IU School of Medicine Student Portal

2021-2022 Elective Title: 93YF740 — HEALTH OF GENDER AND SEXUAL MINORITY PATIENTS

Description:

As it relates to the care of transgender persons, the student will develop increased awareness of the meaning of gender-affirming care and what medical, behavioral, and surgical care this may include. The student will familiarize themselves with national resources as well as the World Professional Association for Transgender Health (WPATH) Standards of Care which outline recommendations for the care of gender diverse persons. The student will have an opportunity to learn skills in management of gender-affirming hormonal therapy for transgender and gender nonbinary patients as well as gain first-hand experience of many other supportive services that are offered in an urban gender-affirming medical clinic including speech therapy, mental health services, nutrition, medical-legal partnership, social work, etc. A component of the coursework will relate to the care of sexual minority patients and will include primary-care setting practice in obtaining a sexual history and familiarization with disease prevention, specifically pre-exposure prophylaxis of HIV infection and guidelines for prevention of other STIs. Students will develop greater awareness of psychosocial factors that are determinants of the health of gay, lesbian, and bisexual individuals. More broadly, the student will gain a greater understanding of health disparities faced by the LGBTQ+ community and hone skills in providing culturally sensitive care to all patients regardless of their sexual orientation/practices, romantic relationships, or gender identity. This will include focused training on active communication skills that improve the patient-physician relationship and foster greater understanding of patient experience and values. Most unique to this course, will be the student's participation in the multidiscplinary team in the gender health clinic that enables such whole person care and addresses the various needs of the transgender patient.


Elective Details:

Primary Contact for Add/Drops: Natalie Rollman, Family Medicine Elective Student Education Coordinator (fammeded@iupui.edu)

Director: Juan Carlos Venis, M.D., MPH

Campus: Indianapolis

Location: Various Clinics


Learning Objectives

  • 1) Describe common barriers faced by the LGBTQ+ patient in accessing health services and identify social determinants influencing their overall health (SBP2)
  • 2) Define gender dysphoria, indication for diagnosis and the standards of care for these patients (PC2)
  • 3) Describe the indication, management and monitoring of gender-affirming hormonal therapy in patients experiencing gender dysphoria (MK4)
  • 4) Identify opportunities for professional collaboration to help transgender patients who suffer from coocurring mental health diagnoses or significant social barriers to achieving well-being (SBP1)
  • 5) Obtain an affirming sexual history from a patient regardless of gender identity, romantic relationships, or sexual orientation/practices (PC1)
  • 6) Describe basic issues in the primary care of sexual minority patients as related to disease prevention and chronic disease management including patients who live with HIV (MK7)
  • 7) Describe the indication, management, and monitoring of HIV pre-exposure prophylaxis as well as post-exposure prophylaxis (MK4)

Assessment

Clinical Performance Evaluation Form (Oral presentation, discussion with faculty, presentation on topic to transgender clinic team, canvas pre and post assessments for online modules)

Activities

Community Primary Care Clinics (Alternating experiences with Damien, Capital Center IUHP primary care, etc. subject to availability): Tuesday and Thursday (AM or PM for total 2 half days a week) Specialty Clinics (Alternating experiences with gender affirming surgery program, Riley Gender Health Clinic, HIV clinic, legal clinic, speech therapy, etc. subject to availability): Friday afternoon (1 half day session per week). Didactic teaching and self-directed learning: Library time: Wed afternoon (1 half day a week). Students will work with course director at beginning of rotation to identify areas of interest for self-directed learning. Additionally, students will be asked to complete 3-4 hours total of online learning using materials from the National LGBT Health Education Center (https://www.lgbthealtheducation.org/). They will also be asked to familiarize themselves with the World Professional Association for Transgender Health Standards of Care (http://www.wpath.org/site_page.cfm?pk_association_webpage_menu=1351&pk_association_webpage=3926).


Enrollment Information

Prerequisites: 4th year status, Must submit a max 250 word statement regarding interest and commitment to LGBTQ+ health to be considered.

Availability with Max Students per Rotation:

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Duty Hours: 35-40

Time Distribution: 70% Clinical; 20% Library/Reseach; 10% Lecture/Seminar

Elective Type Category: AC - Advanced Clinical

Notes and Enrollment Information:

Add/Drop Contact Person: Natalie Rollman, Family Medicine Elective Student Education Coordinator (fammeded@iupui.edu) THIS ELECTIVE DOES NOT PARTICIPATE IN THE INITIAL SENIOR MATCH. Add/Drop Contact Person: Natalie Rollman (fammeded@iupui.edu) To enroll in the course, you must receive permission from the Course Director. Students interested in enrolling are required to submit a max 250 word statement regarding interest and commitment to LGBTQ+ health at least 8 weeks prior to starting the elective in order to be considered (some exceptions will be considered especially in event of available student placement in course). Please submit your statement to Natalie Rollman (fammeded@iupui.edu). This elective is only located in Indianapolis. Students from other campuses are welcome, however, the course won't provide housing. Student will have to transport to different locations in the Indianapolis area.

Third Year Elective? No


Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description:

Service Learning Included: None