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Kansas City University of Medicine and Biosciences >> 4-26-13

Gay Sexuality: Biology as a Destiny

LGBT Healthcare Guidelines

The first presentation helped medical students compare and contrast the definitions of sexual orientation and sexual behavior; describe the spectrum of sexuality in the general population; identify that sexual orientation is not a choice; describe how genetics plays a role in male homosexuality; list the current biological theories on causation of male homosexuality; and identify neuroanatomical differences between homosexual and heterosexual men.

The second presentation described barriers to care that are unique to the LGBT population; identify health risk factors that are more unique to gay men; identify health risk factors that are more unique to lesbians, list and describe ten things physicians should discuss with gay men; list and describe ten things physicians should discuss with lesbians; and list and discuss ten things physicians should discuss with transgender persons.

Medical students commenting on how the presentations influenced them:

"These presentations were valuable for they gave me much insight on how to provide competent, compassionate care to all people - no matter their sexual identity or orientation. This information was relatively new to me, but it gives me confidence that I will be able to address medical issues for future patients of the LGBT community."-30 y/o M

"The lectures have opened me to a world that's usually evaded by many and I'm thankful for Dr. Holt's openness and freedom in his discussion of a touchy subject. I will now feel much more comfortable with handling a patient in my office, including specific points necessary to speak about in taking a history and screening."-24 y/o M

"This was a great presentation. There will be many things that I carry with me into practice. One of the most basic things would be not to assume that just because someone is married with children means they are straight."-24 y/o F

"This was a very interesting lecture. It will allow me to be honest and comfortable discussing homosexual issues with my future patients. It also opened my mind to specific health barriers that homosexuals and transgenders face today."-28 y/o M

"I really enjoyed this lecture. I was unaware of a lot of the information presented. I feel better educated and better prepared to address these topics when I go into practice."-24 y/o M

"Definitely have a much clearer understanding on sexual orientation versus sexual behavior. Great presentation."-23 y/o M 
 
"Thank you for presenting this lecture in a neutral, scientifically based format. Compared to other lectures we have had on touchy subjects, this one is by far the most organized and nonbiased. Enjoyable lectures."- 23 y/o M
 

"I think this talk is very important - especially when parents come in with questions regarding their child's sexuality and gender."-22 y/o F

"This talk has provided valuable insight into how to care for LGBT patients without offending them or offering suboptimal care. I learned how to approach LGBT patients in a manner that will make them feel comfortable and open with me, so that I can best provide them with the care they need."-25 y/o F

"This talk has impacted how I will interact with my patients - especially initially. I now understand some common issues that are demonstrated more frequently in LGBT individuals."-24 y/o M

"I love how scientific this lecture was. There was no opinion - it was all evidence based and was very powerful."-26 y/o M

"I think that the specific health concerns for LGBT populations was the most important. We are told to ask about it but never told what to do with the information."-24 y/o M

"The information and concepts about screening are extremely helpful. Also, the current research in gay biology was interesting."-26 y/o M

"Ask gender neutral open ended questions to gain a better understanding of sexual orientation and sexual behavior to be able to screen and treat patients effectively."-26 y/o F

"This will help me to be more understanding of gay and transgender patients and hopefully make me more effective as a physician."-29 y/o M

"It was good to be given options on how to approach patients and families who are struggling with the idea of homosexuality."-27 y/o M

First of all thanks for your informative lectures. I learned a lot and it raised my level of awareness and understanding about gay sexual orientation."-25 y/o M

"This lecture provided me with valuable information on providing the best care I can to gay and lesbian patients, such as being very open minded, asking the right questions, as well as how to address specific issues that may burden my future gay and lesbian patients."-26 y/o M

"I have learned to be open minded and nonjudgmental towards all patients. All patients deserve to be treated equally and have the best available medical care, regardless of sexual orientation and sexual behavior."-25 y/o F

"I think I will ask more open ended questions. One interesting thing I didn't think about would be to make the waiting room/office more gender sensitive. I now know different things to screen for in LGBT individuals."-25 y/o F

"I think it is so important that the LGBT community feel safe and accepted by their physician so that the best healthcare can be provided."-24 y/o F

"This talk helped me gain a greater understanding of what issues I need to consider in LGBT patients. I was unaware of many things we discussed today, such as health issues."-25 y/o M

