CME | LGBTQ+ Health & Inclusive Care

You have the ability to earn up to 0.5 CME credits per episode by listening to the CME on the Go series of Inside Family Medicine. The new CME on the Go series of the Inside Family Medicine podcast lets you earn up to 0.5 CME credits per episode — beginning with this inaugural episode that underscores the critical role of family physicians in caring for LGBTQ+ patients and reducing health care inequities.

Listen as three family physicians discuss how to create welcoming environments and adapt medical care to the needs of all patients, as well as the importance of understanding gender identity and sexual orientation.

Your hosts for this episode are Lauren Brown-Berchtold, MD, FAAFP, program director for the San Joaquin General Family Medicine Residency in French Camp, Calif.; Jason Marker, MD, MPA, FAAFP, associate director of the Memorial Hospital Family Medicine Residency program in South Bend, Ind.; and Tamaan Osborne-Roberts, MD, MBA, FAAFP, chief medical officer and vice president of health strategy at the public sector health plan Colorado Access.

These family physician leaders share personal experiences, highlight the significance of visual cues for inclusivity and discuss further gender-affirming care learning opportunities. The conversation encourages continuous learning, humility and a commitment from family physicians to create safe spaces for LGBTQ+ patients.

Credit Claiming

After listening to the podcast episode, claim 0.5 AAFP credit on AAFP.org.

Learning Objectives

1. Explore the unique health needs and challenges faced by LGBTQ+ individuals.
2. Discuss best practices for creating inclusive healthcare environments for LGBTQ+ patients.
3. Recognize the disparities in healthcare access and quality experienced by LGBTQ+ communities.
4. Discuss ways to provide guidance on gender-affirming care and supporting the health and well-being of transgender and non-binary patients.

Topics by Timestamp

• 00:00 Welcome to Inside Family Medicine
• 00:18 Meet Your Hosts
• 02:15 Podcast Vision: Centering Family Physicians
• 03:18 Introduction to LGBTQ+ Care
• 03:39 Diving Deep into LGBTQ+ Care in Family Medicine
• 04:30 Importance of Inclusive Care
• 06:56 Training and Resources for LGBTQ+ Care
• 12:59 Creating a Welcoming Environment for All Patients
• 17:20 Screening Guidelines for Transgender Patients
• 20:53 Final Thoughts and Continual Learning
• 24:58 Closing Remarks

References

• https://www.itspronouncedmetrosexual.com/2015/03/the-genderbread-person-v3/
  • Killermann S. The Genderbread Person, version 4. Genderbread.org. 2017. [2023-06-27]. https://www.genderbread.org
• Sterling J, Garcia MM. Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model. Transl Androl Urol. 2020 Dec;9(6):2771-2785. doi: 10.21037/tau-20-954.
• Safer JD, Tangpricha V. Care of Transgender Persons. N Engl J Med. 2019 Dec 19;381(25):2451-2460. doi: 10.1056/NEJMcp1903650.
• Iwamoto SJ, Grimstad F, Irwig MS, Rothman MS. Routine Screening for Transgender and Gender Diverse Adults Taking Gender-Affirming Hormone Therapy: a Narrative Review. J Gen Intern Med. 2021 May;36(5):1380-1389. doi: 10.1007/s11606-021-06634-7.
• Reisner SL, Mateo C, Elliott MN, et al. Analysis of Reported Health Care Use by Sexual Orientation Among Youth. JAMA Netw Open. 2021;4(10):e2124647. doi:10.1001/jamanetworkopen.2021.24647
• Nigro NN, Chandnani N, Doshi A, Fritsch A, Marroquin NA, Zueger M, Sivesind TE, Dellavalle R, Dunnick C. Distinguishing Gender Identity From Biological Sex in Dermatologic Health Care: Methods, Harms, and Paths Forward. JMIR Dermatol. 2023 Jul 18;6:e47118. doi: 10.2196/47118.

Resources:

• https://transcare.ucsf.edu/guidelines
• https://www.glma.org/resources.php
• https://www.aafp.org/cme/all/health-equity/lgbtq-plus-patient-strategies.html
• https://www.aafp.org/family-physician/patient-care/care-resources/lbgtq/tools-resources.html
• https://www.aafp.org/family-physician/patient-care/care-resources/lbgtq.html

Disclosure:

It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest and, if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.

All individuals in a position to control content for this session have indicated they have no relevant financial relationships to disclose.

Disclaimer: Copyright 2024. AAFP. The views presented in this broadcast are the speaker's own and do not represent those of AAFP. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. AAFP makes no representation as to the accuracy or completeness of the information and is not responsible for results that may arise from its use. Consult an appropriate professional concerning your specific situation and respective governing bodies for applicable laws. Reference to any specific product or entity does not constitute an endorsement or recommendation by AAFP unless specifically stated otherwise. AAFP and the AAFP logo are registered trademarks of American Academy of Family Physicians.