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Kansas City University 10-5-15

Obstacles in Obtaining Culturally Competent LGBT Healthcare: A Panel's Perspective

LGBT Clinical Case Scenarios: An Experiential Learning Perspective

The panel presentation was part of a diversity lecture series sponsored by the Advocates for Diversity in Medicine (ADM) student club. A panel representative of the LGBT community discussed their healthcare experiences and obstacles to receiving culturally competent care. Dr. Holt served as the panel's moderator and assisted with audience questions.

The second presentation consisted of reviewing LGBT clinical case scenarios through small breakout groups, which allowed an experiential learning perspective. After discussing a particular case as a smaller group, the group would present the case to the whole audience with Dr Holt as the facilitator.

The audience consisted of first and second year medical students, faculty, staff, and bioscience students.

Audience feedback/ impact/ things learned from presentation:

Thank you for sharing your personal stories with us. I envy your courage and am honored you come to KCU to speak and inform us on becoming better physicians.-27 y/o M  

Very informative. I learned how little I know about the needs of the LGBT community. I need to be more self informed, start to observe, and take more care to not assume.-25 y/o M  

Very informative - thank you! I will never ever make assumptions - if you don't understand something about the patient, directly ask the patient in order to avoid any misunderstandings.-24 y/o F

Very nice to hear your experiences. I haven't personally met anyone that I know from the LGBT community, so it was good to hear from you and understand some of the issues I will need to address one day. I learned don't assume, be more open, inclusive, and sensitive.-26 y/o F

Loved it. So glad I came. Very helpful. I learned about treating trans patients, use of pronouns, how to facilitate openness, and making sure office staff is adequately trained on how to respect patients of LGBT community.-22 y/o F

Very informative. I learned great practical advice of how to set up an office atmosphere that will be safe/comfortable for LGBT patients; identifying real risks that LGBT patients face more than straight patients; and things to think about when dealing with children who may deal with LGBT issues.-44 y/o F  

Awesome! This should be mandatory training for all future physicians. So vital for our understanding of the human condition…Ask open ended questions and advocate for patients.-44 y/o F

Great information - extremely important stuff that is too often forgotten or overlooked. I learned don't assume anything - create an atmosphere where patients feel comfortable enough to share, but don't feel obligated to until they feel ready.-25 y/o F  

Very eye opening! I learned to remove pronouns when addressing patients and be sensitive to issues of gender.-25 y/o F

I learned to be careful with pronouns; give options like preferred names; and ask more open ended questions.-23 y/o F  

Treat everyone equal. I learned not to stereotype; ask and not assume; ask about a 'spouse' instead of husband; have a 'preferred name' line; and call patient by last name.-22 y/o F  

Very insightful. I learned how to approach a trans patient and about the usage of pronouns.-26 y/o F

It's important to be unassuming from the beginning! I will definitely try to avoid assuming my patients use their born genitalia to describe their gender.- 25 y/o F  

So helpful. This is my second year experiencing this and always insightful. I learned to listen and use an accepting approach to patients. Try to use open ended questions.-"Oldish F-ish"

Great panel. Very informative. I learned how important it is to address someone how they want to be addressed; be more open/inclusive when taking social history.-24 y/o F

Very informative. It is always beneficial to hear the patients perspectives to remind me not only of the type of physician I hope to be, but also the type of physician I hope not to be.-23 y/o F

Really insightful panel. I learned avoid using pronouns until you know your patients better and to ask more open ended questions.-24 y/o F

So useful and important. Be as inclusive, upfront, self educated, and compassionate as possible.-23 y/o Cis-M  

Very informational. Great opportunity to help expose us to the difficulties our patients face and ways to make them feel more comfortable. I learned to always ask open ended questions during assessment and never make assumptions.-26 y/o F

I learned about asking open ended questions, so as to not stifle communication; advocate; and using last names or preferred names rather than legal first names.-22 y/o F  

Great learning opportunity. Thank you for this great experience. I learned to never make assumptions in the office; the period following your patient coming out to you in the clinic is very important and your words should be chosen carefully - because this is crucial bonding experience with your patient; and this opened my eyes to the many different ways in which individuals can identify themselves.-27 y/o M  

Very helpful and insightful. I will hire staff that are LGBT friendly (training provided); ask the right questions in more appropriate ways; and pay attention to the subtleties of the medical encounter and make sure that why are inclusive of all people.-23 y/o F

Thank you for this! The advice to met the patient where they are was really helpful. I learned to pay more attention to labels/boxes on forms and work to improve forms/procedures so that no patient is "outed" or misidentified.-25 y/o F  

The panel was very informative. Having the panelists be so open was very helpful and made those issues very real. I'm thankful for their honesty. I learned to be very careful with pronouns and to not accidentally out anyone.-23 y/o F  

I learned the best way to approach and develop a trusting relationship with an LGBT patient; and to take a more general, open physical history to avoid offending patients.-24 y/o F  

Great presentation. I learned to use gender un-biased language.-24 y/o F  

Very informative and helpful because this is a very important topic and we don't really have another way to learn about this. I learned to ask open ended questions always and do what you can to make the patient comfortable in your office.-24 y/o F  

I learned the gross maltreatment of trans patients; how to ask questions that do not close down communication; and the responsibility of understanding LGBTQ's is on me and not the patient.-33 y/o M  

This was very insightful. I learned to be open and that there are struggles and dilemmas with treating LGBT patients - lots of professionals not being professional and the prejudices that hinder standard patient care.-26 y/o F  

I will focus more on preventing myself from making assumptions especially with titles and pronouns.-24 y/o F  

Great. Very informative. I learned how to approach trans patients and I will have more gender-friendly training in the workplace.-24 y/o M  

learned to be more cognizant of how I talk to people and be aware that these social groups exist. I will also try to be familiar with treatments associated or be aware of resources I can refer to if I am incompetent.-24 y/o M  

I learned the statistics on homelessness, HIV, and suicide rates among LGBT community. I will ask how someone identifies and/or lead with open ended questions about relationship status and gender.-23 y/o M  

I learned the best ways to initially build trust with all patients and to always be accepting and respectful of all patients - particularly regarding pronoun use.-23 y/o F  

Excellent! I learned developing a welcoming and open environment begins prior to the patient entering the exam room (check in procedures, paperwork, etc). I will work to make waiting room as welcoming as possible.-31 y/o M  

Very insightful and informative session. I learned to not be judgmental and ask in an affirmative non-discriminatory way (the power of pronouns and the power of an apology).-25 y/o M  

Very informative discussion. It's important to be considerate, not only of a patients preferences, but also of their fears and self-prejudices. I will try to be inclusive in terminology as well as modes of treatment. It's ok to ask.-27 y/o F  

Really helpful. Thank you for your candor and honesty - we don't get to learn (or even talk about) LGBT issues in class, so this panel is great. I learned to be more open and ask open ended questions - Never assume roles or identities.-25 y/o F  

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