"I will ask a lot of open ended questions and never assume a patient's sexual orientation. I learned not to assume a patient's self identified sexual orientation is necessarily indicative of their sexual behavior."-24 y/o F

"This talk further solidified my view that LGBT issues are an essential part of family practice and medicine as a whole. A family doctor may be the only person that a LGBT adolescent or adult has to talk to about their sexual orientation. We must be cognizant of the positive role we can play in their lives."-28 y/o F

"I hope to incorporate gender neutral, open ended questions with my questions. I want my patients to all feel comfortable and non-discriminated against so that we can partner to improve their health."-25 y/o F

"I hope that I can make LGBT patients feel completely comfortable in their own skin and that I can help unaccepting parents to understand that sexual orientation is not a choice. I learned the importance of supporting patients who are LGBT and encouraging them to be themselves."-24 y/o F

"Addressing the needs of all of my patients is very important. I need to make sure that everyone feels comfortable in my office and feels that I am considering their specific needs."-26 y/o M

"I really think it was very interesting and think that understanding homosexuality as a future doctor is very important. Having education in medical school on homosexuality is very important."-25 y/o M

"I enjoyed the lecture. This is a topic we never talk about in school and its good to learn about. This issues will come up in clinical practice and it's helpful to learn about how to discuss them with patients. I want my patients to feel comfortable in my future practice no matter their sexual orientation. I feel this class gave some ideas on how to make that possible."-26 y/o F

"As a gay male, these lectures further enforced my own ideals of treating everyone equally and not discriminating based on sexual orientation."-26 y/o M

"The most important thing I learned today is how to provide a more accepting and open environment for LGBT patients. I would hate to have patients feel uncomfortable and unable to share important information with me."-23 y/o F

"As a future physician I will be more familiar and aware of the healthcare issues LGBT individuals experience. Dr. Holt offered good guidelines to help us provide effective care to this population."-25 y/o M

"This tak gave me good ideas about how to discuss, and how not to discuss, sexuality/sexuality related issues."-25 y/o F

"Remember to ask open ended questions to find out your patients sexual history."-29 y/o M

"This talk will make me a more aware physician regarding what I say, how the environment of the office welcomes all demographics, and just being more open minded. I learned that gender and sexual orientations are not a choice that a person makes."-24 y/o M

"I believe all the things that were stated. I applaud Dr. Holt coming back and giving this lecture. I was thoroughly interested."-24 y/o M

"Most of this information seems like common sense to me. However; I've never been lectured to about any of the subjects you brought up today. This is very important for the future of my career. Thank you for lecturing today."-25 y/o M

"I feel like I have a better understanding about sexuality and am able to provide patients with more information."-26 y/o M

"I learned ways to make LGBT patients more comfortable in coming to see a physician."-25 y/o M

"As a gay male, this reinforced many things I've heard about the research into why I am the way I am, which I can provide to my patients."-24 y/o M

"I've always been open to gays and lesbians. However; I now have a better idea of the background of homosexuality and how to effectively address the concerns of the homosexual community. It was all important."-25 y/o M

"I feel these lectures are very useful in medical education, because as times change, we need to be prepared how to properly manage and treat all patients no matter their orientation."-26 y/o M

"There were some great guidelines on very practical issues to make our practice more LGBT friendly. I learned to never assume sexual orientation or gender identity."-26 y/o F

"I am happy we had these two lectures. The LGBT community has rarely been mentioned in any of our lectures. I am positive I will have patients who are a part of the LGBT community. It is important to have a good understanding of the best questions to ask to better treat these patients."-23 y/o F

"This talk helped show me different ways to approach LGBT care in the clinic. I know open ended questions were good for HPI, but the approach to sexual orientation/behavior was enlightening. The most important thing I learned were the definitions of sexual orientation and sexual behavior. I'm sure I have used them wrong in the past, but now I can more aware and less 'opinionated'."-26 y/o M

"It has provided me with more knowledge. I had not heard most of the presented information and was quite surprised. It was very informative."-24 y/o F


1 Comment
  1. Reply Michelle
    April 27, 2013 at 12:42 pm

    Really, really appreciated this presentation as a second year medical student. I can now back up my stance in the nature/nurture arguments with concrete facts. This will also really help in connecting with patients in the future and making them feel comfortable. Thanks so much!

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