-based care and has made sig-nificant progress in achieving this goal although much remains to be done. Transgender individuals, including those who meet Diag-nostic and Statistical Manual-5 (DSM-5; APA, 2013) criteria for the diagnosis of GD, are inadequately understood by health care providers. For reasons that are unclear, the preva-lence of GD in veterans is higher than in the general popula-tion, even though individuals with GD cannot serve openly in the military. 1,2 VA is committed to caring for transgender veterans who require sensitive, evidence-based care and has made significant progress in achieving this goal although much remains to be done. 2,3
    05/2014; 179(5):483-5. DOI:10.7205/MILMED-D-14-00001
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    ABSTRACT: Limited research exists on the health issues faced by lesbian, gay, bisexual, and transgender (LGBT) patients, as viewed in the context of osteopathic medical education. A full understanding of current medical students' acceptance of, attitudes toward, and knowledge of these issues could lead to the development and incorporation of curricula focusing on the care of LGBT patients into colleges of osteopathic medicine (COMs).
    The Journal of the American Osteopathic Association 10/2014; 114(10):788-96. DOI:10.7556/jaoa.2014.153

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