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LGBT Health in Primary Care
Build your knowledge base to improve primary care for LGBT patients! This episode is chock full of clinical pearls and updates for LGBT health from SGIM presenters, Dr. Jenny Siegel (Boston University) and Dr. Megan McNamara (Louis Stokes Cleveland VAMC). They define common gender identity terms and provide tips on how to take a sexual history. You’ll develop an approach to the unique clinical concerns of LGBT patients and learn how to phrase medical information in a gender-neutral framework. This is a must-listen episode for all healthcare providers!
#155 Full show notes at https://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.
Credits
Written and Produced by: Carolyn Chan MD
Graphics: Hannah Abrams
Hosts: Carolyn Chan MD, Paul Williams MD, Matthew Watto MD
Guest: Megan McNamara MD, Jenny Siegel MD
Sponsor This episodes was recorded LIVE at #SGIM19 in Washington DC! Join the Society for General Internal Medicine today!
Time Stamps 00:00 Intro, disclaimer, guest bios 02:45 Guest one-liners, movie recommendations; favorite failures; Paul’s pick of the week 10:52 Defining terms of gender identity 14:20 What to do when you misgender someone or use the wrong term 17:10 Is it a mistake to think of the entire LGBT group as the same? 19:19 How to take a sexual history, the 5Ps 22:00 Unique clinical concerns of LGBT patients; what screening should be performed 24:20 Avoid focusing too much on sexuality and gender identity. Don’t forget to address their medical concerns 24:42 Screening for mental health disorders and asking about suicide 27:16 Cancer screening in transgender patients; a bit on transgener terminology; how to take an anatomy inventory 34:18 Vaccinations 37:05 Contraception considerations and VTE risk with hormonal therapy 41:40 Pre-exposure prophylaxis and risk of STIs 43:30 Impact of discriminatory state laws on LGBT mental health 47:32 Plugs: Fenway Health; UCSF trans health website; Guidelines from the Endocrine Society 49:35 Closing remarks 51:05 Outro