Wednesday, September 28, 2011

Coverage of LGBT related topics in medical schools

Medical schools are being pressured to include more course work in an already jammed curriculum to address LGBT barriers to good health. The list of 16 topics includes: sexual orientation; HIV; gender identity; sexually transmitted infections; safer (not safe) sex; disorders of sex development; barriers to care; mental health issues; LGBT adolescents; coming out; unhealthy relationships--intimate partner violence; substance use; chronic disease risk; sex-reassignment surgery; body image; transitioning.

Gays and Lesbians, bisexuals and transgendered folks are an extremely small percentage of the general population, but because of my profession, I may know more LGBT persons than most. With the exception of two or three who died rather young before the drug cocktails that are now available for AIDS, those I knew were/are in monogamous relationships, well educated, economically high in the quintile chart, and pleasant, hard working co-workers. Their health problems, I assumed, included things like COPD (too much smoking), obesity related problems (too many pot-lucks and too much eating out), and various familial diseases like cancer, arthritis, and depression. I can only hope they can find a good doctor who has spent enough time studying and treating non-gay related problems.


How long before this list (published in JAMA, Sept 7, 2011) is considered insulting inducing cognitive dissonance and stereotypical and homophobic attitudes among medical staff?

Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education, September 7, 2011, Obedin-Maliver et al. 306 (9): 971 — JAMA

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